The Key to Eye Surgery for Patients with Facial Nerve Palsy Is ‘Symmetry’

An Sungmin Plastic Surgery never edits photos.

We used the patient’s pre- and post-operative photos with consent.

The most important goal of eye surgery for patients with facial nerve palsy is to restore symmetry. In cases of facial nerve palsy, unlike general eye surgery, there is a fundamental problem of limited muscle function, so the surgical approach and the plan itself can change completely.

The patient in the photo below is a patient with left (Lt) facial nerve palsy. Because the left eye muscles are barely usable, an excessive amount of force is applied to the relatively normal side (the right eye) when opening the eyes. Outwardly, the eyes may appear to be open, but in reality, the patient often feels persistent discomfort.

Although the eyes may look as if they are open normally, unnecessary tension is continuously required to open them, which can also cause considerable discomfort. Therefore, for these patients, accurately evaluating how much opening strength the paralyzed side actually has becomes the starting point of surgery.

Eye surgery for a facial nerve palsy patient

Before-and-after comparison when opening the eyes wide

Before-and-after comparison when opening the eyes wide

If you compare the eyes when opening them wide after surgery, you can see that less force is needed and the eyes appear more stable than before surgery.

In eye surgery for patients with facial nerve palsy, simply performing ptosis correction on the paralyzed eye often has little significance. In general, the surgical plan is made by first correcting the eye on the side without nerve palsy to a normal range and then adjusting the paralyzed side to match it. However, depending on the degree of palsy, muscle function, and the clinical course, the surgical method and sequence may differ, and in some cases the plan itself may change.

From an aesthetic standpoint as well, balance and harmony between both eyes are very important.

However, in actual clinical practice, many patients accept eye problems caused by facial nerve palsy as unavoidable and give up on correction. That is why, for these patients especially, it is most important to receive an accurate diagnosis through 충분한 상담 with a board-certified plastic surgeon who has extensive understanding and experience in facial nerve palsy eye surgery.

There is no fixed formula for eye surgery. It is not a procedure that uses standardized materials such as implants, and because the eyes are organs that are constantly moving and closely connected to the brain, it is by no means a simple surgery. In particular, in cases such as facial nerve palsy caused by an accident or illness, there are many unpredictable variables, making surgery even more difficult. Ultimately, the result of eye surgery is greatly influenced by how many different cases the surgeon has personally experienced.

An Sungmin Plastic Surgery specializes in eye surgery, especially eye revision surgery and complex functional-aesthetic cases requiring a high level of difficulty. The clinic aims for surgery that considers not only simple cosmetic improvement but also functional recovery and overall facial balance. Director An Sungmin personally takes responsibility for the entire process, from the initial consultation to surgery and post-operative follow-up care, and after carefully analyzing the patient’s current condition, presents the safest and most reasonable surgical plan.

Even in cases that require a high level of judgment and experience, such as facial nerve palsy patients, we pursue stable results through an approach optimized for each individual based on accumulated clinical experience.

Eye surgery is not a procedure that follows trends. Only when the patient’s current condition is accurately understood, and the most appropriate surgery is planned and performed in the correct order, can satisfying results be expected. Based on these principles, An Sungmin Plastic Surgery continues to uphold its responsibility and expertise as a clinic specializing in eye plastic surgery.

An Sungmin Plastic Surgery

An Sungmin Plastic Surgery is a clinic specializing in eye revision surgery.

Based on Director An Sungmin’s expertise and extensive experience in revision surgery,

we perform customized surgeries aimed at achieving stable, natural, and long-lasting results even in the most complex revision cases.

A H N S U N G M I N

E Y E P L A S T I C S U R G E R Y

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#EyeRevisionSurgerySpecialist #AdvancedEyePlasticSurgery #EyeRevisionSurgery #PtosisCorrection #EyeSymmetry #EyeBalance

#FunctionalAestheticSurgery #BoardCertifiedPlasticSurgeon #EyeSpecialtyPlasticSurgery #AnSungminPlasticSurgery

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