Treatment Provider

David H. Harley, MD
Board Certified Facial Plastic Surgeon
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Update to show healing of ear and chin scars

Someone requested that I post some pictures of the four-month post surgery view of what the scars look like on my chin and around my ears. I have to say they are minimal. Initially there was a feeling of bunched skin, but the doctor said that would go away. That bunching has minimized quite a bit. There's a little bit of bunching around the ears still but it's not that big a deal and gets more flat as time goes on. Zoom in on the pictures and you'll see what the scarring looks like. It's certainly nothing that concerns me at all.
The only thing I'm concerned about is, as I said in my last update, I am just this last week experiencing a constant little twitching in one of my cheeks. The details of this are in my last post. I have a call out to the doctor to find out if this is just part of the healing process. I will keep you posted. Both on what he says and what actually happens.

Muscle twitching / light spasms now

OK, so it's post surgery by a little over four months. On my last post just a week ago, I mentioned that my previously slightly lopsided smile (which was only minor) has finally righted itself. Although it had always felt a little more numb and thicker on that one side up to about a week ago, I have gotten a lot more feeling back in it of recent. It's still a little more numb but a lot more feeling in it now.

But now that there is so much more feeling back in that cheek, I am getting twitches in that cheek and muscle spasms which occur every second or two. It doesn't hurt, but it feels both irritating and disconcerting to me.

Whether it be part of the healing process because of the nerve irritation that I occurred during my facelift or possibly muscle damage, I don't know. In any case, I don't know what it is but I intend to call my doctor tomorrow to find out if this is temporary or permanent. Is it part of the healing process or something that I have to live with at this point?

Right now, it's not overly apparent that it's twitching when you look at me, but when I do look closely at myself I can see it twitching.

I can really feel it twitching when I'm laying back in bed and watching TV. It's there all the time during the day time too, but when I'm not focused on it, I notice it less (but it is still there). And in the few days since it started, it's certainly getting worse and more often. (It's been about 1 week now.)

It is just over 4 months post surgery. Beyond the lower facelift, I also had Botox and fillers put in my face at the time of the facelift (though the Botox was one week post the facelift). I'm wondering if it could be that the Botox has worn off, which it feels it has, and that this area was managed by the Botox possibly until now and now that that is gone, that's why I'm feeling and having the muscle twitches in my cheek. But I don't know if he even put Botox in my cheek. I have read on this forum that other people have had muscle spasms or twitches as part of their healing process. The doctors who responded also mentioned that Botox can help manage this. But I'm afraid if I get Botox put in there and this twitching is part of the healing process, will it paralyze the muscle and cause it not to heal?

My biggest questions are: what is causing this? Will it be temporary? If yes, how long can I expect this to go on? Will it get worse before it gets better? Is it recommended that I get Botox in there to paralyze the muscle or will this halt any healing process that may be going on?

In any case, I plan to call my doctor tomorrow and find out the answers to my questions. I will keep you all posted.

Feeling Good, and smile is back 100%

Just wanted to let you all know that at 4 months post surgery my smile is completely even. I had a bit more of a healing (unlike most patients) before in that my smile was slightly lopsided. As Dr. Harley reassured me, this would heal in time. It did. One side feels (inside) slightly thicker and more numb than the other side, but this continues to feel more normal all the time. My full smile is completely back. (Most people didn't notice my lopsided smile before unless I made a point to show them. It was minor.)

Provider Review

Board Certified Facial Plastic Surgeon
70 Sapphire Valley Rd., Sapphire, North Carolina
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