Posting to Instagram from hospital, the star told his 10.4 million followers that he has "lost control" of the right-hand side of his face.
"This is me doing a full smile right now, by the way," he said in a video, as he unsuccessfully tried to grin. "Bro, I can't even laugh right."
In a follow-up post, Lil Nas X reassured fans that he was "OK" and asked them to "stop being sad".
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