Hi Cathy and welcome. I had surgery to remove half of my lower jawbone, a neck disection, etc. Over the past four years, the radiation damage and nerve damage from the surgery have continued to cause changes to the area of my mouth and my bottom lip. I don't look like my old self and I know that. I did a few surgeries to improve the appearance but it took so much time and energy from me and my family, seemed we were always caught up in "moms having surgery" and I hated that. I've been blessed with fantastic genes and grew to adulthood with the confidence that comes with being quite attractive. When I started noticing the changes to my looks it upset me, made me feel less confident, etc. Thus the surgeries. I could have more surgery and do more improvements but I've opted not to. My bottom line is this, I'm alive and I'm ok with my looks. Now, with that said, it may be easier for me as I never got much into the looks thing.......I'm outdoorsy, jeans, sweatpants, no makeup. It may be harder for women with different personality's, I'm not sure. I just know that every day I can look at my face in the mirror is another day I am here on earth, with my husband and family. Who could ask for or want more then that? Sure I see some take a double look in the grocery store, my bottom lip does droop a little and the left side of my face is stiff. I've found if I look these people right in the eye, they will smile back at me and I smile at them. I've also found that people are not put off by the damage to my mouth, they are curious about it. And also know that it looks FAR worse to YOU then it does to others. We are most critical of ourselves.