Facial Reanimation and Cosmetic Procedures
The operation follows the diagnosis. Reconstructive work restores movement and protects the eye. Aesthetic work refines a face that already moves. Both live here because the same anatomy is at stake.
Facial Paralysis Reconstructive Procedures
Botox for Synkinesis
First-line treatment for unwanted movement and tightness after recovery.
Facial Palsy Physical Therapy
Neuromuscular retraining to isolate movement and reduce synkinesis.
Selective Neurectomy
Surgical quieting of the worst synkinetic branches when Botox is not enough.
Smile Reanimation
Nerve transfers and gracilis muscle transfer to restore a joy-expressing smile.
Nerve Transfer
Rerouting nearby working nerves when the facial nerve will not recover.
Eyelid Surgery
Weights, springs, and lower-lid support so the eye stays safe and comfortable.
Brow Lift (Reconstructive)
Lifting a paralyzed brow so it no longer crowds the eye.
Head & Neck Reconstructive Procedures
Corneal Neurotization
Restoring sensation to a numb cornea to prevent ulcers and vision loss.
Hypoglossal Nerve Repair
Repair of tongue-nerve injury after tumor or surgery.
Accessory Nerve Repair
Shoulder-nerve reconstruction after neck dissection or trauma.
Laryngeal Nerve Repair
Voice and airway nerve repair after thyroid or neck surgery.
Palatal Fistulas
Closure of a hole in the palate after cleft, tumor, or radiation.
Septal Perforations
Repair of a hole in the nasal septum that whistles, crusts, or bleeds.
Cosmetic Facial Procedures
Cosmetic Botox & Fillers
Neuromodulators and hyaluronic acid for expression lines and volume, mapped by Falon Sonnen, PA-C.
Facelift & Neck Lift
Deep-plane restoration of the jawline and neck, with the facial nerve mapped.
Blepharoplasty
Upper and lower eyelid refinement that respects blink and lid support.
Cosmetic Brow Lift
A lifted brow without the frozen look of over-weakened frontalis.
Lip Lift
Shortening a long upper lip so the smile shows more of the teeth.
Skin Resurfacing
Laser and chemical refinement of texture, pigment, and fine lines.
Common questions
Procedure questions
Can reconstructive and cosmetic procedures be combined in one plan?
Often yes, but sequence matters more than convenience. Functional problems generally come first: an eye that cannot close needs protection before elective surface treatment, and a paralyzed lip or brow is usually addressed with reanimation or a balancing procedure before a purely aesthetic operation is considered. Some procedures are naturally staged or combined, such as a facelift with a neck lift, or a lip lift with volume treatment, and the plan is built around anatomy and healing rather than a fixed package.
What determines whether I am a candidate for one of these procedures?
The diagnosis does, followed by anatomy, general health, medications, and goals. Reconstructive facial nerve work is also time-sensitive, because nerve transfers depend on facial muscles that are still viable, and the window commonly cited is within roughly 18 to 24 months of onset. Aesthetic procedures are not time-limited in that way but still depend on tissue quality, stable health, and realistic expectations. Across the directory the appropriate operation is individualized rather than selected from a menu.
What is recovery generally like across these procedures?
It varies widely by operation. Office-based procedures under local anesthesia, such as a lip lift or eyelid surgery, typically involve about one to two weeks of visible swelling and bruising. Larger operations such as a facelift and neck lift have been reported to take roughly three to four weeks before return to normal activity. Nerve reconstruction is measured in months, because a reinnervated muscle must be given time and retraining before movement appears. In every case, the final appearance continues to settle for months after the visible recovery ends.
Does insurance cover reconstructive procedures but not cosmetic ones?
That is the usual distinction, though coverage depends on the plan and the documentation. Surgery performed for a functional problem, such as eyelid surgery for a documented obstruction of the upper visual field or reconstruction after nerve injury or tumor treatment, is evaluated and documented differently from elective aesthetic surgery, which is generally self-pay. Coverage is confirmed case by case before scheduling rather than assumed from the name of the procedure.
Answers are general and individualized at consultation.