I would like a face lift, mainly for jowls but I also to correct other problems. I have an old fracture to the zygomatic arch on one side resulting in some inflammation/small indentation. I have been evaluated for this by an oral surgeon recently who said it would be a major surgery now and inadvisable. Good functioning. I also have TMJ w/some occ. swelling and problems with the position of the discs, fairly well controlled through exercises I learned in physical therapy. Is this contraindicat?
Is TMJ a Contraindication for SMAS Facelift?
Doctor Answers 20
Facelift OK With TMJ
A facelift lifts and tightens the underlying SMAS plus lifts, tightens and removes excess skin. It should not affect the functioning of the jaw or any other bones or joints. It should have no affect whatsoever on your TMJ. I hope this helps.
TMJ Syndrome OK with Most Facelifts
TMJ and SMAS lift
The SMAS lift repositions the underlying fat and to some degree the fine muscles beneath it to a more youthful position but does not result in tighter facial muscles. A SMAS facelift should not cause additional complications your TMJ problems when properly done. I would consult with your TMJ specialist to be sure.
TMJ and SMAS Facelift
Having TMJ symptoms, especially those that are well controlled, are not a contraindication to having a SMAS facelift. You could address the indentation on your zygomatic arch at the same time by injection of fillers or a brow lift incision could be used to approach and fix the indentation at the level of the bone.
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TMJ is not a Contraindication for a SMAS facelift
It sounds like you have a few issues. I am happy that you have reasonable control of your TMJ symptoms. The facelift should not effect that. I would wait a little while before resuming aggresssive PT for your TMJ. The contour irregularity can also be evaluated by your surgeon and see what he/she may suggest.
TMJ disorder not a contra-indication to facelift surgery
Facelift surgery involves the tissues more superficial than the jaw joint so your TMJ disorder isn't a contra-indication to surgery. Facelift surgery wouldn't be expected to improve the cheek indentation you mentioned, though you may want to discuss filler options for this area such as fat grafting or injectible filler.
TMJ and a facelift may be possible
As long as your TMJ is stable, you should probably be okay. However, the TMJ may worsen after the facelift because of the pulling of the skin.
TMJ and facelift surgery
Your TMJ is not a contra-indication to facelift surgery with a SMAS technique. The joint function, alignment or motion should not be altered by the procedure.
Best of luck!
Facelift should be fine
Having a facelift should be just fine in your case. The temporomandibular joint (TMJ) is not affected in the least by a facelift. The only potential problem could be that if you have a general anesthetic, you may have an exacerbation of your joint discomfort due to the intubation. However, this is EXTREMELY rare and I doubt it would be an issue for you.
Facelift and TMJ
TMJ problems are not a contraindication to any facial rejuvenation surgery. Given that you have a small indentation of the skin, you may be a better candidate for fat transfer with/without a facelift. I would certainly speak with your surgeon about these options.
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