All patients shown on this page have given their written informed consent to the publication of image/video material. They would like to encourage other affected patients to tackle their paralysis pro-actively and are making a very valuable contribution in this respect.

Patient 1

After surgical removal of a benign skull base tumor (acoustic neuroma), this 43-year-old patient suffered complete facial paralysis on the left side. Although the facial nerve is incurable, its function ...

read more

Patient 2

This 35-year-old patient suffered from a chronic facial paresis on the right after a tumour operation as a child and had already undergone 30 operations before the plastic reconstruction. Right picture: ...

read more

Patient 3

Left picture: Congenital facial paralysis on the right side in an 8-year-old boy. The smile is markedly disfigured by asymmetry. Right picture: A few weeks after free functional muscle transplantation, a ...

read more

Patient 4

This 46-year-old patient suffers from Parry-Romberg syndrome. In this case, the syndrome includes incomplete facial paralysis on the right and regression of the facial skull bones, especially in the area of the zygomatic arch. This results in reduced projection of the ...

read more

Patient 5

87-year-old female patient with complete facial paresis after tumor surgery. Flaccid cheek tissue and a failed ring muscle around the mouth led to a constant uncontrollable saliva flow and the loss of liquid food during food intake (oral incontinence). The patient first received ...

read more

Patient 6

This 69-year-old patient suffered from spontaneous idiopathic facial paresis (bell-paresis) with a complete loss of the mimic musculature of the left half of the face without signs of regression. Functionally, he suffered from a distinct eyebrow depression, a completely ...

read more

Patient 7

55-year-old patient (before/after photo). Firming measures are often carried out parallel to muscle transplants and are able to give the patient a more youthful appearance in addition to a functional gain in the eye and mouth ...

read more

Patient 8

This 70-year-old lady complained of pronounced sykinesia following incomplete healing of the facial nerve after tumor surgery (acoustic neuroma). When smiling or laughing, for example, this lady in the left affected half of her face ...

read more

Patient 9

This 75-year-old suffered from complete facial paralysis on the left after a tumor operation. It impresses in the left picture before the operation both a massive brow deepness and a massively weakened lower eyelid with clear deepness. ...

read more

Patient 10

Muscle atrophy of the mouth ring muscle in the left corner of the mouth (blue arrows) due to facial paralysis. This 68-year-old patient complained of the constant loss of saliva and liquid food due to inadequate lip closure. After the introduction of ...

read more

Patient 11

Sometimes it is the small details that make big differences for patients: this 37-year-old patient suffers from incomplete facial nerve palsy. Due to the muscular atrophy of the orbicularis oris (mouth ring) muscle, the lack of volume of the left lower lip led to an asymmetry of the lip area. After ...

read more

Patient 12

68-year-old patient with flaccid central facial paralysis. Preoperatively, there is a massive hanging right corner of the mouth with oral incontinence with an effaced nasolabial fold. Additionally, he has blurred speech. A facelift, reshaping of the nasolabial fold, and dynamic ...

read more

Patient 13

Congenital, incomplete facial paralysis on the left. This 12-year-old female patient showed no symptoms of the eye complex with a good eyelid closure and preserved blinking reflex. However, she complained about a lack of control of the corner of her mouth when smiling and laughing and a ...

read more

Patient 14

This spry 84-year-old lady suffered Bell’s palsy. Even several months after her onset, she presented no signs of improvement with regard to the complete, flaccid paralysis of the right eye and complained of a restriction of the visual field and conjunctivitis of the right eye. ...

read more

Patient 15

Severe chainsaw injury of an elderly lady who was taken care of in an emergency in an outside clinic. During the sawing injury, facial nerve branches which controlled the lip and chin were severed. In addition, tissue is missing, so that a massive gap in the left half of the mouth appears ...

read more

Patient 16

Congenital eyelid ptosis in a 70-year-old man. The levator muscle responsible for the eyelid lift is paralyzed on both sides and the patient can hardly open his eyes. The palpebral aperture is severely reduced on both sides, the patient's field of vision, especially in upward gaze, is clearly ...

read more

Patient 17

This is a 44-year-old patient left sided facial paralysis from the television report, which was caused by herpes zoster virus (Bell’s palsy). Only half a year after the nerve grafts and transfer, he can consciously produce a smile on the left side of his face (look at the typical "laugh lines" ...

read more

Patient 18

This patient presented with chronic facial palsy which resulted from  a temporal bone fracture which occurred 25 years ago. All previous treatments had taught her that she had to come to terms with her paralysis, as there were no treatment options... She complained of a clear ...

read more

Patient 19

46-year-old patient with a spastic form of facial nerve palsy with clear synkinesis on the left side. When smiling, the mouth angle-lowering musculature on the left is so hyperactive that a smile on the side is literally suppressed (see the pit at the bottom of the left picture). When smiling ...

read more

Patient 20

72-year-old patient with incomplete facial paralysis on the right. He complained of a severe inflammation of the conjunctiva of the right eye (conjunctivitis), chronic tearing (epiphora), and a pronounced lower eyelid ectropion. Furthermore, he suffered from blurred speech and oral ...

read more

Patient 21

Result after insertion of a small, hidden platinum implant into the upper eyelid to restore the lid closure function in irreversible functional deficits after Bell's palsy in an adolescent. The problems caused by the lack of eye closure (lagophthalmos) have been corrected ...

read more

[Translate to English:] Patient 23

This young lady suffered from an incomplete facial paresis on the left side with loss of function of the forehead muscle. This resulted in a significant lowering of the eyebrow. After an endoscopic (camera-assisted) lifting of ...

read more

[Translate to English:] Patient 24

Often a combination of interventions leads to visible success. This patient suffered a complete flaccid facial paralysis. He received a nerve transfer V-to-VII, a nerve transplantation including connective tissue from the thigh and a face lift in one ...

read more

Patients with "only" incomplete paralysis, especially those who have already become accustomed to limited facial expression from birth, are much more difficult to satisfy than patients with marked flaccid paresis. Nevertheless, free ...

read more

Long standing facial paralysis in elderly patients may also be successfully treated with temporalis muscle transfer. This 81-year-old patient complained of the typical symptoms of slackening of the temporalis muscle: frequent unintentional ...

read more

This 37-year-old showed loss of mouth angle control and smile after Bell's palsy. He was first transplanted a cross-face nerve (CFNG) and in a second surgery a gracilis muscle. This restored a natural smile and laugh and significantly ...

read more

This 34 year-old patient complained of the same phenomena. Before the operation, only 1 1/2 maxillary teeth are exposed when smiling broadly on the right side, the corner of the mouth also tends to point downward when ...

read more

This 22-year-old female patient suffered from synkinesis, a typical sequelae of a defect healing of the facial nerve after facial nerve palsy. When smiling, involuntary spasms of unintended muscle groups in the right side of the face ...

read more