Aesthetic considerations in facial reanimation
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Updated: Sep 28, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
1Division of Plastic Surgery, Faculty of Medicine, University of São Paulo, Office Rua Barata Ribeirao, 483 cj. 161 01308000, São Paulo, Brazil. mferrei@uo.com.br
Abstract:
The treatment results of facial paralysis have improved within the last two decades with the introduction of new techniques for neuromuscular reconstruction. However, many patients still complain of aesthetic imbalance impairment after treatment. This article presents some complementary procedures that can be used to improve the appearance of the face either isolated in incomplete palsies, or after the completion of reconstructive procedures in complete paralysis. The procedures are divided according to anatomical areas--forehead, eyelids, middle third of the face, and the lower lip.
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