This 70-year-old patient complained of pronounced sykinesis following incomplete recovery of the facial nerve after tumor surgery (acoustic neuroma). When smiling or laughing, for example, the patient in the left affected half of her face suffers from unwanted spastic closure of the left eye and overdrive of the orbicularis oculi (eye ring) muscle. Right picture: Restored symmetry and considerable improvement of the appearance of the smile by treatment with botulinum toxin for the eye complex. In addition, the patient received a transplantation of a muscle from the thigh into the left cheek region for improved control of the corner of the mouth and a face lift.