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Can Plastic Surgery Fix Facial Paralysis?

Facial Paralysis Treatment New York, NY

For many, facial paralysis can be devastating to daily function and self-esteem. Facial paralysis is when the facial muscles become weak – temporarily or permanently – sometimes causing the face to droop on one or both sides. It can be mild or severe, affecting a segment of the face or the entire structure.

Facial Paralysis Complications

Cosmetic concerns aside, facial paralysis can make it challenging or impossible to close the eye, swallow and/or speak. As a result, people affected are at risk of vision loss, malnutrition and depression if facial paralysis isn’t appropriately addressed.

Eye lubrication and swallow and speech therapy are enough if the paralysis is temporary. However, reanimation surgery is necessary if the condition is permanent (persistent paralysis). Facial paralysis treatments can elevate the face, protect the eye, facilitate swallowing and speaking by enabling better lip function and sometimes, restore natural facial movement.

Persistent versus Temporary Paralysis

Persistent paralysis can happen after a stroke, traumatic head injury or a facial neuroma (benign tumor) that grows on the seventh cranial nerve – the one that shuttles electrical signals from the brain to the facial muscles.

On the other hand, facial paralysis caused by infection or Bell’s Palsy is usually temporary because infection and inflammation are treatable. (Bell’s palsy causes inflammation in the seventh cranial nerve.) However, if nerve activity doesn’t resume within six to twelve months, the paralysis is likely permanent, and surgical intervention will be necessary.

Cosmetic Surgical Procedures for Persistent Facial Paralysis

Several cosmetic surgical procedures can restore the facial appearance and reanimate muscles. For example, a facelift or brow lift can help suspend droopy skin and muscles, while nerve grafting and muscle and tendon transfers can restore facial symmetry and animation. Grafting and transfers take nerves, tendons and muscles from other body parts and put them into the face, helping restore sensation so you can move and control your facial muscles again.

Other techniques include:

  • Gold-weight placement for eyelid paralysis, in which the doctor puts a thin gold wafer into the upper eyelid to help it close. This protects the eye from drying out.
  • Sling implants for static mouth closure that run from the cheekbone to the corner of the mouth. Being a static cosmetic procedure, this technique does not reanimate the muscles.
  • Botox® injections can be used as a finishing touch to fine-tune any minor facial asymmetries that are too small to require invasive surgery.

There is Hope

Don’t let a droopy face get you down. There is hope to restore your expressions and facial features. Dr. Khosh is an expert in facial paralysis surgical treatments. Plus, he works closely with neurologists, ophthalmologists, cancer or ear surgeons and speech and swallow therapists to provide you with comprehensive care. So don’t hesitate to schedule a consultation.

Posted on behalf of Maurice M. Khosh, MD, FACS

Maurice M. Khosh, MD, FACS
580 Park Avenue Suite 1BE,
New York, NY 10065
(212) 339-9988

What Dr. Khosh's Patients Say


Based on 174 reviews

Meredith G.
Saw Dr. Khosh for a fractured nose. He reset my nose beautifully (and with little discomfort to me) and then discussed some of my sinus issues with me upon my follow up visit. Never felt like he was rushing me out and felt very confident in his abilities. I would highly recommend to anyone needing plastic or reconstructive options!
Jackie C.
Great front office, really good experience after what was a terrible accident. I was made to feel comfortable. Dr. Khosh is very good at what he does. I'm still healing but I'm confident of the results
Kaitlin M.
Dr. Khosh takes exceptional care of his patients. He has operated on me twice, each time making me feel extremely comfortable and satisfied with the results. His staff is also very kind and knowledgeable.
Diana G.
Dr. Khosh & his staff Susan & Christine are absolutely amazing! They were so supportive & helpful from beginning to end & they are just wonderful people. Thank you guys I truly appreciate everything you guys have done for me. I would recommend them to anyone & everyone!
Joann M.
After visiting and being evaluated by several doctors, I kept going back to Dr. Khosh. His tranquil spirit and professionalism were captivating. Thank you for a job well done and keeping me calm throughout the entire process. A special thanks to your staff Susan and Christine for all of their support as well. Hi highly recommend Dr. Khosh.
Leah G.
Upon hearing of the overwhelmingly positive experience a friend of mine had in choosing Dr. Khosh as her surgeon, I decided to make an appointment for my own septoplasty/rhinoplasty/turbinate reduction. Although I was slightly skeptical as the praise I had heard seemed a bit hyperbolic, all uncertainty dissipated after meeting the Doctor and his staff. My pre- and post-operative experience was excellent in terms of concerns adequately addressed prior to the surgery and mitigation of any bruising in the convalescent period. Despite my apparent predisposition to rather slower healing, a year after the surgery, my nose looks really pretty and my breathing entirely unobstructed! I highly recommend Dr. Khosh!
Courtney G.
AMAZING!!!!!! I had Dr Khosh perform lipo on my chin/neck and my result is unbelievable! Better than I could have expected! I met with a couple of surgeons and the second I met with Dr Khosh I knew he was the one I was going with. He was compassionate and explained every detail of what would take place during the surgery and what to expect during recovery. I even emailed a few times during recovery with various questions and he got right back to me asap which was really comforting! I honestly fully recommend Dr Khosh, he did an amazing job and is an amazing person.
Frieda S.
i can finally breathe!! Dr. Khosh made the entire experience a breeze, it was truly a pleasure to be under his care. I am forever thankful and highly recommend him. Not only does his work speak for himself, but he has excellent bedside manner. His kindness and patience is above and beyond. He takes the time to answer to every question you have to help you understand the process while at the same time making you feel so comfortable. From the first consultation i knew i was in good hands. I am so pleased with the result and forever thankful.
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