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Facial Paralysis Treatment

Facial paralysis is a devastating problem that can arise from a number of different medical conditions, such as stroke, cancer treatment, trauma or complication of ear surgery. Facial paralysis can be temporary or permanent, mild or severe and may involve a segment or the entire face. Outside of the cosmetic concerns, paralysis of the face will result in the inability to move the brow or close the eye and significant difficulty with speech and swallowing. Patients who suffer from facial paralysis can become withdrawn and depressed. If not treated properly, individuals can suffer from visual loss secondary to eye injury and malnutrition due to swallowing problems.

Management of facial paralysis will depend on the severity of the weakness, expected degree of recovery and extent of facial involvement. When paralysis is expected to be temporary, conservative measures such as eye lubrication and speech and swallow therapy will suffice. If the paralysis is likely to be permanent, facial surgical maneuvers are often necessary to protect the eye, allow for better lip function, elevate or suspend the face, or possibly restore natural facial movement.

Cosmetic Surgery for Facial Paralysis

Cosmetic surgical techniques such as brow lift or facelift will help elevate or suspend droopy facial muscles and skin. Eyelid paralysis is treated with a simple procedure known as gold-weight placement where a thin wafer of gold is placed in the upper eyelid to help close it. Static mouth closure can be achieved with slings from the cheekbone to the corner of the mouth. Alternatively, a muscle transfer from the temple to the corner of the mouth (temporalis muscle transfer) can allow dynamic mouth closure. More functional rehabilitation of facial paralysis can be achieved with nerve transfer from the tongue or a nerve transfer from the opposite side of the face (hypoglossal-facial nerve transfer or cross facial nerve transfer). Simple office treatments with Botox can help fine tune minor persistent facial asymmetries.

Dr. Khosh is an expert in surgical treatment of facial paralysis. He works closely with other providers such as neurologists, ophthalmologists, speech and swallow therapists and cancer or ear surgeons to deliver comprehensive and timely care to patients who suffer from facial paralysis. Please contact us for a private consultation should you or a loved one suffer from an acute or old facial nerve dysfunction.

Facial Paralysis Treatment New York, NY

Case Study

This 58-year-old lady had developed facial paralysis following removal of a skin cancer on her face, which involved the facial nerve. She had multiple procedures to achieve movement and symmetry in her face.

  • Patient: 58-year-old female candidate for facial paralysis repair
  • Problem: Paralyzed face after skin cancer removal
  • Procedure: Facial nerve graft, forehead lift, facelift, belpharoplasty, gold-weight implant to upper eyelid

Disclaimer: These are actual results for patients of Dr. Maurice Khosh. Plastic and cosmetic surgery results can vary between patients.

Frequently Asked Questions

Bell’s palsy is another name for facial paralysis of unknown origin. Bell’s palsy is the most common cause of facial paralysis. Other causes of facial paralysis include: stroke, trauma, tumors affecting the facial nerve, or infections such as Lyme’s disease or syphilis.

Eye protection is the most pressing problem for individuals with facial paralysis. Facial paralysis results in an inability to close the eye. The eye may become dry, painful, and infected. In worst-case scenarios, vision may be affected. The number one goal is allowing adequate eye closure and keeping the eye surface moist.

Recovery in facial paralysis is dependent on the original cause of the paralysis. Patients with Bell’s palsy, have an excellent prognosis, especially when treatment with steroids is started in timely manner. Paralysis due to infections has a good prognosis once the infection has been effectively treated. Facial paralysis due to nerve disruption either from trauma or cancer is permanent. In these cases, nerve grafts or nerve transpositions can have a highly functional effect, when instituted within one year of the onset of paralysis.

This depends on the type of procedure involved. Small procedures such as gold weight placement in the upper eyelid can be done under local anesthesia. More complicated procedures such as facial nerve grafts, temporalis flaps, brow lift, or facelift surgery require sedation of general anesthesia in an operation room.

Related Procedures

Treatment of facial paralysis often involves a combination of procedures aimed at improving both function and aesthetics of the face. There are a variety of “cosmetic procedures” that have a functional role in patients with facial paralysis. These include: facelift surgery, brow lift, blepharoplasty, and Botox injections.

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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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