Eye protection is perhaps the most important goal in any facial paralysis surgical plan. Improving eye closure is critical to avoid drying, trauma, and eventual blindness that can result.

Before and after of girl after insertion of upper eyelid gold weight and lower eyelid tendon sling.

Procedure
Upper eyelid platinum weight insertion
Lower eyelid tendon sling

Details for Patient # 94303
17-year-old girl with facial paralysis following brain tumor excision presented with severe right lagophthalmos. She underwent simultaneous right upper eyelid platinum weight insertion and lower eyelid tendon sling using a palmaris longus tendon graft from the wrist. Shown here 12 months after surgery with good symmetry of the eyes and eye closure.

Before and after photos of young boy after eyelid surgery for facial paralysis.

Procedure
Upper eyelid levator lenghthening
Lower eyelid modified tarsorrhaphy

Details for Patient # 23445
8-year-old boy with facial paralysis secondary to trauma, presents with lagohpthalmos of left side. Underwent simultaneous upper eyelid levator lengthening with fascia interpositional graft and lower eyelid modified tarsorrhaphy. Shown here 3 years postop with good eye closure and symmetry. He no longer requires lubrication or artificial tears and has no further dry eye symptoms.

Before and after photos of young girl after eyelid surgery for facial paralysis.

Procedure
Lower eyelid tendon suspension
Upper eyelid platinum weight insertion

Details for Patient # 25487
6-year-old girl with facial paralysis and asymmetry of eyelids, experiencing dry eye symptoms and reliance on eye drops. She underwent simultaneous lower eyelid suspension procedure using a tendon graft from the wrist and upper eyelid platinum weight insertion. Shown here 12 months later with no further symptoms or need for eye lubrication.

Before and after photos of young girl after eyelid surgery for facial paralysis.

Procedure
Paralytic eyelid reconstruction with tendon sling and gold weight

Details for Patient # 99652
11-year-old male with congenital right facial paralysis secondary to Goldenhar syndrome. Underwent lower eyelid elevation with tendon sling and gold weight in upper eyelid. Results shown at 3 years postop. Well-maintained elevation of eyelid with no drying or requirement for lubricants.

BEFORE AND AFTER GALLERY

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