Question: I’m 30yrs Old,Had an accident when I was 8yrs old and in d process,a left facial nerve palsy occurred which made my mouth to shift to one side whenever I laugh or smile.I’ve undergone a neuro-surgery to correct it.Though,there’s an improvement but not exactly what I want.I want to know if there’s any facial procedure dat can b done to make ma mouth and lips straight again so dat it can come back to it’s normal position because I’ve lost my Confidence ever since the accident,I hardly smile in Camera because of it. Pls kindly tell me what to do and if u can refer me to any Facial reconstructive surgeon over there.Thank you for ur Understanding.
Answer: thank you for your submission. the one negative truth is that with any facial nerve injury that is permanent, there will never be a procedure that can entirely make the face work like normal. there are only degrees of improvement but always less desirable than you would like. i would recommend finding a qualified facial plastic surgeon who specializes in reconstruction of nerve damages to see what your personal options would be. the other thing that i have found that works very well is botulinum toxin (Botox, Dysport), which can help do the opposite which is to control the good side of movement so that the two sides are more symmetrical. in addition, sometimes nerves on the bad side can have something called synkinesis in which the nerves all move in clusters like if you smile you blink. BTX can soften the areas of synkinesis as well over repeated injections. hope that helps.