Facial nerve and Bell’s palsy

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Facial reanimation is a medical procedure aimed at restoring movement and function to facial muscles that have been impaired due to conditions such as facial nerve paralysis, or other neurological disorders. 

The procedure involves techniques to repair or replace the damaged or weakened facial nerves and muscles, allowing individuals to regain control and movement of their facial expressions.

Facial reanimation can involve various approaches, including nerve grafts, nerve transfers, muscle transfers, and even Botox injections to achieve more balanced and natural facial movements. The goal is to enhance both the aesthetic appearance and functional capabilities of the face, helping patients regain their ability to smile, close their eyes, and communicate through facial expressions.

The specific technique used for facial reanimation depends on the underlying cause of the facial paralysis and the patient's individual circumstances. It's typically performed by specialized surgeons.

Working alongside a team that includes a neurosurgeon and an ophthalmologist, Dr. Supasid has displayed a profound dedication to the care of patients suffering from facial paralysis. His proficiency in restoring impaired facial nerves and muscles through techniques like facial nerve transfer and free functional muscle transfer has led to the restoration of normal or nearly normal lives for individuals grappling with facial paralysis and Bell's palsy.

Thanks to his contributions, Thailand saw the establishment of its first specialized clinic focused on facial paralysis. Remarkably, the clinic remains the largest and most active center for facial nerve treatment in Southeast Asia to this day.


Candidates for facial reanimation are individuals who have experienced facial nerve paralysis or severe facial muscle weakness due to various reasons.

These reasons might include:

  • Facial Nerve Paralysis: Patients with conditions like Bell's palsy, traumatic facial nerve injury, or tumors affecting the facial nerve
  • Congenital Conditions: Individuals born with congenital facial nerve disorders or muscle weakness, such as Moebius syndrome
  • Neurological Disorders: Patients with neurological disorders that affect facial muscle function, such as facial dystonia
  • Previous Surgeries: Individuals who have undergone surgeries that led to facial nerve damage or paralysis, like brain tumor removals
  • Incomplete Recovery: Some individuals with incomplete recovery from facial nerve injuries or paralysis might also seek facial reanimation to enhance their facial expressions and functionality

The decision to undergo facial reanimation is typically made after thorough evaluation by a team of specialized medical professionals, including plastic surgeons, ophthalmologist, otolaryngologists (ENT specialists), and neurologists. They will assess the underlying cause of the facial paralysis, the extent of muscle weakness, and the potential benefits and risks of the procedure. Each case is unique, and the suitability of an individual for facial reanimation will depend on their specific condition and overall health.

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If you're interested and wish to gain more insight into it, please reach out to us.

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