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Surgeries for Facial Paralysis (Tarsorrhaphy, IPO, Midface Lift, Tarsoconjunctival Pouches)

These are surgical procedures aimed at helping restore the functionality of the periocular muscles and improving the protection of the ocular surface in patients with facial paralysis.

What does it consist of Surgeries for Facial Paralysis (Tarsorrhaphy, IPO, Midface Lift, Tarsoconjunctival Pouches) ?

Facial paralysis can arise from various causes, affecting the ability to move the muscles on one side of the face. This can lead to ocular complications such as dryness, corneal lesions, and difficulty completely closing the eyelid. In these cases, surgeries for facial paralysis may be an option to restore functionality and protect the eyes.

Below, we detail four common surgical procedures for facial paralysis:

TARSORRHAPHY

Tarsorrhaphy is a procedure where the eyelids are partially or completely sutured to reduce the palpebral opening. This helps retain moisture in the eye, prevents corneal injuries, and facilitates complete eyelid closure, protecting the eye during sleep.

Types of Tarsorrhaphy: The suturing can be temporary or permanent, depending on the severity of the facial paralysis and the individual needs of the patient.
Recovery: After surgery, the eye may be inflamed and uncomfortable for a few days. Vision may be temporarily blurred. The sutures are gradually removed over several weeks.
Results: Tarsorrhaphy can significantly improve ocular health and the quality of life for patients with facial paralysis.

IPO (Peripheral Occlusion Inhibition)

IPO is a surgery performed to treat central retinal vein occlusion, a condition that blocks blood flow to the retina, the back part of the eye responsible for vision. In patients with facial paralysis who also present central retinal vein occlusion, IPO can help restore vision.

Procedure: During the IPO surgery, an incision is made in the conjunctiva, the thin membrane covering the white part of the eye. A small device is then implanted to apply pressure to the sclera, the tough white layer of the eye, to divert blood from the obstructed central retinal vein and improve circulation.
Recovery: Recovery from IPO surgery is usually quick, with minimal discomfort. Most patients can resume their normal activities within a few days.
Results: IPO can be an effective treatment for restoring vision in patients with central retinal vein occlusion and facial paralysis.

More information about Surgeries for Facial Paralysis (Tarsorrhaphy, IPO, Midface Lift, Tarsoconjunctival Pouches)

MIDFACE LIFT

The midface lift, also known as mid-facelift, is a surgical procedure designed to restore the position and shape of facial tissues in the middle area of the face, including the cheeks and the region around the eyes and mouth. In patients with facial paralysis, this procedure can help elevate the upper eyelid, improving vision and reducing eye dryness.

Procedure: During the midface lift, the surgeon makes incisions in the skin along the hairline and at the temple area. The skin and underlying tissues are then tightened and repositioned to create a more youthful and refreshed appearance.
Recovery: Recovery from a midface lift can take several weeks. There may be swelling, bruising, and temporary discomfort. Most patients can return to work within a week or two, but more intense activities may need to be postponed for several additional weeks.
Results: The midface lift can provide significant improvement in the appearance and function of the face in patients with facial paralysis.

TARSOCONJUNCTIVAL POUCHES

Tarsoconjunctival pouches, also known as transconjunctival blepharoplasty, are a surgical technique used to remove excess fat and skin in the lower eyelid area. In patients with facial paralysis, this procedure can be beneficial for:

Procedure: The surgeon makes a small incision in the conjunctiva, the thin membrane covering the white part of the eye. This allows access to the fat and skin compartments without leaving visible scars on the outer eyelid. The excess fat and skin from the affected compartments are then carefully removed.
Recovery: There may be swelling, bruising, and temporary discomfort. Most patients can return to work within a few days, but more intense activities may need to be postponed for 1-2 weeks.
Results: The results are permanent. Patients can enjoy a more youthful and refreshed appearance, along with improved comfort and vision.

Related Pathologies

Facial Paralysis and Lagophthalmos

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