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Dr. Panossian specializes in facial paralysis from all causes — including Bell's palsy, Moebius syndrome, acoustic neuroma, traumatic injury, synkinesis, congenital paralysis, neurofibromatosis, and post-surgical nerve damage. He also performs a full range of aesthetic procedures including rhinoplasty, deep plane facelift, blepharoplasty, breast surgery, body contouring, and non-surgical treatments.

The best way to determine candidacy is through a consultation — either in person or via secure video. Dr. Panossian will evaluate your condition, review your medical history, assess nerve and muscle function, and discuss the full range of surgical options available to you. Even patients who have been told "nothing can be done" may have options they haven't been presented with.

Yes. We offer secure video consultations for patients who are unable to travel to Pasadena for an initial evaluation. This is particularly helpful for out-of-state and international patients. During the virtual consultation, Dr. Panossian can review your medical history, examine photographs, and provide preliminary recommendations. In-person evaluation is typically required before surgery can be scheduled.

Recovery varies depending on the procedure. For gracilis free muscle transfer, most patients return to normal daily activities within 2–3 weeks, but nerve regeneration and full muscle function develop over 6–18 months. For LTM, movement is typically visible immediately after surgery with continued improvement over several months. Dr. Panossian will provide a detailed recovery timeline specific to your surgical plan.

The Lengthening Temporalis Myoplasty (LTM) is a single-stage procedure that repositions an existing muscle to create a smile — providing immediate movement. The gracilis free muscle transfer transplants a muscle from the thigh and reconnects it microsurgically — typically producing more spontaneous, emotion-driven movement but requiring months of nerve regeneration. Dr. Panossian will recommend the approach that best fits your anatomy, goals, and clinical situation.

Dr. Panossian approaches every rhinoplasty with the precision of a reconstructive surgeon. His deep understanding of nasal anatomy — honed through thousands of complex facial surgeries — means he can address both cosmetic concerns and functional issues like breathing difficulty. Every rhinoplasty is planned to achieve a natural result that harmonizes with your overall facial proportions while respecting your identity.

The cost of surgery depends on the specific procedure, complexity, and whether it is covered by insurance. Many reconstructive procedures — including facial reanimation surgery — are covered by insurance. Aesthetic procedures are typically not covered. During your consultation, our team will provide a detailed cost estimate and discuss insurance verification, financing options, and payment plans.

Yes. Dr. Panossian has extensive experience with pediatric facial paralysis, including Moebius syndrome and congenital conditions. His craniofacial fellowship training provides specialized expertise in operating on children. The timing of surgery depends on the specific condition, the child's age and development, and the type of procedure recommended. Early consultation is encouraged so families can plan appropriately.

Yes. Dr. Panossian's practice accepts major credit cards, checks, and cash. For patients who prefer to spread the cost of their procedure over time, financing is available through Cherry and CareCredit — two trusted healthcare lending providers that offer flexible payment plans with a range of terms. Cherry provides personalized monthly payment options, while CareCredit offers promotional financing periods for qualified applicants. Our surgical coordinators can walk you through the application process and help you find a plan that fits your budget. Contact our office at (626) 765-6885 or request a consultation to learn more.