If you suffer with facial paralysis, there are a number of different treatment options available. Dynamic muscle transfer is one of the more complex and innovative surgeries available, but it isn’t always suitable; particularly for older patients. An alternative is static correction.
A less complex procedure, static correction involves numerous procedures aimed at correcting the appearance of the face. Fascial slings are a more common option, along with facelift and brow lift style procedures. The type of procedure you undergo will be determined after a thorough medical examination and will depend upon numerous factors.
Some of the factors that will be considered by Mr Paul Tully before he advises you on the most appropriate procedure include:
- The extent and location of the paralysis
- How long you’ve suffered with the condition
- The type of paralysis experienced
Facial nerve paralysis can show itself in various ways including being unable to smile, difficulty speaking, facial laxity and eyelid droop.
How does static differ from dynamic procedures?
Dynamic and static procedures work in very different ways. Dynamic treatments aim to reanimate the facial muscles, while static procedures aim to simply suspend the facial soft tissue.
Static procedures are often used on the lip to prevent drooling and to prevent you from biting the inner gum. Typically, a small incision will be made in the scalp, before a fascia is inserted just under the skin. It isn’t visible and the fascia is usually harvested from the thigh.
To gain lip symmetry, the fascia will be anchored to the bone at one end and also inserted into the corner of the mouth and along the laugh line at the other end.
The most important consideration about static correction surgery is that it acts as a suspension rather than reanimating the face. So facial expressions will still be limited, but the asymmetry of the face will be corrected. During your consultation, all aspects of the chosen procedure, including benefits and limitations, will be discussed in full.
Facial Palsy: Introduction
Bell’s Palsy and Treatment
Dynamic Muscle Transfer
Facial Palsy: Eyelid Surgery
Adjunctive Procedures – Brow and Facelift