several years ago i had an injury where the philtrum column (the ridge above the upper lip and below the nose) was damaged. Around the time of the injury the hospital did a nerve conduction test and my nerves were working fine.
there was structural damage though and when i would really wide i would get these muscle spasms on my cheeks. I started getting the muscle spasms on my neck also. They did an mri...came back normal.
i just lived with it. Then my body started to really change and i was really worried. I gained weight in my chest and stomach, the weight gain caused mylower back to curve, which I believe is called lordosis. I started losing muscle tone everywhere and my arms got really skinny. I got ED and when i was able to perform the orgasms would be very weak. Long story short my GP sent me to an endocrinologist. He ran a metabolic panel and my growth hormone was low. They had me sit a GH stim test which i failed. My pituatary gland wasn't making any GH. Finally some answers to why my body changed so much. I'm on GH injections and my skinny arms are filling out to normal and my stomach weight is going down.
but i still get the fascilations or spasms when i stretch my smile to a certain length and i still get the fascilations all over my body. I used to think that what followed the spasms was muscle loss but the lack of GH could explain the muscle loss following the spasms. I'm not sure though
I cant help but think i may have some neuro damage. I've seen two diff neurologists and they were pretty useless and didn't take my seriously.