ppsusan Posted August 21, 2016 Posted August 21, 2016 Dear all, I just had my mandible reduction surgery done. Now it is 20 days post op. I noticed my bottom lip asymmetry a week ago. I pointed to my surgeon in Seoul. I was told it is still being recovered and should recover after months. However, my left bottom lip cannot move at all. Right bottom lip can move and lower the right bottom lip. On the contrary, my left bottom lip is completely frozen. The terrible thing is I already left Seoul and went back to hometown. I visited local hospital in general. I was told it might due to paralysis of the left marginal mandible branch of the facial nerve. I am extremely scared. The surgeon refused to claim it is due to nerve damage and keep requesting me to calm down and wait till full recovery. Does anyone has the similar symptom as my case? Any advice or comments are highly appreciated. Please help !!! Many many thanks !!!
ppsusan Posted August 26, 2016 Author Posted August 26, 2016 Hi, cherishbaby. Thanks for you reply. I do not want to release the name of the clinic cause it is not confirmed as an accident or normal recovery. I do not want to bias people if it is still in normal recovery range. I have serious now cause recovery is very very slow or maybe my mental notice. Hope to receive more replies or experience discussion. Thanks again.
apayo Posted August 26, 2016 Posted August 26, 2016 It might just be nerves. My lips and chin muscles were a little wonky for nearly 2 months. When I tried to smile, my chin would dimple and move to one side. I am 2 months and a week post op now from my v line surgery and my lips are 100% back to normal. My chin and jawline feels 90% back to normal. I got my jaw done at Cinderella Clinic and my doctor told me you should feel normal within 3 months. It's still too early to tell. Don't worry too much.
ppsusan Posted August 27, 2016 Author Posted August 27, 2016 Hi, Apayo. Thank you so much for your kind sharing. Did you try to take some medicine or muscle exercises when you found your chin was not 100% symmetrical ? I appreciate sincerely.
apayo Posted August 27, 2016 Posted August 27, 2016 I haven't taken any medicine. but because my chin muscles felt uneven and tight, I would give myself a "v line" face massage lol. I also tightened and loosened my chin muscles by puckering my lips like a kissy fish. I think giving it motion helps with the nerves. But don't worry! I experienced it and it should get better - I'm sure it's just leftover painkillers and tons of swelling. The bottom of lips were so frozen and tight the first 6 weeks, I completely understand. Smiling didn't look right and talking without looking forceful was difficult. In two months it should be gone.
k-couture Posted August 27, 2016 Posted August 27, 2016 Heya Ive had mandible reduction done years ago and I also had my zygoma a month ago. Lip asymmetry is a common and most often temporary occurrence. What you are experiencing is motor nerve paralysis. It usually comes back within 3-6 months. For example after my zygoma reduction I couldnt purse my lips together to blend my lipstick haha. Now I can do it 70 percent as well as before the zygoma reduction and as more time passes the paralysis will be a non issue as the nerves heal themselves. Ive learn from my facial contouring that one way you can identify any serious damage is if you lose mobility of the tongue. If you have free mobility of the tongue then likely there is nothing serious wrong. While I was overnighting at the hospital after zygoma the nurses and dr kim kept telling me to move my tongue in front of them in various directions in order to ensure theres been no permanent motor damage.
ppsusan Posted August 28, 2016 Author Posted August 28, 2016 Hi, Apayo. Once again, thank you so much for your detail explanation. I will follow your advice and take some lip / face muscle exercises, like fish eating I am also very pleased to know you are happy with your lovely smiling face now. I am waiting for my turn. Enjoy your weekend and your smiling.
ppsusan Posted August 28, 2016 Author Posted August 28, 2016 Hi, K Counture. I read many of your posts. You are very respectable in our forum. I am so glad you and other friends answered my questions. After receive advice from you and other friends, I can relax a little bit. It seems that temporary nerve dysfunction after jaw surgery is not rare. Now, I can wait and do some muscle exercise. Hopefully, my lip can recover sooner. Please accept my particular admiring respect due to your great contribution to this forum, your glory research altitude, and your encouragement.
k-couture Posted September 5, 2016 Posted September 5, 2016 no worries my dear hope you heal well. You will start noticing improvements as the days go by. Like now I can rub and purse my lips together when i do my lipstick. Tho it still takes some effort haha but I feel I also heal slower than most people as Ive had so much facial work done so there's prolonged partial paralysis for me compared to surgical virgins. Plus i have much more scar tissue from all the incisions ive had over the years intraorally
ppsusan Posted September 11, 2016 Author Posted September 11, 2016 Hi, K Counture. Thanks for your encouragement. I did notice very little improvement. However, it does not show much difference when my friends look at me. Now it is 6 weeks. I highly doubt if there is any difference between now and 10 weeks post-op. Extremely slow progress. I am also practicing moving muscles of lips and face. However, I do not think I can move any muscles below my left lip. Cross fingers everyday. Can you recall the symmetry is back to normal gradually or expedites after a certain stage? Thanks.
k-couture Posted September 14, 2016 Posted September 14, 2016 its definitely gradual. Or at least for me it is. Even back years ago when I had my mandible reduction the nerve paralysis lasted even longer than this time around when i did my zygoma. But important thing is that it was temporary. The fact that you notice improvement means there is no need to worry. It is just part of your healing process.
heylo Posted September 16, 2016 Posted September 16, 2016 Dear ppsusan, There is a good chance you'll improve. Have you considered electrical stimulation for nerve recovery? If not, please investigate this as it could help you recover faster. Also, please see this post:http://www.eppleyplasticsurgery.com/sliding-genioplasty-3 The doctor says that there's a high chance of recovery. If you still have some motor movement, there's a good chance it's been stretched or disrupted by the trauma of the surgery... not cut. You're in my thoughts. Let us know how you're doing?
ppsusan Posted September 20, 2016 Author Posted September 20, 2016 HI, keylo. Thanks a lot for your very helpful advice. Will keep posted of any improvement. 8, member: 365864"]Dear ppsusan, There is a good chance you'll improve. Have you considered electrical stimulation for nerve recovery? If not, please investigate this as it could help you recover faster. Also, please see this post:http://www.eppleyplasticsurgery.com/sliding-genioplasty-3 The doctor says that there's a high chance of recovery. If you still have some motor movement, there's a good chance it's been stretched or disrupted by the trauma of the surgery... not cut. You're in my thoughts. Let us know how you're doing?[/QUOTE]
ppsusan Posted September 20, 2016 Author Posted September 20, 2016 Hi, K Couture. Thank you so much for your detail advice. Will wait and see. [/QUOTE]
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