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It is possible to resuspend a contracted temporalis muscle? 6 months post craniotomy, would like to correct asymmetry.

justgratefulOct 18, 2022
6mths ago, I underwent a craniotomy to resect a left temporal arteriovenous malformation (AVM). The surgery was a success. However, I now have facial asymmetry due to temporalis muscle displacement. The cut temporalis muscle has contracted downwards creating a depression along the inferior margin of the temporal line of the frontal bone and a muscular protrusion at the inferior portion of the temporal fossa. Is it possible to do reconstructive surgery to resuspend the temporalis muscle?

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Carlos Damian Palafox Vidal, MD
Plastic Surgeon
Answered on Feb 4, 2023
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David M. Kowalczyk, MD, MBA, FACS

Hi! Achieving symmetry after injury to the face is definitely possible. Have you had a recent CT scan? Was any reconstruction done using plating and screws for fractures? That will be important to determine to ensure the underlying bone (foundation) is good. Implants such as MedPor or silicone...

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Paul Mittermiller, MD

Have you considered injecting filler into the area of depression to improve the contour? It would not make the skin texture to appear better, but it would improve the contour.

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Barry L. Eppley, MD, DMD

I believe you are referring to having some brow bone reduction done which you now wish to reverse. Through your existing hairline incision the brow bones can be built back up using ePTFE hand carved implants. Because the brow bone reduction done was by shaving the amount of augmentation needed...

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