Serious injuries and illnesses often leave lasting aesthetic and functional problems that do not disappear on their own. Dr. Babak Larian is one of the most highly regarded reconstructive surgery practitioners serving Beverly Hills, Los Angeles, and the rest of southern California. As testimonials from Dr. Larian’s patients show, he has the advanced surgical skill and state-of-the-art facilities required to change lives for the better.
The facial nerve is responsible for creating facial expressions. When the facial nerve is paralyzed, the unfortunate victim finds him- or herself unable to convey joy, sorrow, and other emotions. The facial nerve travel from the brain through a long boney canal that passes through the bone in and behind the ear, called the temporal & mastoid bones; it comes out of the bone just under the ear and turns and goes towards the face where it immediately divides into five branches. Treatment of facial paralysis is dependent on the cause of the problem.
Causes of Facial Paralysis
- Tumors in the following areas:
- Ear – Acoustic Neuroma
- Parotid Gland – Usually Cancerous Tumors
- Congenital – Babies can be born with a paralyzed facial nerve
- Moebius Syndrome
- Neurologic conditions
- Infection in the Parotid Gland
- Bell’s Palsy
Bell’s palsy is a term used when the exact cause of facial paralysis is not identified. It is thought to be due to a viral infection of the facial nerve, but no one is certain if that is in fact the real cause. A large group of these patients get better on their own, but all patients are treated immediately with steroids and anti-viral medications such as acyclovir to assure a full recovery. The longer the treatment is delayed the less likely it is for the nerve to fully recovery. Seeing an ear, nose & throat doctor immediately is absolutely important to be treated immediately and appropriately. With appropriate and timely treatment only rarely do patient have paralysis. If paralysis does not show improvement after three weeks, it is absolutely vital that patients undergo imaging studies such as an MRI and/or CT Scan to make sure the cause is not a tumor or cancer. Unfortunately, many patients with cancers get diagnosed late because they are told “not to worry they only have Bell’s Palsy”. I emphasize, if after three weeks there isn’t significant improvement in the paralysis then the possibility of a cancer or other causes needs to be explored.
Facial Paralysis Treatment
Permanent facial can be surgical corrected or improved. Each facial paralysis case is different. Dr. Larian’s specialized training in reconstructive surgery, as well as his thorough knowledge of facial nerve and muscle structure, allows him to custom-design the most effective treatment plan for each individual patient. He considers every factor, including the cause or causes of paralysis, degree of paralysis, and duration of paralysis. The patient’s age, health history, and his or her functional and aesthetic goals are also important factors.
When treating facial paralysis, it is Dr. Larian’s goal to address both functional and aesthetic problems associated with the condition. He uses sophisticated reconstructive surgery techniques, including nerve and tendon transplants, nerve grafts, and free flap muscle transplants. Injectables, such as BOTOX® Cosmetic and Sculptra®, and facial implants are also invaluable reconstructive surgery tools for patients with facial paralysis.
The many techniques available allow Dr. Larian to restore symmetry to the patient’s face, eyes, and brows while improving his or her dynamic smile. Treatment for facial paralysis can also improve nasal breathing and oral incompetence while preventing eyelid irritation and long-term corneal damage. Treatment of facial paralysis is complex, please contact so that we may speak and facilitate your treatment plan.
Post-Skin Cancer Reconstructive Surgery
In almost every case, a patient diagnosed with skin cancer will need to have cancerous cells removed surgically. Mohs’ micrographic surgery is the current gold standard for skin cancer removal. In this procedure, the surgeon shaves away cancerous cells layer by layer in order to preserve as much healthy tissue as possible.
Even best-case-scenario skin cancer patients almost always experience significant cosmetic defects following surgery. Scarring and patches of skin that are missing altogether are the norm. Dr. Larian employs the latest plastic and reconstructive surgery techniques, helping patients from Beverly Hills, Los Angeles, and other southern California communities address both functional and aesthetic deficits arising from skin cancer surgery. Skin transplants, flap reconstruction, and artificial implants can help minimize the negative effects of surgery so skin cancer survivors can continue living normal, healthy lives.
Small Mohs’ Defect, and Reconstruction
Large Mohs’ Defect, and Reconstruction
Schedule a Reconstructive Surgery Consultation with Dr. Larian
Contact Dr. Larian today if you are interested in exploring reconstructive surgery for any defect of the head, face, or neck. Dr. Larian’s reconstructive surgery patients hail from Beverly Hills, greater Los Angeles, other southern California communities, and beyond. Every one of them benefits from Dr. Larian’s superior grasp of head and neck surgery, as well as his caring demeanor and the attention of his motivated staff.
Next, read about head and neck disorders.