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However, sometimes the facial nerve makes abnormal connections with facial muscles as it regenerates (aka aberrant nerve regeneration), which results in long-term sequelae of Bell’s palsy: Facial asymmetry Smile asymmetry Facial synkinesis: Involuntary facial movements such as eye closing with smile Narrowing of the eye Facial tightness Neck tightness Deep nasolabial fold (aka smile lines) Chin dimpling Platysma banding Bell’s Palsy Treatments Many patients with Bell’s palsy have been told there is nothing that can be done to improve their smile, facial asymmetry, eye narrowing, and other long-term manifestations