The Center for Facial Reconstruction

The Center's surgeons perform reconstructive operations ranging from the simple revision of a small facial scar to replacement of skull or facial bones damaged by trauma to complex reconstruction after radical oncologic (cancer) surgery.

 

 

Services offered by our surgeons include:

  • Facial Nerve Paralysis Rehabilitation Program (the facial nerve controls the muscles of expression on one side of the face. Facial nerve paralysis leaves one side of the face flaccid with the inability to close the eye and mouth on that side resulting in damage to the eye from drying and drooling)
  • Advanced Cutaneous Laser Program (treatment of the skin for defects with a laser beam)
  • Biomaterials Implant Program (any biological material implanted, usually for defects of the facial and cranial skeleton)
  • Craniofacial Skeletal Contouring (making the skull and face more normal in shape)
  • Facial Soft Tissue and Scar Reconstruction
  • Moh’s Defect Reconstructive Surgery (defects left after a special method of skin cancer removal that preserves as much normal tissue as possible)
  • Microsurgical Nerve and Tissue Transfer (using a microscope to graft nerves and muscles from one part of the body to another)
  • Nasal Reconstruction (surgery to open the nose so that normal breathing through the nostrils is restored, often needed after nasal trauma or facial nerve paralysis)
  • Orbital (eye socket) and Eyelid Reconstructive Surgery
  • Psychological and Occupational Support
  • Speech and Swallowing Therapy

There are many non-surgical treatments available for facial paralysis, including:

  • Medications such as steroids
  • Observation in specific circumstances
  • Facial movement physical therapy with neuromuscular retraining
  • Medical eye care
  • Speech therapy
  • Botulinum toxin (Botox©) Injection (done on the normal side of the face making it weaker so it appears more like the paralyzed side)
  • Soft tissue fillers (material injected under the skin to "plump up" the paralyzed side of the face)

Our surgical treatments include:

Static procedures are those that lift the face to a more neutral position, but do not provide movement to the face. They are essentially a face lift of the tissues around the eye and mouth to prevent drying of the eye and drooling due to facial nerve paralysis. These procedures include:

  • Upper eyelid gold weight placement (the weight of the gold leaf forces the upper eyelid down helping to protect the eye from drying)
  • Lower lid tightening (corrects lower lid droop due to muscle laxity and helps to protect the eyeball from drying)
  • Minimally invasive browlift suspension (surgery using a small fiberoptic telescope placed through an incision in the eyebrow or in the hairline to lift the brow on the paralyzed side to make the face appear more normal)
  • Lower facial suspension (a facelift of the lower part of the face on the paralyzed side to stop drooling)
  • Upper lid spring implantation (a small spring to keep the upper lid to aid eyelid closure on the paralyzed side, to prevent drying of the eye)
  • Lower lid sclera graft placement (a graft of tissue to the exposed inside of the lower eyelid when to prevent drying of the eyeball)
  • Nasal alar repositioning-surgically moving the small cartilages (alar cartilages) supporting the outsides of the nostrils to restore normal nasal breathing through the nostril on the paralyzed side which collapses on breathing in when the facial nerve is paralyzed
  • Reconstructive Rhytidectomy (Facelift)

Dynamic procedures are those that also lift the face and they provide movement to the face. These procedures are grafting of other nerves onto the facial nerve or transferring other muscles with their nerves working into the paralyzed side of the face to restore muscle function to an area. Again, it is often used around the eye and mouth after facial nerve paralysis. Dynamic procedures are:

Dynamic Surgical Intervention
  • Temporalis muscle transfer (moving a part of the muscle on the side of the head that closes the jaw so by clenching the jaw the patient can lift the forehead on the paralyzed side of the face)
  • Hypoglossal-facial nerve grafting (using a part of the cranial nerve controlling the tongue which then grows into the paralyzed nerve bringing back nerve function)
  • Crossface Facial Nerve to Facial Nerve Grafting (grafting branches of the opposite normal facial nerve to the paralyzed nerve to provide nerve impulses to the muscles of the paralyzed side)
  • Ansa Cervicalis facial nerve grafting (grafting a small nerve that controls muscles in the neck to the paralyzed facial nerve to restore function)
  • Interposition facial nerve grafting (grafting a nerve from somewhere else in the body between the stumps of the facial nerve on the paralyzed side)
  • Microvascular muscle nerve transfer (using a high magnification microscope, a muscle and the nerve that makes it function are grafted into the muscles on the paralyzed side)
Contact Image
CONTACT US  
Talk to Someone
In Manhattan:
    (212) 434-4500
In Long Island:
    (718) 470-7550
    (516) 470-7550
In Staten Island:
    (718) 226-6110
Help save lives!
Make a Donation 

Meet An Expert

Steven J. Pearlman, MD, FACS

Steven J. Pearlman, MD, FACS

Steven J. Pearlman, MD, FACS is board certified in both facial plastic and reconstructive surgery and in head and neck surgery.


Thomas Romo, III, MD, FACS

Thomas Romo, III, MD, FACS

Thomas Romo, III, MD, FACS is the preferred surgeon to countless high profile celebrities, politicians and leaders in business and finance.


Dara Liotta, MD

Dr. Liotta

Dr. Liotta is a member of the New York Head and Neck Institute, and is board certified in otolaryngology, head and neck surgery by the American Board of Otolaryngology.


Armen K. Kasabian, MD

Armen K. Kasabian, MD

Dr. Arman Kasabian is a board certified plastic surgeon with the Center for Facial Reconstruction.


Oren Z. Lerman, MD

Oren Z. Lerman, MD

Oren Z. Lerman, MD is a board certified plastic surgeon.