I know the story---It would not necessarily happen with a highly skilled plastic surgeon.
Can Ultherapy or Even a Traditional Facelift Result in a Healed but UNEVEN Facial Expression?
Doctor Answers 13
Asymmetry after facelift or ultherapy
Every face is asymmetric. I always point out to patients their asymmetries of eye, cheeks and jawline, mouth and eyebrows before surgery so that they won't be surprised after surgery that the same underlying asymmetries are still present.
Ultherapy is certainly not a substitute for a facelift. In fact, we are seeing that patients may have significant volume loss with some of the microwave or radio frequency based treatments. Could that also affect the underlying nerves, which have sphingomyelin sheaths, with high fat content? I don't know.
Nerve damage or asymmetric pull can also create asymmetries in the face but are typically minor with highly experienced plastic surgeons.
Uneven facial expression
Facial expression is not altered by Ultherapy
Ulthera microfocused ultrasound generally does not go deep enough to affect the nerves controlling facial muscles, which would be the cause of uneven facial expression. It is rare with facelift surgery and usually temporary when it does occur. I should point out that facial expression is naturally asymmetrical to begin with so I assume your question pertains to nerve damage issues. Also, Ulthera is not truly an alternative to a facelift since it is only designed to lift facial skin, while a facelift is a 3-dimensional operation.
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With either procedure, asymmetry in expression as a complication is very rare. It would be slightly higher with surgical facelifts, especially if extensive midface work is required. A board-certified Facial Plastic Surgeon is used to working around the facial nerve and such risks are very low.
Nerve injury is a risk with facelift surgery
I am not aware of Ulthera causing nerve injury, but certainly a facelift surgery is a possibility. Facial nerve injury can affect the muscles of facial expression, but usually these are stretch injuries that should resolve in time. If the injury is no better after about 6 months, it probably will not improve. Botox has been used to treat the OTHER side in order to even out the asymmetry, in selected cases.
Uneven facial expression following procedures
are very rare... Ulthera has been known to temporarily cause some weaknesses but they always resolve. Facelifts can result in asymmetry but the actual muscle movement shouldn't be any different from what it was before.
While symmetry is the goal of any procedure, yes, asymmetry can be a result. This is especially true if you have a subtle underlying asymmetry, like one cheek bone higher than the other.
Uneven Expression Following Ultherapy or Facelift
It is difficult to tell from your question if you had both Ultherapy and a Facelift or are considering either procedure. It is highly unlikely that Ultherapy will create any type of asymmetry of expression, as the results of the procedure tend to be much more subtle than that of a traditional facelift. It is also quite unlikely to have an uneven expression following a traditional facelift if you have seen a qualified, board-certified plastic surgeon. You don't mention how long ago you had either procedure, so there definitely can be some post surgical swelling following a facelift that will change as time goes by. I hope this helps.
Uneven Facial Expression
Uneven Facial Expression
Assymetry or uneveness of facial expression can be made worse after a facelift or ultherapy, however, it would have likely been pre-existing. Surgery can lead to uneven facial expression, but this is unusual. I would recommend you speak with your physician about your concerns as each individual case can be unique.