Surgical Success in Facial Paralysis: A Combined Surgical Approach with Eyelid Gold Weight Implant and Tensor Fascia Lata Sling

University Clinic for Plastic and Reconstructive Surgery, Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, North Macedonia

*Corresponding Author: Dr. Smilja Tudzarova-Gjorgova MD, PHD, University Clinic for Plastic and Reconstructive Surgery, Mother Teresa No.17, 1000 Skopje, Republic North Macedonia, E-mails: [email protected]; [email protected]

Received Date: January 15, 2025

Published Date: June 06, 2025

Citation: Tudzarova-Gjorgova S, et al. (2025). Surgical Success in Facial Paralysis: A Combined Surgical Approach with Eyelid Gold Weight Implant and Tensor Fascia Lata Sling. Mathews J Case Rep. 10(3):208.

Copyrights: Tudzarova-Gjorgova S, et al. © (2025).

ABSTRACT

Facial paralysis is the inability to move the muscles on one or both sides of the face due to nerve damage. Possible causes include inflammation, trauma, stroke, tumors, and this condition can be temporary or permanent. We present a case of a 45-year-old patient with post-operative facial palsy with a severe disfunction (grade 5 on The House-Brackmann grading scale) and our combined surgical approach of a gold weight insertion and a tensor fascia lata sling for lip angle suspension. This strategy proved successful, as it lessened the patient’s symptoms and it achieved a functional, as well as aesthetically pleasing result.

Keywords: Facial Paralysis, Gold Implant, Tensor Fascia Lata, n.facialis, TFL Sling.