How can I fix eyebrow paralysis and eyelid drooping after forehead lipoma removal? (Photos)

Hi there,

Thank you for sharing your experience — I can only imagine how upsetting and frustrating this has been for you, especially after what was meant to be a straightforward procedure. It sounds like you’ve been dealing with both functional and cosmetic effects since your forehead lipoma removal, and it’s completely understandable to want to restore movement and symmetry.

When a nerve is affected during surgery, recovery depends on the type and extent of nerve injury. Since your procedure was done in 2022, some degree of spontaneous nerve recovery would typically have occurred by now if the nerve was only bruised or partially damaged. The fact that movement hasn’t returned suggests there may have been more significant disruption to the frontal branch of the facial nerve, which controls eyebrow elevation.

Here’s what can help moving forward:

Evaluation by a facial plastic surgeon or neurologist – They can assess nerve function with imaging or nerve conduction studies to determine whether there’s any residual activity or potential for repair.

Surgical correction options – If the nerve was completely severed, reconstructive options like nerve grafting or brow lift surgery may help restore symmetry and improve eyelid position.

Non-surgical support – For the drooping or hollow area, Botox on the opposite side (to balance movement) or filler/fat grafting (to correct contour irregularity or depressions) can provide improvement in appearance even if full function doesn’t return.

Physical therapy – In some cases, facial retraining therapy can help strengthen surrounding muscles and enhance symmetry.

The small bump your family noticed is likely scar tissue or fibrosis, which can sometimes feel firm under the skin after surgery, but it’s always best to have it examined to rule out recurrence.

You’ve already taken the most important step — seeking guidance and exploring your options. With the right specialist and approach, there are ways to improve both movement and appearance, even years after surgery.