Hello! I am almost 4 years post facial paralysis. I have residual facial asymmetry. I am interested in what options I have to make my right eye appear more open so my eyes look more alike...and smile more even and right eyebrow higher, etc. I have tried botox several times but it has never really achieved the symmetry.
November 7, 2022
Answer: This can be very challenging. The key to helping you is to determine the amount of levator function you have which is also understood as upper eyelid excursion. To open the left eye, you also need a working orbicularis oculi muscle (the muscle that shuts the eyelid) Like other facial muscles, the orbicularis can be weakened from the facial paralysis. Finally, a thoughtful assessment of the status of your cornea completes the picture of your resources to be helped. The right brow can be higher due to reduced motor functioning of the frontalis muscle from the facial paralysis. That can be addressed by a careful one-sided forehead lift. However, the bulk of your issue based on these photos might be accounted by the left upper eyelid ptosis. Repairing that should make a significant difference in improving your facial asymmetry. There is no substitute for a detailed in person assessment. A Zoom call its not a substitute for in person assessment. Your eyes can be your best feature.
Helpful
November 7, 2022
Answer: This can be very challenging. The key to helping you is to determine the amount of levator function you have which is also understood as upper eyelid excursion. To open the left eye, you also need a working orbicularis oculi muscle (the muscle that shuts the eyelid) Like other facial muscles, the orbicularis can be weakened from the facial paralysis. Finally, a thoughtful assessment of the status of your cornea completes the picture of your resources to be helped. The right brow can be higher due to reduced motor functioning of the frontalis muscle from the facial paralysis. That can be addressed by a careful one-sided forehead lift. However, the bulk of your issue based on these photos might be accounted by the left upper eyelid ptosis. Repairing that should make a significant difference in improving your facial asymmetry. There is no substitute for a detailed in person assessment. A Zoom call its not a substitute for in person assessment. Your eyes can be your best feature.
Helpful
