Will I Ever Have my Smile and Face Expressions Back Again?

I had revision rhinoplasty and revision chin implant seven months ago. I do not smile or have the face expressions I had before. I look so horrible and bloated kinda. Is this normal? Will I ever go back to normal? If so, how long will it be?

Doctor Answers 3

Your smile should return to normal after Rhinoplasty and Chin Implant.

At 7 months after a Rhinoplasty and Chin Implant revision, your smile should be close to normal.  If you feel only slightly different, that's understandable but if you believe that one side of your smile is markedly different, you should be evaluated by your surgeon for residual facial weakness.  This would most likely be due to some weakness to the marginal branch of the facial nerve.

Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Smile and facial expression 7 months after chin and nose revision surgeries.

Other than the marginal mandibular nerve branches of the facial nerve, there aren't many motor nerve branches to get into trouble with during either of these surgeries. It is possible that you could have some injury to one or both marginal mandibular branches causing smile abnormalities, though this is quite unusual, and almost never bilateral!

If you have not seen your own surgeon and asked these questions, please do so. If you have and are not satisfied with the answers you receive, see one or more ABPS-certified plastic surgeons for more information. You should not be feeling bad about your surgery 7 months post-op! Good luck

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon
4.9 out of 5 stars 254 reviews

Smile likely due to chin

Revision rhinoplasty can affect the smile for a few months.  The chin implant is more likely the source of what you are experiencing.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.