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To PIEN Participants:- Like a lot of my Parkie colleagues, I have experienced a sagging of my facial muscles with the result that a sort of " Parkinson Pout " replacing my former smile. A couple of years ago when I was first diagnosed, I read a book on a HOME EXERCISE PROGRAM which contains some useful tips such as raise your eyebrows and wrinkle your forehed: open your mouth as wide as possible; blow out your cheeks; wriggle your nose; and smile, frown and smile again. Another approach which has really helped to tone up the facial muscles is to use a device called a Facial-Flex. This neat product I ordered from a medical supply catalogue which was somehow mailed to me. It cost about $50 ( U.S. bucks unfortunately). I just found out that the United States supplier has set up a neat web site which shows how the product works and also an order form. Hope this helps. Ken Clements- 65/2 years and counting! Ottawa CANADA < [log in to unmask] >