Question
The patient underwent a masseter muscle advancement and palmaris longus tendon transfer surgery on September 4th and has now been one and a half months post-surgery. They hope the doctor can evaluate the recovery status shown in the photos.
Answer
After examining the photos, the doctor stated that the facial swelling after surgery is a normal response and typically subsides completely within three to six months, so there is no need to worry. During this period, there may be improvement in the closure of the mouth corners. Additionally, if there is an unusual sensation or pain when biting within three to six months after the surgery, it serves as a reminder not to overexert. However, training to not clench teeth can also help lift the mouth corners, which is very important, and patients must practice diligently. Since the way to smile after facial paralysis repair is completely different from before, training is an essential process, just like playing the piano or swimming; without practice, there will be no progress. Currently, the patient does not need to take antibiotics but can perform regional heat therapy (the water temperature should not be too hot). Wishing the patient a speedy recovery.