This 82-year-old patient was successfully treated with temporalis muscle transfer for long-standing right facial paralysis. He complained of the typical symptoms of slackening of the buccal muscle: frequent unintentional salivation with constant staining of the outer clothing (lack of oral competence), difficulty in food processing during the chewing process (accidental biting of the oral mucosa and retention of food residues in the buccal pocket), and slurred speech (dysarthria). After surgical repositioning of the temporalis muscle (temporalis muscle transfer Labbé), both resting symmetry and dynamic function (facial expression) improved. There are several positive effects at once: 1. significantly improved symmetry due to the reformation of the nasolabial fold and tightening of the corner of the mouth with a balancing of the lips at rest. 2. now active control of the corner of the mouth and the ability of a conscious smile/laugh. 3. no more salivating and biting of the buccal mucosa 4. improvement in articulation with a clearer speech pattern due to less flaccid, "vibrating" cheek tissue and improved position of the corner of the mouth. 5. Significantly improved social function and psyche of the patient.