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Overview Type 1 (NF1) Type 2 (NF2) Schwannomatosis Electrodesiccation Surgical Excision Surgery Overview
Overview Acoustic Neuroma Bell's Palsy Congenital Facial Paralysis Facial Reanimation Moebius Syndrome Neurotrophic Keratopathy Post-Surgical Facial Paralysis Ramsay Hunt Syndrome Facial Paralysis After Stroke Synkinesis Traumatic Facial Nerve Injury Babysitter Procedure Botox for Facial Paralysis Brow Lift for Facial Paralysis Corneal Neurotization Cross-Face Nerve Graft Direct Nerve Repair Eyelid Surgery for Facial Paralysis Facelift for Facial Paralysis Facial Asymmetry Correction Gracilis Free Muscle Transfer Paralytic Lagophthalmos Repair Lengthening Temporalis Myoplasty Nerve Transfers Selective Neurolysis Static Sling for Facial Paralysis Upper Eyelid Gold & Platinum Weight
Overview Revision Rhinoplasty Ethnic Rhinoplasty Functional Rhinoplasty Cleft Rhinoplasty Nasal Reconstruction
Overview Facelift Eyelid Surgery Neck Lift Brow Lift Breast Surgery Body Contouring Non-Surgical
Overview Vascular Birthmarks Microtia & Ear Reconstruction Pediatric Hand
All Results Facial Paralysis Neurofibromatosis Rhinoplasty Facelift Breast Body
About Dr. Panossian Testimonials & Reviews In the Media Philanthropy Our Practice Cost & Insurance Traveling Patients
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Home· Results Gallery· Smile Reanimation

Smile Reanimation

Smile reanimation restores a natural, voluntary smile for patients with facial paralysis. Dr. Panossian, a fellowship-trained facial paralysis surgeon in Pasadena whose practice is focused on facial reanimation, performs smile reanimation surgery using techniques including the lengthening temporalis myoplasty (LTM) and free-functioning muscle transfer to rebuild dynamic facial movement. The before-and-after results below show real patient outcomes.

Considering this procedure? Learn more about Dr. Panossian's facial paralysis & smile reanimation treatment or request a consultation.

34 Patient Results

Frequently Asked Questions

What is smile reanimation surgery?

Smile reanimation is a set of surgical techniques that restore the ability to smile in patients with facial paralysis. Options include the lengthening temporalis myoplasty (LTM), free-functioning muscle transfer (gracilis), and nerve transfers, selected based on the cause and duration of paralysis.

Who is a candidate for smile reanimation?

Candidates include patients with longstanding or congenital facial paralysis, Bell's palsy that has not recovered, or paralysis following tumor or trauma surgery. A facial nerve evaluation determines the best technique.

How long is recovery after smile reanimation?

Recovery varies by technique. Muscle transfers typically show initial movement at 3-6 months as the nerve regenerates, with continued improvement over the first year as the patient learns to activate the new smile.

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39 Congress St, Suite 402 · Pasadena

Serving Pasadena, Glendale, Burbank, San Marino, Arcadia, La Cañada & the San Gabriel Valley.

By appointment · (626) 765-6885

Andre Panossian, MD

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All content authored by Andre Panossian, MD.

Disclaimer: Surgery carries risks. Content is for informational purposes only and is not medical advice; consult a board-certified plastic surgeon before any treatment decision. Photographs are of actual patients of this practice, published with written authorization. Individual results vary and are not guaranteed.

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