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Facial Reanimation Surgery

Facial reanimation is the process of surgically correcting facial paralysis; congenital or acquired through trauma or disease.

Type of procedures

There are various types of procedures that our physicians will use when planning your facial reanimation surgery. These may include:

  • Muscle transfers – This involves moving tendons and muscles from one part of your body, usually your legs or abdomen to your face. Some of the tendons that are moved include the temporalis tendon transfer, digastric tendon transfer and the gracillis. 
  • Nerve grafting – These procedures include moving nerves from different parts of the body to the face. By doing this, your physicians can be assured that you will have more movement and sensation in your face, allowing you to better control the muscles. This may include hypoglossal to facial grafting and cross facial grafting.


Facial Paralysis and Facial Reanimation

Johns Hopkins facial plastic and reconstruction surgeon Patrick Byrne answers questions about facial paralysis surgical techniques. He provides information on temporalis tendon transfer (T3) and gracilis free flap procedures and on placement of eye weights to recreate a balanced face.

Facial Paralysis Patient Smiles Again

Left with facial paralysis following surgery to remove a brain tumor, Anthony struggled to blink, drink or smile. Follow Anthony’s journey as he has a masseter nerve transfer and eyelid surgery performed by facial plastic and reconstructive surgeon Kofi Boahene to improve his quality of life.


Dr. Patrick Byrne Patient - Diagnosis: Right facial paralysis. Treatment: Temporal Tendon Transfer (T3), endoscopic browlift, lower/upper eye lid surgery, and a platinum chain weight.

Dr. Patrick Byrne Patient -Diagnosis: Right facial paralysis.  Treatment:  Temporal Tendon Transfer (T3); browlift; lower eye lid surgery; reconstruction of right lower lid with a medical and lateral eyelid lift surgery.

Dr. Patrick Byrne Patient-Diagnosis: Bells Palsy, facial asymmetry & nasal obstruction. Treatment: Injections to open eyes more; face & necklift; lower eyelid surgery; septoplasty to repair valve collapse.

Dr. Patrick Byrne Patient-Diagnosis: right facial paralysis. Treatment: revised tarsorraphy to allow eyes to open more; lower eye lid tightened; Temporal Tendon Transfer (T3), endoscopic browlift; chin implant.

Dr. Patrick Byrne Patient - Diagnosis: left facial paralysis. Treatment: Temporal Tendon Transfer (T3) surgery, browlift and transorbital canthopexy (tightening lower eyelid surgery).

Dr. Patrick Byrne Patient - Diagnosis: left facial paralysis. Treatment: Temporal Tendon Transfer (T3) surgery, left browlift, left facelift and placement of gold weight implant.

Dr. Patrick Byrne Patient-Diagnosis: right facial paralysis due to temporal bone fracture. Treatment: targeted injections to improve asymmetry; Temporal Tendon Transfer (T3) and tightening lower right eyelid surgery.

Dr. Patrick Byrne Patient - Diagnosis: facial paralysis after a parotidectomy; Treatment: Temporal Tendon Transfer (T3) surgery, which doesn't cause any noticeable swelling or deformity of the face.


Request an Appointment

To request an appointment or to get more information about the Johns Hopkins Center for Facial Plastic and Reconstructive Surgery, please call 877-546-4530.

Before & After Photo Gallery

photo galleryView images of patients before and after their cosmetic and reconstructive procedures.

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Client Testimonials

"The results of Dr. Byrne's work were life changing and we will be forever grateful for his talent and the kindness of his staff."

— S.V.G.

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