I'm recovering from facial surgery (cheek implant removal) and surgeon mentioned that the infraorbital nerve was not severed during the removal. I have feeling but noticed that the sensation is still slightly different (it's 90% back). I'm 2.5 months in my recovery so: Does trauma to this nerve affect motion of the lip or just the sensation (or both)? I have a bit of smile asymmetry (one side higher than other) and curious if trauma to this nerve is the reason.
October 27, 2014
Answer: Smile Asymmetry - Infraorbital Nerve It sounds like you are recovering normally from surgery. It can take months and even up to a year or longer for the sensation in a surgically operated area to recover fully. Sometimes nerves undergo a "stretch" injury during procedures and take time to recover. The infraorbital nerve is not responsible for the movement or position of your lip. Your smile asymmetry may be from surgical manipulation, surgical scarring, and will likely improve over time. I would discuss these issues with your surgeon as well.
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October 27, 2014
Answer: Smile Asymmetry - Infraorbital Nerve It sounds like you are recovering normally from surgery. It can take months and even up to a year or longer for the sensation in a surgically operated area to recover fully. Sometimes nerves undergo a "stretch" injury during procedures and take time to recover. The infraorbital nerve is not responsible for the movement or position of your lip. Your smile asymmetry may be from surgical manipulation, surgical scarring, and will likely improve over time. I would discuss these issues with your surgeon as well.
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Answer: Does the Infraorbital Nerve Affect Sensation of Upper Lip or Movement? Dear Curious_Inquirer, Trauma to the infraorbital nerve during cheek implant removal or insertion, or other cosmetic facial procedures, can definitely result in decreased sensation to the upper lip on the outside of the face. The infraorbital nerve does not control motion of the facial muscles of the upper lip; however, stretching or trauma of the zygomaticus major or minor and other facial muscles that contribute to facial lip movement can occur during the same procedure. It is entirely possible that subtle disruption, stretching or microtrauma to the muscles of facial movement occurred at the time of trauma to the infraorbital nerve. Subtle asymmetries to the lip movement can occur and generally, over time, these completely resolve. My advice at this time would be to seek the opinion of your operative physician to reassure you that the upper lip motion and function should return. I have found it useful over the years to deploy radiofrequency bulk heating devices and electrical mild stimulation of the muscles of elevation of the upper lip following subtle and modest weakness postoperatively, as this will resolve the asymmetries much quicker than allowing Mother Nature and time to restore facial balance. I hope this information has been of some assistance and best of luck. Sincerely, R. Stephen Mulholland, MD Certified Plastic Surgeon Yorkville, Toronto
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Answer: Does the Infraorbital Nerve Affect Sensation of Upper Lip or Movement? Dear Curious_Inquirer, Trauma to the infraorbital nerve during cheek implant removal or insertion, or other cosmetic facial procedures, can definitely result in decreased sensation to the upper lip on the outside of the face. The infraorbital nerve does not control motion of the facial muscles of the upper lip; however, stretching or trauma of the zygomaticus major or minor and other facial muscles that contribute to facial lip movement can occur during the same procedure. It is entirely possible that subtle disruption, stretching or microtrauma to the muscles of facial movement occurred at the time of trauma to the infraorbital nerve. Subtle asymmetries to the lip movement can occur and generally, over time, these completely resolve. My advice at this time would be to seek the opinion of your operative physician to reassure you that the upper lip motion and function should return. I have found it useful over the years to deploy radiofrequency bulk heating devices and electrical mild stimulation of the muscles of elevation of the upper lip following subtle and modest weakness postoperatively, as this will resolve the asymmetries much quicker than allowing Mother Nature and time to restore facial balance. I hope this information has been of some assistance and best of luck. Sincerely, R. Stephen Mulholland, MD Certified Plastic Surgeon Yorkville, Toronto
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