Talk to Plastic Surgeon on Facial Asymmetry And Jaw Deviation
Asking For Self, Male 22, Multan
I had brain tumor surgery in March 2024 and the tumor was attached to the facial nerve, resulting in immediate left-sided facial palsy and numbness. I have significant facial asymmetry on left side of my face; specifically, my masseter muscle and the temporalis muscle appear dead or atrophied, causing my face to look sunken, as you can see in the photo. Also, when I open my mouth, my jaw is slightly deviated towards the left side. After a year with no improvement, I am seeking a plastic surgeon's opinion: what are my options now to restore symmetry, and is a nerve transfer recommended?
Dr. Tahir - Plastic Surgeon
MBBS, FCPS Plastic Surgery | Karachi
dear respected, you need to visit for proper examination. we can discuss all possible and feasible options. please book your appointment
n cases of long-standing facial paralysis (more than one year), the treatment options become more limited due to irreversible muscle atrophy and neural degeneration.
When both the facial nerve (VII) and the motor donor nerves such as the masseteric or temporalis branches of the trigeminal nerve (V) are non-functional or significantly atrophied, nerve transfer procedures or dynamic muscle reanimation are no longer viable options. In such situations, the target muscles have lost their ability to respond, making reinnervation ineffective.
In these scenarios, facial symmetry can be improved through static and volume-restorative procedures, such as:
1.Fat grafting to the temple, cheek, and midface to restore volume deficiency or
2. Dermal fillers to improve contour and soft-tissue symmetry or
3. Alloplastic implants (e.g., temporal implants) for more stable volume correction
However, it is important to understand that dynamic asymmetry during facial movements, such as asymmetry while opening the mouth or smiling, may not be completely correctable, and a certain degree of asymmetry may need to be accepted.
This is a general idea, and the final treatment plan can only be made after a detailed in-person clinical examination.
u need to visit opd so that after proper assessment and according to time frame we can discuss remaining best possible options for you
By looking at your picture I agree there is mild asymmetry. I doubt if your facial nerve was completely transected during surgery. In my view you should expect further improvement in 12-24 months. You should avoid any invasive procedures. The option to improve symmetry in the interim period is facial filler or fat graft. These are both temporary solutions. Patience will pay off in the long run.
Prof. Homeopathic Dr. Syed Atta E Rasool Bokhari - Homeopath
DHMS, RHMP | Lahore
92 Positive Reviews
homeopathic medicines from my Method can help you in this
but before treatment I need Fresh MRI report because i treat disorders on the basis of present root cause.Thats the present pathophysiology of facial nerve.
My online consultation fee is 100 Rs.I am dealing with Autoimmune disorders related to nervous system.
Rizwan Ali Khan - Clinical Psychologist
| MSc (Psychology) | MS (Clinical Psychology) | Certified (Crucial Conversations) | | Lahore
36 Positive Reviews
https://www.marham.pk/doctors/lahore/psychologist/dr-rizwan-ali-khan
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