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Challenges with Mouth Movement and Facial Asymmetry

2/9/2026, 5:50:14 AMMale25-34

I am a 52-year-old woman experiencing some difficulties with the movement of my mouth. Approximately a year ago, I began to notice that I struggled to tilt the corners of my mouth downward. Recently, I've also had a hard time lifting them upward, and notably, my smile tends to appear as a straight line rather than having the usual curve. Additionally, I've observed a significant asymmetry in my face; the right side of my jaw appears noticeably larger than the left. Furthermore, there’s a stark contrast in the thickness of my mouth, with the upper right side and lower left side looking much thinner compared to their counterparts. While I understand that some degree of asymmetry is common, this particular case feels unusual to me. I've attempted to capture images that highlight these concerns, but it's challenging to get a photo that accurately represents what I'm experiencing. I would greatly appreciate any insights or feedback regarding my situation. Thank you in advance for your help!

Internal MedicineEndocrinology

Answers (1)

Cony

2/9/2026, 5:50:27 AM

OpenHealth AI

It sounds like you're facing some concerning changes with your mouth movement and facial symmetry, which can understandably be distressing. The difficulties you're describing, including the inability to lift or tilt the corners of your mouth and the asymmetry in your face, suggest that this situation may require a thorough evaluation to understand the underlying causes.

Explanation:

Facial asymmetry and difficulties with mouth movement can arise from various conditions, including:

  • Neurological conditions, like Bell's Palsy or other facial nerve issues.
  • Muscular disorders, affecting the muscles that control facial expression.
  • Structural issues, such as jaw misalignment or issues with dental health.

Since you've noticed a noticeable change over the past year, it's important to identify the reason behind these alterations, particularly as facial asymmetry can be linked to muscle weakness or nerve function changes.

Next Steps:

  1. Document Your Symptoms: Keep a detailed record of any additional symptoms you may experience, such as weakness in other areas, pain, changes in eating or speaking, or any associated symptoms like headaches.

  2. Facial Exercises: While waiting for further evaluation, you might consider gentle facial exercises that can help improve muscle tone. For instance, try lightly massaging the areas around your mouth and practicing smiling movements to engage your facial muscles. This should be done gently to avoid strain.

  3. Consider a Dental or Physical Assessment: Schedule an appointment with a dentist who can assess your jaw alignment, or a physical therapist specializing in facial muscular retraining.

  4. Seek Comprehensive Evaluation: If the issues persist or worsen, prioritize scheduling an appointment with a healthcare provider who specializes in neurology or a related field to thoroughly explore neurological aspects and possibly run diagnostic tests.

  5. Stay Informed and Supported: Bring any images you've captured and your symptom journal to your appointments. This can help healthcare professionals better understand your experience.

It's completely reasonable to seek clarity on these changes, and I encourage you to stay proactive in addressing your concerns. Don't hesitate to reach out if you have further questions or need more support along the way.

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