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Best Facial Paralysis Treatment, Neurofibromatosis Surgery Cost, Rhinoplasty Plastic Surgeon – Beverly Hills, Los Angeles, California, Pasadena, Santa Monica, Glendale
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626-765-6885

  • Dr. Panossian
  • FACIAL PARALYSIS OVERVIEW
  • ABOUT
  • CONDITIONS
    • Bell’s Palsy
    • Facial Nerve Trauma
    • Tumors
    • Moebius Syndrome
    • Hemifacial Microsomia
    • Stroke
    • Ramsay Hunt Syndrome
    • Synkinesis
    • Neurotrophic Keratopathy
  • Treatments
    • Temporalis Myoplasty
    • Gracilis Muscle Transplant (Cross Face Nerve Graft)
    • Gracilis Muscle Transplant (Masseter Nerve)
    • Cross Face Nerve Graft
    • Nerve Transfers
    • Facial Asymmetry Correction
    • Botox® for facial paralysis
    • Eyelid Surgery for Facial Paralysis
    • Facial Reanimation
    • Static Sling
    • Facelift for Facial Paralysis
    • Brow Lift for facial paralysis
    • Selective Neurolysis for Synkinesis
    • Corneal Neurotization
  • PHOTO GALLERY
    • Smile Reanimation
    • Eyelid Surgery
    • Brow Lift
    • Symmetry Procedures
  • BACK TO MAIN SITE
  • CONTACT US
  • 626-765-6885
  • Dr. Panossian

Static Sling

Home » Facial Paralysis » Treatments » Static Sling

What is a static sling?

Static sling is a procedure that involves taking a piece of tissue taken from the thigh, called fascia lata, and placed into the face to resuspend the mouth and cheek. It is a rather old technique but effective if you want to simply keep the corner of the mouth elevated at rest. It can be combined with a number of other procedures, such as a facelift for facial paralysis, to maximize results.

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Diagram of fascia lata anatomy of thigh.
Diagram of fascia lata anatomy of thigh.

The effect of gravity in facial paralysis can advance the timetable on sagging of facial skin. The static sling can add another layer of suspension to counteract this effect to maintain suspension of tissues over a longer period of time.

Table of Contents
  1. What is a static sling?
  2. When is a static sling used?
  3. What is the recovery like?
  4. What are the risks and complications of static sling surgery?

When is a static sling used?

Fascia lata used in static sling procedure for facial paralysis.
Fascia lata used in static sling procedure for facial paralysis.

In most patients, dynamic options such as muscle and nerve transfers are available and preferred. However, in some individuals who have other health problems, the added operative time needed to perform these procedures may be too much to handle. Static sling is the last option in Dr. Panossian’s practice because there are better options available that will accomplish elevation of the lower face at rest and with muscle activity. Static options, in general, are never as good as dynamic ones, due to the inability to provide motion.

What is the recovery like?

Recovery from a static sling procedure is relatively straightforward. Incisions on the face and thigh will need to heal simultaneously. Although walking after surgery is allowed, you must not engage in aggressive physical activities or weight bearing for at least 6 weeks. You will wrap the thigh with a compression ACE wrap during this time for comfort and swelling control.

Before and after of a woman after static sling procedure for facial paralysis.
Before and after of a woman after static sling procedure for facial paralysis.

The facial incision may have a small drain for approximately 24 hours after surgery to prevent any fluid collection underneath the skin. This is removed in the office very easily. Antibiotics are used for a short period of time.

Pain is minimal following surgery. Patients occasionally mention some soreness in the thigh or discomfort from swelling in the cheek. Most swelling subsides in 1-2 weeks.

What are the risks and complications of static sling surgery?

If you are considering the static sling as option for reconstruction, you must understand that the procedure does NOT result in the return of muscle activity or facial expression to the face. It simply elevates a drooping cheek or mouth at rest. There are minimal risks associated with a static sling procedure. As with any other surgery, there is a small chance of bleeding, infection, or anesthesia issues. Usually, the greatest risk is that the sling may loosen over time. This is usually the result of a number of factors, including the unrelenting forces of gravity, postoperative trauma or infection, or other co-morbidities such as diabetes, smoking, or steroid use. Fortunately, correcting this issue is relatively easy, but does require a short subsequent outpatient surgery to tighten the sling. The more common issue is that certain asymmetries can persist in the relaxed state or with animation. These can be minor or more substantial. 

Complications of surgery can include hematoma in the first few days, requiring drainage in the operating room. Infection of the cheek can require a brief hospitalization for intravenous antibiotics and/or surgical drainage.

Dr Panossian is extremely professional and provided with excellent service during my surgery and follow up appointment. I would definitely recommend him to friend, family and anyone needing his services.

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This article was written by Dr. Andre Panossian. Last Modified May 2, 2022

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