What can I do to correct forehead paralysis 6 months after temporal brow lift? 21 y/o female

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

If the frontal branch of the facial nerve is injured, it can take up to 1 year to recover. Often botox can be given on the unaffected side to achieve symmetry. In rare cases when the nerve is cut, it may never recover. This often requires additional surgery to reposition the brow. Best to follow up with your surgeon.

Six months is a long time but nerve recovery can take much longer. I could go into the details of neurological evaluation of the temporal branch of the facial nerve but it is a little beyond the scope of the question. In the meantime, you may consider a neuromodulator treatment to the opposite brow to even things out a bit until the nerve decides to kick back into activity. Unfortunately, there are no medications that have been proven to expedite peripheral nerve recovery at 6 months.

You've been patient waiting the 6 months and it must be very frustrating for you not to see improvement. It is still possible that the nerve will recover.
I recommend:
1) A nerve conduction study which your surgeon can refer you for. It may be able to tell if there is any activity in the nerve.
2) Physiotherapy with a physiotherapist who is familiar with facial nerve injuries. A physiotherapist will teach you exercises to help the muscles move and may offer modalities such as electrical stimulation to keep the muscles healthy while the nerve regrows.
3) Continued follow up with your surgeon to help you monitor the progress
4) If your forehead and brow are uneven due to the weakness, the stronger side can be treated with Botox for the time being so that you don't have asymmetry with one side moving and the other not moving.
All the best to you,
Dr. Nancy de Kleer

Hello there. I'm very sorry to hear about what you're experiencing. At 6 months, there's still time for movement to occur. Waiting at least 12 months is often advised as return of function can be delayed (i.e. a stretch injury). It may be worth having your doctor order nerve function tests to see if there's any activity to the nerve. Physical therapy can assist with helping to wake-up the nerve if there is a minor injury. If the movement doesn't return, it means the nerve was permanently injured. A static procedure may be needed to correct the brow asymmetry if any is present. I would reach out to your doctor to see what can be done. Hope this is useful to you.