Free Functional Muscle Flap for Smile Restoration Before and After Case 2

Smile and eye restoration with a free functional gracilis muscle transplant performed by Dr. Shai Rozen in Dallas, Texas, combined with a gold weight for the upper eyelid, a tarsal strip and fascia to the lower lid, and a brow lift were performed to restore both smile, right eyelid closure, and facial symmetry. Patient presented with long-standing right facial paralysis after resection of a malignant parotid tumor and had difficulty with smiling, right eye closure, speech, and eating. Approximately 3 years after surgery, patient has improved smile, eye closure, facial balance, improved speech, and eating.