Facial Paralysis Treatment
Browlift surgery, also known as forehead rejuvenation, is a cosmetic surgery to correct asymmetric, low, or hanging eyebrows. It involves tightening the forehead skin and raising the brows to improve facial aesthetics. This surgery is useful for restoring the youthful contours of the eyebrows, forehead skin, and upper eyelids.
What happens in a facial paralysis?
Facial muscles temporarily become weakened or paralysed in a facial paralysis. In other words, a compressed facial nerve causes this paralysis or palsy. One or sometimes both sides of the face become droopy in those who have this kind of facial nerve palsy. The condition isn’t dangerous and frequently goes away on its own in a few months.
It happens when a condition, like a viral infection, results in the seventh cranial nerve’s swelling and inflammation (the nerve that controls facial muscles).
This nerve condition may make your face droop on one side or, very rarely, on both sides. You can have an uncooperative eyelid or an uneven smile. These side effects often continue for several months before disappearing on their own.
How is facial paralysis treatment?
Our reconstruction surgery specialist Dr Demetrius performs facial paralysis treatment in Dubai by altering muscles and repairing blood vessels and nerves.
Here are some approaches to facial paralysis treatment in Dubai:
Nerve Graft: Our surgeon joins the severed ends of injured nerves to help restore nerve function. A section of nerve is taken and used as a connector or graft between the two ends of the nerves if they cannot be directly stitched together.
Eyelid surgeries: Eye problems are treated with lower-lid tightening and upper-lid weighing operations. Under the skin of the upper lid, weights made of platinum or gold may be inserted to enable the lid to close passively from gravity. These procedures are typically carried out under local anaesthetic as a day case.
12-7 or 5-7 Nerve Graft: In cases where there is no or little prospect of natural recovery of the facial nerve, and paralysis is of recent onset, a nerve transfer procedure can be performed. Demetrius’ preference is to use the nerve to masseter, one of the chewing muscles. This produces an excellent degree of movement in the entire face, even including the eye.
This procedure may be used to keep the tone of the face and perhaps even restore some function. While waiting to do cross-facial grafting, these grafts may also act as “babysitter” grafts.
For patients who have had paralysis longer than 2 years – a muscle transfer may be required. This can be a regional transfer using the Temporalis muscle, or a dristant muscle.
Temporalis Tendon Transfer (T3): Movement of the lips can be regained without changing the appearance of the face by moving the jaw tendon to the corner of the mouth. This operation is also known as a Labbe procedure – after the French surgeon who described it.
Gracilis Free flap Transfer: this is a complex microsurgical operation which gives arguably the most natural smile restoration. It is performed under general anaesthetic with a 3 night hospital stay.
Contour Restoration: This microvascular reconstruction surgery involves fat and tissues being transferred from the thigh through a process called anterolateral thigh free flap. It helps restore the normal appearance of the affected area.
Botox: Paralysis can cause some muscles to become hypertonic or hyperactive. Botox injections can be used to treat synkinesis and hypertonic movement and restore facial symmetry. Botox injections or a brow lift can address brow ptosis or a sagging brow.
Browlift: a drooping eyebrow may be lifted by a brow lift. There are various ways of performing a browlift – via direct incision, or remote through incisions in temple or scalp.
Facelift: often a simple facelift will improve the appearance and reduce facial asymmetry.
Why is Dr Demetrius your ideal choice for facial paralysis treatment in Dubai?
Dr Demetrius is a UK board-certified plastic surgeon in Dubai with over 15 years of experience in the treatment of facial paralysis. He is highly experienced in handling complex cases. He established the busiest facial paralysis service in the UK at the University Hospitals Birmingham NHS Trust and has treated some of the most high profile patients in the world. He trained with pioneers in facial paralysis treatment and is able to offer his patients the latest treatments. His outcomes have been published in the scientific literature.
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