We are often asked whether operations for facial paralysis are covered by health insurance or whether they are selfpay. As with all operations, in addition to improving symmetry and external appearance, we always consider the functional aspects (e.g. the ability to safely retain liquid food in the mouth or restore protection of the cornea by eyelid corrections). Such operations are usually covered by German health insurance companies for German patients. We often observe as a positive side effect of "aesthetic corrections" the increased performance of patients in everyday life and work, which results from improved self-confidence. Patients also less frequently require long-term psychological support and therapies. International patients can get a quote about operative costs on request.