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When facial paralysis is acquired it is usually the result of the following:
Surgery or Trauma
If facial paralysis is acquired after surgery or trauma, some patients may find they eventually recover full function of facial movements. Some patients, however, only recover some or little function. Pain management and rehabilitation therapies designed to strengthen the muscle to improve facial symmetry are critical for these patients.
If facial paralysis is acquired after a stroke, patients may find that they recover full or partial function of facial movements over time. Some patients however, recover very little function. Different rehabilitative therapies are critical for these patients. A facial nerve rehabilitation therapist can prescribe exercises and therapies designed specifically for facial paralysis as experienced by stroke victims. Surgical correction may also be indicated to improve facial symmetry, dry eyes, sagging skin and drooping eyebrows
Many patients who suffer from Bells Palsy resulting from infection may improve over time. Facial rehabilitation and surgery may be recommended to improve facial function if spontaneous recovery does not occur. These patients should also be followed by a Hopkins neurologist who specializes in Bells Palsy.