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Modified Selective Neurectomy with Symmetrical Facial Repositioning
Nikolaus Hjelm1, Babak Azizzadeh1
1Center for Advanced Facial Plastic Surgery, Beverly Hills, California.
Facial Plastic Surgery & Aesthetic Medicine
|February 14, 2020
Summary
This study introduces a novel surgical technique to address facial synkinesis and asymmetry. The innovative approach enhances smile function and facial balance at rest and during smiles.
Area of Science:
- Plastic Surgery
- Facial Reanimation Surgery
Background:
- Synkinesis and facial asymmetry significantly impact quality of life.
- Current surgical options for treating synkinesis with concurrent facial asymmetry are limited.
Purpose of the Study:
- To present an innovative surgical technique for correcting synkinesis and facial asymmetry.
- To improve both spontaneous smile function and overall facial symmetry at rest and during animation.
Main Methods:
- Description of a novel surgical technique.
- Case series of patients undergoing the described procedure.
Main Results:
- The technique effectively improved the spontaneous smile mechanism.
- Concurrent facial asymmetry was addressed, leading to improved symmetry at rest and during smiles.
Conclusions:
- The described surgical approach offers an effective solution for patients with synkinesis and facial asymmetry.
- This technique enhances both dynamic and static facial appearance.

