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Facial tension
9/26 8:45:36

Question
The cheek muscles at the right side of my face appear to be in constant tension, evidenced by the tight look of the muscle and the cheek pulled upward, turning the right corner of my lips upward too.  I don't know what started this a couple of years ago.  One thing I did, years prior, was to use a hand-held device with probes that give continuous low-grade jolts to the facial muscles to tighten them.  I don't know if it ever did any good, or if it actually is the culprit.  Perhaps I over tightened on side?  If so, how can I get that muscle to relax?

At first I thought my skin on the right was sagging, but I believe the muscle just needs to relax to fill in the cheek skin.  If it were the same on both sides, it would just look like I've aged tremendously.  But my left side still looks like a 38-year old, although I'm 50.

I thank you very much for any help that you can give.  Thank you.

P.S.
I have a chronic knot on the right side of my neck, and in the mid/upper back area - right side.  Could these be causal?  My chiropractor works on them.  I asked her the question above, but she said to ask a dermatologist.  The dermotologist with whom I consulted knew nothing about the muscles; only the skin.


Answer
I'm a bit confused first you say the right muscles are tense constantly, then you wrote that you thought the right side was sagging at first. Either way have your neck problem corrected by your chiropractor. if you feel its a muscle spasm (which i couldn't possibly know) then get a series of cranial massages if that doesn't work see your dermatologist.
as far as nerve supply to the facial muscles. The 7th cranial nerve has cutaneous branches with both sensory and motor nerve supply to facial muscles.
Facial nerve. Is A mixed nerve. The motor fibers supply the facial muscles of expression and several muscles in the neck. The sensory fibers carry taste sensations from the front of the tongue.
I would continue chiropractic and specifically get cranial massage done, especially if you are having headaches and or taste irregularities.  

David Kulla, DC
www.SynergyWellnessNy.com
Chiropractor

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