Philosophy of The Facial Paralysis Institute
The most important treatment objective for individuals with facial paralysis is prevention of unwanted eye complications, reconstruction of facial movement, restoration of a dynamic smile, and improvement of facial aesthetics.
At the Facial Paralysis Institute, Dr. Azizzadeh and his team of facial plastic surgeons, otolaryngologists, neuro-otologists, neurosurgeons, head & neck surgeons, ophthalmologists and physical therapists utilize a systematic approach to reach these objectives. Each patient will be initially consulted by Dr. Azizzadeh who will then utilize different members of the team to obtain the best possible outcome. A true multidisciplinary approach is necessary in facial palsy treatment.
Take a Look at One Patient’s Amazing Results From Surgery with Dr. Azizzadeh
Learn about facial paralysis, facial palsy treatment, and more of the most advanced treatment options.
Damage to the facial nerve can result from different causes, including cosmetic surgery and temporal bone trauma. Surgical options and neuromuscular retraining help restore facial movement from nerve injuries.
During facelift surgery, the safety of the facial nerve is the top priority of an expert facial plastic surgeon. Preservation of the facial nerve is critical, so that the patient does not experience any injury or paralysis after the surgery.
Patients (under the age of 55) who have had long-term paralysis are able to undergo advanced surgical procedures to re-create dynamic and spontaneous smile mechanisms, such as nerve transplants.
If native facial muscles are not functioning for two years or longer, the gracilis muscle that is located near the inner thigh can be transplanted to the face. This micro-surgical procedure helps recreate natural, spontaneous facial movement.
Static suspension is utilized to create better facial symmetry, as well improve some of the most difficult side-effects of facial paralysis including drooling and biting of the inner gum.
When cross-facial nerve grafts do not produce effective results, Dr. Azizzadeh utilizes the hypoglossal nerve as the neural supply for the gracilis muscle transplant. The nerve of the gracilis muscle is attached to the hypoglossal nerve in the neck.
Botox is one of the most effective treatments for patients with Bell's palsy, partial facial paralysis, or synkinesis. It relaxes unwanted muscle movements on the normal side of the face and reduces tension in areas of the face that are hyperactive due to synkinesis.
The temporalis muscle is one of the muscles used for chewing and can be used to provide voluntary facial movement. The procedure transfers the temporalis muscle from the scalp to the corner of the mouth.
Endoscopic brow lift is a minimally invasive procedure that treats brow ptosis, or sagging of the eyebrows. It has a faster recovery time and less scarring than a standard brow lift.
When a patient suffers from permanent facial paralysis, they can often benefit from a blepharoplasty or eyelid reconstruction to improve facial symmetry and overall appearance.
Gold eyelid weights or eyelid springs may be an effective option to help prevent eye damage and restore the eyelid closure movement that has been impaired by facial paralysis.
Since the facial nerve runs through the parotid glands, it must be preserved by a facial nerve expert during parotid tumor removal surgery in order to avoid unwanted complications and facial paralysis.
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