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Home ›Facial Paralysis & Functional Reconstruction
Pillar 17 · 15 pages

Facial Paralysis & Functional Reconstruction

A face that has stopped moving, protected first, then reanimated with nerve and muscle procedures matched to the cause and the clock.

Plan your treatment How treatment is planned →
Facial Paralysis & Functional Reconstruction, Elegance Clinic Surat
Who this is for

Anyone with facial weakness after Bell\'s palsy, surgery, injury or from birth, recent or long standing.

First visit

Assessment of which branches are affected and for how long, eye protection review, and a staged plan.

Where surgery happens

Microscope equipped theatre for nerve transfers and functional muscle transfer.

Cover

Functional procedures are assessed for mediclaim cover case by case.

The pathway

How treatment is planned, step by step

Nothing here is improvised. The sequence below is how care in this specialty is actually organised, and your own written plan follows it.

01
First Protect the eye

An eye that cannot close is the urgent problem, drops, taping and, where needed, a lid procedure protect sight.

02
Months 0 to 18 Nerve options

While the facial muscles are alive, nerve repair and transfers can reanimate them, timing decides eligibility.

03
Later Muscle transfer

Long standing paralysis is reanimated with functional muscle transfer, rebuilding a deliberate smile.

04
Always Balance

Static procedures, botulinum toxin and therapy refine symmetry at every stage.

Why a plastic surgeon

Function first, appearance close behind

"The clock decides the options. A paralysed face seen early keeps choices that a late one has lost."

Facial reanimation is time sensitive: nerve based options fade as months pass, which is why early assessment matters even while recovery is awaited.

Long standing paralysis is still treatable, with muscle transfer and balancing procedures restoring function and symmetry.

Dr. Ashutosh Shah
Dr. Ashutosh Shah Plastic, Reconstructive & Cosmetic Surgeon (DNB)
Operating microscope
Nerve transfer surgery
Functional muscle transfer
Eye protection protocol
22+Years in practice
15Pages in this pillar
TimingDecides options
Case gallery

Cases from this specialty, consented

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Before / After
Nerve transfer reanimationMicrosurgery · 9 months
Before / After
Functional muscle transferStaged · 1 year
Before / After
Eyelid weight placementDay care · 6 weeks

Published with documented patient consent, generalised for age and sex, in line with advertising norms applicable to medical practitioners in India.

Costs & schemes

Costs & cover

Published bands are for Surat and include surgeon, anaesthesia, theatre and standard stay. Where a band is not published, a written estimate follows examination. Cover under mediclaim and schemes is confirmed before admission.

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Nerve transfer surgery
Written estimate
After assessment
Functional muscle transfer
Written estimate
Case based
Eyelid procedures
Written estimate
After assessment
Questions patients ask

Straight answers, before you decide

These are the questions that come up in consultation most often. If yours is not here, send it on WhatsApp and the team will reply, usually the same day.

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Early, even while waiting for natural recovery. If the eye does not close it needs protection immediately, and nerve based reanimation options are strongest in the first year to eighteen months.

Yes. Functional muscle transfer, static procedures and balancing treatments restore symmetry and a deliberate smile even in long standing paralysis.

Reanimation rebuilds a genuine, voluntary smile; with practice and therapy most patients smile convincingly, though perfect symmetry with the normal side is not promised.

It is protected urgently with lubrication and taping, and often a small eyelid procedure so blinking protects the cornea. Sight protection comes before every cosmetic concern.

Eye protecting and functional procedures are often admissible under mediclaim; purely cosmetic balancing may not be. Cover is checked against your policy before planning.

When the nerve is recovering, guided facial retraining can make a real difference and no surgery may be needed. Therapy cannot replace a nerve or muscle that is no longer working, which is when surgical options are discussed.

Nerve transfers and muscle transfers need months before movement appears, because the nerve must grow into the muscle before it can work. Progress is reviewed at set intervals and therapy runs alongside.

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