Chemodenervation (Neuromodulators)

Botulinum toxin, more commonly known as Botox or Dysport, can be used in small, targeted doses to relax tight muscles or reduce synkinesis (involuntary facial movements that may appear after nerve injury). This minimally invasive treatment can help restore balance, ease facial tension, and improve both appearance and comfort.

Treatment Highlights:

· Non-surgical procedure

· Targets overactive or imbalanced facial muscles

· Helps manage facial tightness and asymmetry

· Especially useful in cases of partial recovery

Brow Lift

A drooping brow is common in facial nerve dysfunction and can contribute to an asymmetrical appearance or even block part of the upper visual field. A brow lift can elevate the brow to a more natural position, helping to restore expression and improve vision.

Treatment Highlights:

· Tailored to match facial structure and degree of weakness

· Restores natural brow position and facial symmetry

· May enhance both appearance and visual field

· Can be combined with other reconstructive procedures

Eyelid Gold Weight Placement

When a person cannot fully close their eye, known as lagophthalmos, it can lead to dryness and irritation. A small gold weight can be placed inside the upper eyelid to help the eye close more easily and protect the cornea.

Treatment Highlights:

· Small, safe implant placed within the upper eyelid

· Improves eye closure and protects the surface of the eye

· Helps prevent complications like dryness and corneal ulcers

· Minimally invasive with lasting results

Transoral Temporalis Tendon Transfer

In long-standing facial paralysis, the temporalis muscle (used for chewing) can be redirected to the corner of the mouth to help restore voluntary smiling. The surgery is performed from inside the mouth, so no visible scarring is left behind.

Treatment Highlights:

· Restores active smile movement in chronic paralysis

· Uses natural muscle activity for reanimation

· Intraoral approach avoids external scars

· A dynamic solution with functional and aesthetic benefits

Selective Neurectomy ± Facelift

Some patients experience synkinesis, unwanted facial movements, after nerve injury. A selective neurectomy carefully removes the nerve branches causing this overactivity. In certain cases, it may be paired with a facelift to further improve facial symmetry.

Treatment Highlights:

· Targets nerve pathways causing facial overactivity

· Helps reduce involuntary movements and improve control

· May be combined with facelift for improved soft tissue positioning

· Often chosen when synkinesis persists after recovery

Facelift for Facial Paralysis

This type of facelift is specifically designed for patients with facial paralysis. By lifting and repositioning facial tissues, it helps restore symmetry, definition, and improved function.

Treatment Highlights:

· Repositions sagging tissue for a more balanced appearance

· Supports facial reanimation goals

· Customized for patients with chronic nerve dysfunction

· Can be part of a broader surgical plan to restore function

Restoring Balance, Confidence, and Function

Facial nerve dysfunction can profoundly affect both physical function and emotional well-being. Whether caused by Bell’s palsy, trauma, or a long-standing condition, the impacts on facial movement, symmetry, and expression can be significant.

At Face Cosmetic & Reconstructive Surgery, we understand the complexities of facial nerve disorders and offer a comprehensive range of surgical and non-surgical treatments to support your recovery. From neuromodulators and brow lifts to advanced procedures like temporalis tendon transfer and selective neurectomy, each treatment plan is designed with your unique goals, anatomy, and stage of recovery in mind.

With a focus on restoring function, enhancing appearance, and improving quality of life, our multidisciplinary team is here to guide you through every step of your facial reanimation journey. Whether you are in the early stages of nerve recovery or managing long-term effects, we’re committed to helping you regain confidence—and control—one movement at a time.