Midface Reconstruction

(Warning some items have graphic surgical images).

Cosmetic Concern: 74-year old with long standing left facial paralysis following the removal of an acoustic neuroma from the brain stem.

Diagnosis:

1. Left facial paralysis.

2. Marked left lower eyelid atrophy.

3. Left lower eyelid vertical inadequacy

Treatment:

1. Custom ePTFE left orbital rim implant.

2. Left midface lift.

3. Alloderm implant to the left lower eyelid.