Clinical Research Directory

Deep-plane Facelift As A Staged Adjunct To Facial Reanimation : Functional And Aesthetic Outcomes in Comparison to Facial Reanimation Alone

Sponsor: Assiut University

Summary

Long-standing unilateral facial paralysis is a complex functional and aesthetic disorder characterized by impaired facial movement, static asymmetry, and progressive soft-tissue changes. Chronic muscular imbalance and loss of tone may result in malar descent, distortion of the nasolabial fold, oral commissure malposition, jowling, reduced mandibular definition, and asymmetric facial aging. These deformities may persist despite successful dynamic facial reanimation. Contemporary reanimation procedures, including masseteric-to-facial nerve transfer, cross-face nerve grafting, free functional muscle transfer, and temporalis transfer, can restore facial movement and improve dynamic symmetry. However, restoration of motor function does not necessarily correct residual static soft-tissue ptosis or asymmetry. Therefore, a staged approach addressing both dynamic function and static facial contour may be beneficial. Deep-plane facelift techniques allow repositioning of the facial soft-tissue envelope through deep-plane mobilization and release of retaining ligaments. Their application in facial paralysis has recently been explored, but limited evidence exists regarding their use as a secondary procedure following established dynamic facial reanimation. Comprehensive outcome assessment should incorporate clinician-reported, patient-reported, and objective measures. The eFACE and Facial Clinimetric Evaluation (FaCE) Scale provide complementary assessments of facial function and patient-perceived disability, while FACE-Q instruments can evaluate aesthetic and psychosocial outcomes. Accordingly, this prospective study evaluates deep-plane facelift as a staged adjunct after stable facial reanimation, focusing on improvement in static facial symmetry and patient-perceived appearance while maintaining previously restored dynamic facial function.

Official title: Deep-plane Facelift As A Staged Adjunct To Facial Reanimation : Functional And Aesthetic Outcomes.

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