Facial Muscles: Anatomy, Function & Related Disorders (2024)

ContentsOverviewFunctionAnatomyConditions and DisordersAdditional Common Questions

Overview

Facial Muscles: Anatomy, Function & Related Disorders (1)

What are the facial muscles?

Your face has almost 20 flat skeletal muscles that attach to different places on your skull. The craniofacial muscles are essential to chewing and making facial expressions. They originate from bone or fascia and insert into your skin. Craniofacial muscles work together to control movements in your:

  • Cheeks.
  • Chin.
  • Ears (only in some people).
  • Eyebrows.
  • Eyelids.
  • Forehead.
  • Lips (upper and lower).
  • Nose and nostrils.

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Function

What is the purpose of the muscles of your face?

Your facial muscles are responsible for two major tasks:

  • Chewing (also called masticating).
  • Making facial expressions, such as smiling, pouting or raising your eyebrows in surprise.

The facial muscles involved in chewing are:

  • Buccinator, a thin muscle in your cheek that holds each cheek toward your teeth.
  • Lateral pterygoid, a fan-shaped muscle that helps your jaw open.
  • Masseter, a muscle that runs from each cheek to each side of your jaw and helps your jaw close.
  • Medial pterygoid, a thick muscle that helps your jaw close.
  • Temporalis, a fan-shaped muscle that helps your jaw close.

The muscles of facial expressions are:

  • Auriculars, which allow some people to move their ears.
  • Corrugator supercilii, which is near the eyebrow and enables frowning.
  • Depressor anguli oris, which is on each side of your chin and works with other muscles to produce a frown.
  • Depressor labii inferioris, a muscle in your chin that helps control movement in your lower lip.
  • Levator labii superioris alaeque nasi, which can open your nostrils and lift your upper lip.
  • Mentalis, a pair of muscles toward the center of your chin that helps control your lower lip.
  • Nasalis, which allows you to flare your nostrils.
  • Occipitofrontalis, a muscle that extends from your eyebrows to the top of your skull that can raise your eyebrows and wrinkle your forehead.
  • Orbicularis oculi, which closes your eyelids.
  • Orbicularis oris, a circle of muscle around your mouth that closes or purses your lips.
  • Procerus, a muscle between your eyebrows that can pull your brows downward and help flare your nostrils.
  • Risorius, which is located on each side of your mouth and aids in smiling.
  • Zygomaticus major and minor, which allow you to smile.

Other functions of the muscles of your face include:

  • Determining what a person looks like.
  • Protecting your eyes.
  • Keeping food and drink in your mouth (preventing drooling).
  • Talking.
  • Singing.
  • Whistling.

Anatomy

Where are the face muscles located?

Facial muscles are located throughout your face. They can be categorized by general location:

  • Buccolabial muscles in and around your mouth.
  • Nasal muscles around your nose.
  • Epicranial muscles of your forehead, skull and neck.
  • Auricular muscles around your ears.
  • Orbital muscles surrounding your eyes.

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Conditions and Disorders

What conditions and disorders can affect the facial muscles?

To function, the facial muscles get signals from the brain via the facial nerve. But sometimes, they can’t receive those signals properly.

When the facial muscles cannot receive brain signals properly, that can cause:

  • Droopy or sagging appearance in the face.
  • Facial palsy (weakness).
  • Facial paralysis (inability to move parts of the face).
  • Trouble chewing, speaking or making facial expressions.
  • Drooling.

Symptoms can occur:

  • All over your face.
  • In one specific area.
  • On the left or right side.
  • On the top or bottom half.

Damage to the facial nerve and problems with the facial muscles can be caused by:

  • Autoimmune disease: Diseases such as Guillain-Barré syndrome or multiple sclerosis can cause facial palsy over time.
  • Bell’s palsy: When swelling puts pressure on the facial nerve, Bell’s palsy can cause facial weakness or paralysis on one or both sides of your face. It almost always leads to a complete inability to wrinkle your forehead. Bell’s palsy happens suddenly but is usually temporary.
  • Head and neck cancer: In head and neck cancer, a growing tumor can interfere with facial muscle function over time.
  • Infection: A bacterial or viral infection can cause inflammation of the facial nerve and problems in the muscles of the face. Examples include ear infections, Lyme disease or Ramsay-Hunt syndrome.
  • Injury to the head or face: Facial trauma, such as a blow to the head or car accident, can damage the facial nerve and facial muscles.
  • Stroke: A stroke occurs when a blood vessel in the brain is blocked or bursts. It can cause sudden facial weakness or paralysis. Other signs may include paralysis on one side of the body, confusion, memory loss and trouble communicating. A person who has had a stroke can usually still wrinkle the forehead, unlike with Bell’s palsy.

Additional Common Questions

Should I seek medical attention for facial weakness or facial paralysis?

You should seek medical attention right away if you have any facial weakness or facial paralysis.

It might just be a temporary case of Bell’s palsy or a treatable infection. But a healthcare provider should examine you in case you have something more serious, such as a tumor or stroke.

A note from Cleveland Clinic

Your facial muscles work together to control the parts of your face. They are essential to chewing, facial expressions and other functions. Weakness or paralysis of your face muscles can be a temporary condition or a serious medical problem. See a healthcare provider right away if you have facial palsy or any trouble smiling, talking or eating.

Medically Reviewed

Last reviewed on 08/04/2021.

Learn more about our editorial process.

Facial Muscles: Anatomy, Function & Related Disorders (2024)

FAQs

What is a muscle disorder in the face? ›

Bell palsy is an unexplained episode of facial muscle weakness or paralysis that usually goes away on its own and causes no complications. The cause of Bell palsy is unknown. But it's thought to be caused by inflammation affecting the body's immune system. It's linked to other conditions, such as diabetes.

What is the unusual feature of facial muscles? ›

The facial muscles are striated muscles, and are some of the only striated muscles in the body that are attached on one side to bone and on the other to skin.

What is the inability to use facial muscles? ›

An inability to move the muscles of the face on one or both sides is known as facial paralysis. Facial paralysis can result from nerve damage due to congenital (present at birth) conditions, trauma or disease, such as stroke, brain tumor or Bell's palsy.

What autoimmune disease affects the facial muscles? ›

Myasthenia gravis is a long-term condition that typically has phases when it improves and phases when it gets worse. It usually affects most of the body, spreading from the eyes and face to other areas over weeks, months or years.

What is facial myositis? ›

Proliferative fasciitis/myositis, a usually benign illness, should be included as a differential diagnosis when patients present with facial swelling and trismus of unknown cause, to avoid unnecessary invasive treatments.

What nerve controls the facial muscles? ›

The facial nerve is the 7th cranial nerve and carries nerve fibers that control facial movement and expression.

How do you test facial muscles? ›

Method Of Exam
  1. Inspect the face. ...
  2. Ask the patient to wrinkle his forehead or raise his eyebrows, enabling you to test the upper face (frontalis).
  3. Next, have the patient tightly close his eyes. ...
  4. Instruct him to puff out both cheeks. ...
  5. Have the patient smile broadly and show his teeth, testing the lower face.

What are the four major functional groups of the muscles of facial expression? ›

The muscles of facial expression (also known as the mimetic muscles) can generally be divided into three main functional categories: orbital, nasal and oral. These striated muscles broadly originate from the surface of the skull and insert onto facial skin.

What muscle causes jowls? ›

As we age, the platysma and the muscle under the jowls (depressor anguli oris) stretches the skin down and out.

What is characterized by sudden weakness in facial muscles? ›

Bell's palsy is a condition that causes sudden weakness in the muscles on one side of the face. Often the weakness is short-term and improves over weeks. The weakness makes half of the face appear to droop. Smiles are one-sided, and the eye on the affected side is hard to close.

What is unique to the muscles of facial expression? ›

Contrary to the other skeletal muscles they are not surrounded by a fascia, with the exception of the buccinator muscle. The facial muscles are positioned around facial openings (mouth, eye, nose and ear) or stretch across the skull and neck.

What is the disease that affects the muscles in the face? ›

Bell palsy is a disorder of the nerve that controls movement of the muscles in the face. This nerve is called the facial or seventh cranial nerve.

What is Ramsay Hunt syndrome? ›

Overview. Ramsay Hunt syndrome (herpes zoster oticus) occurs when a shingles outbreak affects the facial nerve near one of your ears. In addition to the painful shingles rash, Ramsay Hunt syndrome can cause facial paralysis and hearing loss in the affected ear.

What is myopathy of the face muscles? ›

People with nemaline myopathy have muscle weakness (myopathy) throughout the body, but it is typically most severe in the muscles of the face; neck; trunk; and other muscles close to the center of the body (proximal muscles), such as those of the upper arms and legs. This weakness can worsen over time.

What are the symptoms of muscular dystrophy in the face? ›

Symptoms
  • Eyelid drooping.
  • Inability to whistle due to weakness of the cheek muscles.
  • Decreased facial expression due to weakness of facial muscles.
  • Depressed or angry facial expression.
  • Difficulty pronouncing words.
  • Difficulty reaching above the shoulder level.

What are the disorders of the face? ›

Common facial nerve disorders include; Bell's palsy, Lyme disease, stroke, parotid/ear/skull base tumors, trauma to the nerve, viral infections, and congenital anomalies.

What are the symptoms of facial muscle atrophy? ›

If you have atrophied muscles in your face or throat, your facial muscles may start feeling weak and you may find it difficult to speak or swallow.

What disease disfigures your face? ›

Parry-Romberg syndrome, also called Romberg syndrome or progressive facial hemiatrophy, is a condition where the tissue of one side of the face gradually wastes away. Over time, the soft tissue (muscle and fat) gradually shrinks, the facial bones may change, and the skin may become thin.

References

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