Facelift and Facial nerve injury: how to deal with?

• Published in: Revista Brasileira de cirurgia plástica 2019, Vol.34 (2), p.299-305
• Main Authors: ROCHA, FRANKLIN DE SOUZA, ROCHA, CYNTHIA MARTINS, VITERBO, FAUSTO, LABBÉ, DANIEL
• Format: Article
• Language: English
• Subjects: facial nerve; facial paralysis; physical therapy modalities; reconstructive surgical procedures; rhytidoplasty
• ISSN: 2177-1235; 1983-5175; 2177-1235
• DOI: 10.5935/2177-1235.2019RBCP0150

Is largely known that the facial nerve virtually can be injured in every facial lift. Even though its importance, it is difficult to find in the literature articles related to this theme. Complete or incomplete facial paralysis after a facial procedures, may become a very uncomfortable situation between the patient and the surgeon, that is why we propose in this article a guide which intends to help avoid, identify and manage a facial nerve injury in the event of a face lift. Identifying Facial palsy before the surgery: Intending to make the pre-op facial assessment as simple as possible, we suggest a systematic approach examination. Avoiding facial nerve injury during face lifting: Several technical details are discussed along the text aiming to minimize the risk of nerve damage during the surgical procedure. What to in the event of a post-operative facial palsy: The authors propose a logical approach to the facial palsy, suggesting a planning for diagnosis, classification of the lesion and a rational treatment for the injury. Conclusion: This article presents a guide showing some safe technical options to avoid nerve damage during rythidoplasty, how to identify the lesion and treat it if necessary.