Hello facelift surgeons, I have very longstanding Bell’s palsy asymmetry (from 30 years ago) that affects my nasolabial fold and upper and lower lip area on one side. It is relatively mild, but bothers me a lot. I am hoping to find a surgeon who might be able to reposition the smas differently on the two sides so at least it will be more symmetrical when my face is at rest. Do any of you do this? I can travel anywhere within the US. Thank you!
Answer: Seek a plastic surgeon experienced in facial palsy surgery Dear DogMomma123, thank you for your question. A skilled facelift surgeon with experience in facial palsy can tailor the procedure to account for asymmetry by adjusting the SMAS (superficial musculoaponeurotic system) differently on each side of the face. In cases like yours, the facelift is not just about lifting—it’s about restoring balance. Surgical planning might also include fat grafting or even minor muscle repositioning to help achieve a more symmetrical resting appearance. Centers that specialize in facial reanimation or facial nerve disorders are often ideal for this level of customization.
Helpful 1 person found this helpful
Answer: Seek a plastic surgeon experienced in facial palsy surgery Dear DogMomma123, thank you for your question. A skilled facelift surgeon with experience in facial palsy can tailor the procedure to account for asymmetry by adjusting the SMAS (superficial musculoaponeurotic system) differently on each side of the face. In cases like yours, the facelift is not just about lifting—it’s about restoring balance. Surgical planning might also include fat grafting or even minor muscle repositioning to help achieve a more symmetrical resting appearance. Centers that specialize in facial reanimation or facial nerve disorders are often ideal for this level of customization.
Helpful 1 person found this helpful
January 13, 2025
Answer: Asymmetry related to Bell's Palsy Thank you for the great question. A deep plane facelift will certainly be the best procedure to elevate and reposition the deeper soft tissue of your face and should give you a more symmetrical result. When properly performed, it is a procedure of maximal elevation and repositioning. However, if you have residual weakness from Bell's palsy (and it sounds like you may), this won't be changed by the procedure. Your question would be better answered fully in a consultation.
Helpful 1 person found this helpful
January 13, 2025
Answer: Asymmetry related to Bell's Palsy Thank you for the great question. A deep plane facelift will certainly be the best procedure to elevate and reposition the deeper soft tissue of your face and should give you a more symmetrical result. When properly performed, it is a procedure of maximal elevation and repositioning. However, if you have residual weakness from Bell's palsy (and it sounds like you may), this won't be changed by the procedure. Your question would be better answered fully in a consultation.
Helpful 1 person found this helpful
November 22, 2024
Answer: Bell's palsy Bell's is very tricky, esp if you are struggling with some sequelae afterward. I'm biased, but my mentor Dr. Babak Azizzadeh is a world leader on managing bell's with surgery, including this specifically. Anyone who has trained with him also could do it but of course he's the master of this. Alternatively, the biggest facial paralysis centers are Hopkins and Harvard as well so either of those places could be helpful.
Helpful 1 person found this helpful
November 22, 2024
Answer: Bell's palsy Bell's is very tricky, esp if you are struggling with some sequelae afterward. I'm biased, but my mentor Dr. Babak Azizzadeh is a world leader on managing bell's with surgery, including this specifically. Anyone who has trained with him also could do it but of course he's the master of this. Alternatively, the biggest facial paralysis centers are Hopkins and Harvard as well so either of those places could be helpful.
Helpful 1 person found this helpful
November 22, 2024
Answer: More information needed Unfortunately, you have not provided photographs. If your problem is a lot of upper area it is possible that a lip lift can be done to correct the problem you have. Also, it will help the nasolabial folds and fat transfers can be performed as well. I would need photographs to give you a more accurate answer. Best Wishes, Gary Horndeski, M.D.
Helpful 1 person found this helpful
November 22, 2024
Answer: More information needed Unfortunately, you have not provided photographs. If your problem is a lot of upper area it is possible that a lip lift can be done to correct the problem you have. Also, it will help the nasolabial folds and fat transfers can be performed as well. I would need photographs to give you a more accurate answer. Best Wishes, Gary Horndeski, M.D.
Helpful 1 person found this helpful
November 22, 2024
Answer: Facelift in Setting of Asymmetric Facial Function Hello, hope you are well. Performing a unilateral or asymmetric facelift is actually a relatively longstanding treatment method to restore symmetry for patients with facial paralysis or palsy. Usually we also would be considering a browlift, functional eyelid surgery, and sometimes static slings or other complementary procedures for the best possible outcome. Developing a customized treatment plan requires an in-person consultation to assess your static and dynamic appearance (with facial expressions). Good luck! Best, Dr. Tower
Helpful
November 22, 2024
Answer: Facelift in Setting of Asymmetric Facial Function Hello, hope you are well. Performing a unilateral or asymmetric facelift is actually a relatively longstanding treatment method to restore symmetry for patients with facial paralysis or palsy. Usually we also would be considering a browlift, functional eyelid surgery, and sometimes static slings or other complementary procedures for the best possible outcome. Developing a customized treatment plan requires an in-person consultation to assess your static and dynamic appearance (with facial expressions). Good luck! Best, Dr. Tower
Helpful