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User photo for: Attia7
Los Angeles, CA

Upper Lip Problem
face lift

Thank You so very much for taking the time to reply! It means a lot to us as we go through these unnerving (no pun intended) changes. As far as my upper lip, it does have some movement. Most of the puckering occurs in the upper R/L corner. The center though has no tone. Speech is almost 100% nl. However, I'm having a terrible time eating noodles or sucking through a straw. The lower lip is 100% strong. My questions: Are the upper and lower aspect of the orbicularis independent from each other? Are the upper corners able to pucker because of the traction caused by the lower lip only? or is this as a result of a slow regain in muscle function? I am seeing my PS on Monday. One week post-op, and very swollen still, I told him about my concerns about nerve injury. He told me it was the swelling and that the nerves were too deep to be damaged. Since then, my problem has improved by 70%. At what point should he be concerned? Should we be talking about a nerve conduction study? Grading the damage on the Sunderland scale? Referring me to a specialist? I'm afraid of muscle atrophy if we wait too long. Something of importance I need to share is the fact that along w/ the FL. I also had an open rhinoplasty. Could this be cause for my nasolabial paralysis? I do like my PS. I trust him and I don't want to offend him or appear too anxious or impatient. I don't want to waste his time either and I would like to ask intelligent questions during the consult. Your input is highly appreciated! Thank You!

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