Crazy but genuine question: can a muscle shift during surgery? I have NF1 and a plexiformNF by my eye and now I have paralysis

Question

I had a temporal browlift in Dec 2022 but have brow paralysis and mild swelling, which was not an issue before the surgery. I know this is a crazy thought, but I had a EMG/ECV today and the dr said something about the muscle not being there (not sure what he meant but he was referring to the front/side of my left forehead right above the brow). He said there's muscle at the top but not by the brow. MRI from saidJuly2023 "cortical thickening left pterion bone". Thoughts? Thanks!!!

Malik Abaci, MD · Answer

Hello. Thank you for aproved photos and your question. İm considering that you need facelift and browlift. During browlift your left eye become better. İf needed we can perform pitozis surgery too

Mats Hagstrom, MD (license on probation) · Answer

The dissection for a brow lift is done under the frontalis muscle. In other words, a brow lift changes the position of both the brow and the frontalis muscle. The muscle insertion is that the top of the bony ridge of the brow. I would recommend not second guessing what the provider said without getting clarification. Regardless I don’t think the finding will influence your outcome. 
Best,
Mats Hagstrom, MD

Crazy but genuine question: can a muscle shift during surgery? I have NF1 and a plexiformNF by my eye and now I have paralysis

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