### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I underwent double jaw surgery on June 2, 2012.  At the time I was already diagnosed with fibromyalgia and it was thought that I had some other type of autoimmune problem, but my doctor could not pinpoint one.  I had an MRI because I had a brain lesion, but it was not active.  Now almost a year later, I would like to have the titanium removed because I have been experiencing terrible fatigue and weakness that just comes upon me.  I also developed pain in my thumbs and it seems that various symptoms have been worsened.  I also experience my mouth involuntarily opening when I am reclining and sleeping.  Around a month and half after surgery my right lower side became more swollen and uncomfortable.  My dentist thinks that the right plate is out of place.  On top of all of this my face is now more assymetrical and my right side appears lower than the left and I have bumps and my chin has all but disappeared.  It seems that the right side did not heal at the same rate as the left side.  I would like the plates removed because I am afraid of the health implications.  Secondly, I am dissatisfied with the way my face looks.  Is it safe to have the plates and screws removed a year later?  Also, how likely is it that my face will return to its former shape?

### output:

Hello and welcome, Thanks for posting your query.First, exact cause of swelling on right side of face has to be ruled out. A detailed clinical as well as OPG investigation is required for planning the treatment. If your plates in right side has damaged, please do get it replaced.Also, your facial muscles are involuntary in action. Physiotherapy can be done to regain the muscle strength as well as stiffness. Take antibiotics-analgesics. So please do visit an oral-maxillofacial surgeon as soon as possible. Take care.