BOTOX® for Synkinesis Before and After Case 14

Smile and eye restoration with nerve transfers and cross facial nerve grafts performed by Dr. Shai Rozen in Dallas, Texas, combined with upper eyelid weight and lower lid canthoplasty, fascia lata slings for static midface support to restore the smile, eye closure, and facial symmetry. Patient presented 1 month after the trauma with complete right facial paralysis and weak left face caused by a bilateral skull base fractures from farming machinery. She had difficulty with smiling, right eye closure, speech, and eating. 5 years later patient has an improved smile, eye closure, and facial balance and reports improved speech and eating.