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Common signs of synkinesis include: The eyes narrow when an individual smiles The cheek lifts when a person closes his or her eyes The neck muscle tightens when a person tries to whistle Facial twitching in the cheek and chin Facial muscles become tight, leading to facial pain and headaches A deeper cheek crease forms on the affected side of the face, causing the cheek to appear bulky People who notice signs of facial paralysis synkinesis should consult with a doctor

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