Facial reanimation after facial nerve damage. There are a number of illnesses and various other causes, such as injuries, which can result in damage to the facial nerve. The damage to the facial nerve can be partial or total. Following the nerve injury, a patient develops a partial or total facial mimic deficit with subsequent deterioration in the quality of life. For example, a hanging corner of the mouth and saliva incontinence, or the eye tears because the eyelids do not close due to the damaged nerve.

Facial reconstruction surgery is performed under general anaesthesia. During the procedure, depending on the individual case, transposition of the nerve or static fixation of non-functional structures is performed, followed by stretching of soft tissues and skin and symmetrization of the whole face.

There are cases when the operation needs to be performed in several stages. After the surgery you should spend a day in the hospital. Further treatment is carried out on an outpatient basis, bandages and stitches need to be removed. Facial rehabilitation is carried out under the supervision of a physiotherapist.

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Post-operative, post-injury, post-freezing and post-burn scar revision. The origin, localization and resulting functional and aesthetic defects of scar tissue can vary widely. Skin lesions tend to be in places that aren’t covered with clothing or may cause movement restriction in one of the limbs, thereby impairing quality of life. They can be aesthetically disturbing (scars may be thick, have different colours, or may be itchy, atrophic).

Scar revision is performed under local or general anaesthesia, depending on the amount of reconstruction required. This may include simple scar removal and stitching, various types of subcutaneous transposition, stretching of the skin, a multi-stage operation and a serial excision.

  Further treatment is performed on an outpatient basis, with bandages and stitches removed. Rehabilitation is carried out under the supervision of a physiotherapist.