Facial Asymmetry Correction in Facial Palsy Patients with Silhouette Sutures


Introduction: over the last few decades several techniques static and dynamics, have been performed to improve facial asymmetry and functionality alter suffering facial paralysis. Methods: we present a pilot study to show and evaluate the benefits of a new form of facial suspension, with Silhouette sutures. We performed two patients with total and complete facial palsy due to otical tuberculosis in one case and to parotid carcinoma in the other. Results: one year after surgery, both patients have improved facial asymmetry, mastication and speech production which have lead to a higher self-esteem and major social interaction. Conclusions: static facial suspension with Silhouette sutures is a non invasive alternative to dynamic techniques in patients who don’t want or can’t undergo more complex surgeries.

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M. Navarrete, R. Palao, L. Torrent, J. Fuentes and M. González, "Facial Asymmetry Correction in Facial Palsy Patients with Silhouette Sutures," International Journal of Clinical Medicine, Vol. 3 No. 1, 2012, pp. 55-59. doi: 10.4236/ijcm.2012.31012.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] G. M. Gamboa and L. O. Vasconez, “Suture Suspension Technique for Midface and Neck Rejuvenation,” Annals of Plastic Surgery, Vol. 62, No. 5, 2009, pp. 478-481. doi:10.1097/SAP.0b013e31818c4b45
[2] D. D. Leventhal and E. A. Pribitkin, “Static Facial Suspension with Surgisis ES (Enhanced Strength) Sling,” The Laryngoscope, Vol. 118, No. 1, 2008, pp. 20-23. doi:10.1097/MLG.0b013e31814b8d83
[3] U. G. Salimbeni, “Evaluation of Results in 36 Cases of Facial Palsy Treated with Nerve Grafts,” Annals of Plastic Surgery, Vol. 33, 1982, pp. 195-199.
[4] R. T. Manktelow, “Free Muscle Transplantation for Facial Paralysis,” Clinics in Plastic Surgery, Vol. 11, No. 3, 1984, pp. 215-219.
[5] M. D. Wells and R. T. Manktelow, “Surgical Management of Facial Palsy,” Clinics in Plastic Surgery, Vol. 17, No. 5, 1990, pp. 645-648.
[6] W. F. Larrabee, J. R. Thomas and M. Shindo, “Rehabilitation of Facial Paralysis,” Clinics in Plastic Surgery, Vol. 5, No. 2, 1997, pp. 213-216.

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