Pell - Cirugía Plástica y Rejuvenecimiento Facial

Facial paralysis

What causes facial palcy?

The commonest cause of facial palsy (paralysis) is Bell’s palsy which could be linked to a herpes viral infection. Facial palsy can also be present at birth, known as developmental or congenital palsy that affects one or both sides of the face (known as Moebius Syndrome).
Other causes of the condition include trauma to the facial nerve, as well as certain types of localised infections or inflammation. Some surgical procedures can also contribute towards facial palsy, for example tumours within the cranial region or face affecting the facial nerve (such as acoustic neuromas and parotid gland tumours).


Weakness or complete paralysis of one side of the face

Eyebrows may sag

Eye closure is difficult

Dry or watery eyes

Drooping mouth (drinks can dribble out)

Speech may be difficult

Hearing can be sharp on the affected side

Paralysis of the lower lip with upward pulling


There are several treatment options depending on the cause of facial paralysis and the time of evolution.

Among the available treatments it is possible:

- Improve the position of the eyebrow and eyelids

- Improve smile

- Treat the continence of liquids

- Improve the symmetry of the face

Among the techniques used to manage facial paralysis is reconstructive surgery, muscle and tendon transfers, grafts and nerve transfers, among others.

Facial paralysisFacial palsy

Facial paralysis

Facial palsy is facial asymmetry due to weakness of the facial muscles (muscles of facial expression). It is the result of temporary or permanent damage to the facial nerve.

When the facial nerve is either non-functioning or missing, the muscles in the face do not receive the necessary signals in order to function properly. This results in paralysis of the affected side of the face, with impaired movement of the forehead (with resultant droopiness of the brow), paralysis of the eyelids with inability to close and protect the eyes, paralysis of the muscles on the cheek that affect the mouth movements, and lower lip paralysis.

There are different degrees of facial paralysis: it can be complete with no movement at all, or incomplete with some remaining movement (although reduced). It can also be full palsy affecting the whole side of the face or partial, affecting the upper or lower part of the face.

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