Free Functional Muscle Flap for Smile Restoration Before and After Case 3

Smile restoration with a free functional muscle transplant performed by Dr. Shai Rozen in Dallas, Texas was dually innervated with a cross facial nerve graft, and combined with upper eyelid gold weight, lower lid tarsal strip and fascial support to restore the smile, eye closure, and facial symmetry. Patient presented with long standing right facial paralysis caused by a mid-brain stroke and surgery for an artery-venous malformation, had difficulty with smiling, right eye closure, speech, and eating. 6 years later Patient has an improved smile, eye closure, and facial balance and reports improved speech and eating.