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Updated: Aug 13, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
Abstract:
Management of platysma bands has evolved from a lateral pull only to select midline work, although this latter maneuver increases the morbidity. The classification system of bands I to IV is a simple, effective method to identify those patients in whom the extra risk of midline work is justified. Creating a muscle sling by suturing the edge of the muscle in the midline was more effective than Z-plasty, plications, and/or excisions for the correction of prominent platysma bands.
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