Facial Plastic Surgery

New York Center

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Dr. Andrew Jacono, MD, FACS is considered one of the Best Plastic Surgeons in New York Specializing in mini face lifts, rhinoplasties (nose job surgery) and eyelid lifts World Leading Expert in Facial Plastic Surgery,
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Home » Reconstructive Surgery » Facial Paralysis

Facial Paralysis – Facial Reanimation

Facial Paralysis Surgery New York

Facial Paralysis Surgery – Bells Palsy – Facial Reanimation

FACIAL PARALYSIS SURGERY/ BELLS PALSY/ FACIAL REANIMATION | NYC

Facial Nerve Paralysis. Damage to the facial nerve may cause imbalance of the face at rest as well as distorted, asymmetrical facial expressions (e.g. smiling, laughing, grimacing, etc.). Functionally, facial nerve injury affects chewing, fluid retention while drinking, nasal breathing, corneal exposure, speech patterns, and communication skills. In children, facial paralysis most commonly occurs developmentally at birth or after brain tumor resection. Adults may experience complete or partial paralysis following an episode of Bell’s Palsy, acoustic neuroma, or traumatic injury.

At rest, the loss of facial muscle tone causes downward droopiness of the brow, eyelid, nostril, lip, and cheek on the paralyzed side of the face. The functional loss of of the dynamic muscles of the lip and cheek result in abnormal lip and oral function affecting chewing, retaining fluid while drinking, speech patterns and communication skills. Weakness of the circular muscles around the eye causes incomplete eye closure (lagopthalmos), excessive corneal exposure and tearing. Paralysis of the small nasal muscles cause collapse of the nostrils during breathing.

In the upper third of the face patients will be unable to wrinkle one side of their forehead. and the brow drops over the eye often blocking vision.. For this type of problem Dr. Jacono does a brow lift. Often we do an endoscopic forehead lift.

The brow lift tends to reposition the droopy eyebrow and droopy forehead at a more even position with the other side often improving vision.


Facial Paralysis Surgery Patient 1: This patient had right sided facial paralysis (left side of the picture) after removal of a right side facial tumor for cancer that caused her brow to droop over her eye and limited her ability to close her eye. This caused her eye to dry, and blocked her vision. She underwent a browlift and a right upper eyelid gold weight implantation.

Before
Facial Paralysis - Patient 1 - Before
After
Facial Paralysis - Patient 1 - After


Rather than elevating one side of the brow another option is to use Botox and even the two brows. If there isn’t too much sagging of the upper eyelid tissue that is blocking the vision on the injured side then the other side can be paralyzed temporarily with Botox (botulinum toxin) to match the injured side.

The most important concern Dr. Jacono has with facial paralysis is the functional protective actions of our facial muscles. Without the blink reflex and the ability to close the eye the cornea can become dried out and injured from exposure. This can significantly damage vision. A gold weight can be placed in the upper eyelid through a blepharoplasty (eyelid surgery) incision. With a gold weight, when you rest your eyelids the weight will close the eyelid for you. Since a different nerve opens the eye the ability to open the eye is still present. We use gold because it is very dense and non-reactive.

Perhaps the most devastating loss is the ability to smile. This is especially heartbreaking to younger patients and their families who are embarrassed by the loss of communication skills and whose self-esteem is severely impacted by peer criticism. In the lower third of the face, the mouth and cheeks sag. The mouth must be able to close in order to talk, prevent drooling, whistle, pucker, and open in order to communicate, smile, display emotion, etc. Dr. Jacono uses a variety of methods for repairing facial nerve paralysis around the mouth. One stage regional muscle transfers from the adjacent scalp or neck are used to balance voluntary facial expression and restore a more even smile. The active method of doing this is to transfer a muscle from the chewing muscles of the side of the face down to help elevate the corner of the mouth. The newest most revolutionary procedure for this today is the Temporalis Tendon Transfer Procedure which transfers a small tendon from the muscle used to chew to help the corner of the mouth move. This is all done through a small incision inside the mouth so that there are no scars.


Facial Paralysis Surgery Patient 2: This patient had right sided facial paralysis (left side of the picture) from a bell’s palsy. Reconstructive surgery with a temporalis tendon transfer surgery. Notice the better balance of the mouth after surgery.

Before
Facial Paralysis - Patient 2 - Before
After
Facial Paralysis - Patient 2 - After


Other times Doctor Jacono uses cross facial nerve grafts ( nerves harvested from an inconspicuous donor site on the calf) to “splice” into selected branches of the facial nerve on the normal side of the face. These grafts serve as a conduit for growth of the “electrical wiring” to the paralyzed side of the face. In cases of recent injury, the re-innervated muscles are reawakened by ingrowth of the new nerves. In long-standing cases of total facial paralysis, a second stage procedure is used to micro surgically transfer a fresh muscle from the inner thigh to replace the paralyzed smile muscle and receive the nerve impulse from the cross facial nerve graft. Outcomes are not entirely predictable, but in almost all cases facial balance and symmetry is restored by the static re-suspension and a substantial degree of voluntary smile activity and facial expression is achieved.

Drooping of the cheeks is addressed with an endoscopic midface lift and a dropped jawline is addressed with a face and neck lift.

A More Symmetrical Face. Although there are no absolute guarantees, these procedures have been very successful in restoring facial balance and a more symmetrical facial expression to dozens of patients who have come here from all over the country and the world. As you might expect, these procedures enhance the “quality of life” for children and adults alike. Facial expression, function, and communication skills that we all take for granted are dramatically improved!

Reconstructive Surgery

  • Reconstructive Surgery
  • Facial Reconstruction
  • Trauma Reconstruction
  • Facial Paralysis – Facial Reanimation
  • Cleft Lip and Cleft Palate Surgery
  • Microtia Surgery
  • Facial Burn Plastic Surgery
  • Facial Skin Cancer
Dr. Jacono - Top Ten Doctor Award
Dr. Jacono was selected as one of the Top Ten Facial Plastic Surgeons in New York.
Dr. Jacono - Top Ten Doctor Award
Dr. Jacono has been a Castle Connolly Top Doctor since 2012.
Dr Andrew Jacono Patient Choice Award
Andrew Jacono, MD, FACS has been honored with the Patient’s Choice Award for the 7th year in a row. 2012 - 2018
Travel to New York for Plastic Surgery
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Instagram post 18069105730171562 Ran a quick 4 miles in #centralpark to try to burn off some of the #trufflepasta calories I consumed yesterday and I wore this fun hat I got from #stonehenge earlier this year when I visited with my family.  Swipe left to see the picture we took at Stonehenge!! #plasticsurgerynyc #plasticsurgeonnyc

Ran a quick 4 miles in #centralpark to try to burn off some of the #trufflepasta calories I consumed yesterday and I wore this fun hat I got from #stonehenge earlier this year when I visited with my family. Swipe left to see the picture we took at Stonehenge!! #plasticsurgerynyc #plasticsurgeonnyc ...

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Instagram post 17866010161563003 #fabulousfriday !!! Today I saw this 63 year old patient after I performed a #deepplanefacelift , #necklift #platysmaplasty , and  lower #eyeliftsurgery and I think she looks 20 years younger!  She hated her #turkeyneck #platysmabands #Jowls and her eyes looked soo tired with #undereyebags .  When I walked in the room she looked so bright and rejuvenated, and she gave me the biggest smile and hug.  She looks natural, and her face looks smooth not tight or surgerized.  Her neckline is to die for!!! She is only a few weeks  out from surgery and her incisions are not visible with her hair pulled back.  She told me she can’t wait to see her family for the holidays because she is loving her new look.  Such a wonderful and kind person, I really have the best patients!! #faceliftnyc #faceliftbeforeandafter #faceliftspecialist #plasticsurgerynyc #plasticsurgerybeforeandafter #passionateaboutplasticsurgery #neckliftbeforeandafter #naturalfacelift #plasticsurgery #faceliftbeforeandafter #deepplanefaceliftbeforeandafter #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgeonnyc #extendeddeepplanefacelift #neckliftbeforeandafter #nonsurgicalfacelift #faceliftsurgery #facelifting #liquidfacelift #minifacelift

#fabulousfriday !!! Today I saw this 63 year old patient after I performed a #deepplanefacelift , #necklift #platysmaplasty , and lower #eyeliftsurgery and I think she looks 20 years younger! She hated her #turkeyneck #platysmabands #Jowls and her eyes looked soo tired with #undereyebags . When I walked in the room she looked so bright and rejuvenated, and she gave me the biggest smile and hug. She looks natural, and her face looks smooth not tight or surgerized. Her neckline is to die for!!! She is only a few weeks out from surgery and her incisions are not visible with her hair pulled back. She told me she can’t wait to see her family for the holidays because she is loving her new look. Such a wonderful and kind person, I really have the best patients!! #faceliftnyc #faceliftbeforeandafter #faceliftspecialist #plasticsurgerynyc #plasticsurgerybeforeandafter #passionateaboutplasticsurgery #neckliftbeforeandafter #naturalfacelift #plasticsurgery #faceliftbeforeandafter #deepplanefaceliftbeforeandafter #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgeonnyc #extendeddeepplanefacelift #neckliftbeforeandafter #nonsurgicalfacelift #faceliftsurgery #facelifting #liquidfacelift #minifacelift ...

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Instagram post 17842386610874252 #wowwednesday !!! I love this #plasticsurgerybeforeandafter of this beautiful 60 year old patient of mine who tells me everyone thinks she is 40 after her #deepplanefacelift #minifacelift #necklift and #platysmaplasty .  She had her #facelift without general anesthesia simply under local anesthesia .  What’s amazing to me is that without all the #jowls dropped cheeks #nasolabialfolds and #platysmabands you can see her beautiful facial features!  Her cheekbones and jawline are no longer hidden .  Now she tells me she looks as youthful as she feels!  She is one of the nicest down to earth people you will ever meet,  I feel blessed that she trusted me with her face.  #faceliftnyc #faceliftbeforeandafter #faceliftspecialist #plasticsurgerynyc #plasticsurgerybeforeandafter #neckliftbeforeandafter #naturalfacelift #plasticsurgery #faceliftbeforeandafter #deepplanefaceliftbeforeandafter #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgeonnyc #extendeddeepplanefacelift #neckliftbeforeandafter #nonsurgicalfacelift #faceliftsurgery #facelifting #liquidfacelift #faceliftnyc #faceliftbeforeandafter #faceliftspecialist #plasticsurgerypictures

#wowwednesday !!! I love this #plasticsurgerybeforeandafter of this beautiful 60 year old patient of mine who tells me everyone thinks she is 40 after her #deepplanefacelift #minifacelift #necklift and #platysmaplasty . She had her #facelift without general anesthesia simply under local anesthesia . What’s amazing to me is that without all the #jowls dropped cheeks #nasolabialfolds and #platysmabands you can see her beautiful facial features! Her cheekbones and jawline are no longer hidden . Now she tells me she looks as youthful as she feels! She is one of the nicest down to earth people you will ever meet, I feel blessed that she trusted me with her face. #faceliftnyc #faceliftbeforeandafter #faceliftspecialist #plasticsurgerynyc #plasticsurgerybeforeandafter #neckliftbeforeandafter #naturalfacelift #plasticsurgery #faceliftbeforeandafter #deepplanefaceliftbeforeandafter #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgeonnyc #extendeddeepplanefacelift #neckliftbeforeandafter #nonsurgicalfacelift #faceliftsurgery #facelifting #liquidfacelift #faceliftnyc #faceliftbeforeandafter #faceliftspecialist #plasticsurgerypictures ...

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Instagram post 18116848477031129 Goodbye Miami @artbasel and @thesetaimiamibeach !! Ended my trip with a fun 5 mile run along #southbeachmiami .  Feeling energized and ready for another week of #deepplanefacelift and #rhinoplasty !! But first home to see my son play soccer in Brooklyn with @bwgottschee and likely a good dinner #eliosnyc .  #plasticsurgerynyc #plasticsurgeonnyc

Goodbye Miami @artbasel and @thesetaimiamibeach !! Ended my trip with a fun 5 mile run along #southbeachmiami . Feeling energized and ready for another week of #deepplanefacelift and #rhinoplasty !! But first home to see my son play soccer in Brooklyn with @bwgottschee and likely a good dinner #eliosnyc . #plasticsurgerynyc #plasticsurgeonnyc ...

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Instagram post 18121584964027025 A little late to the party but made it to @artbasel today and found a promising piece of art from Sue Williams for my new apartment.  I was introduced to her work from my fiancé @cestmoijesse and fell immediately in love with her work !  Her work explores issues surrounding gender and the body.  Very inspired and loving the warm weather during the cold months back at home.  I love to draw and paint and I plan on taking more time for it this upcoming new year!  #iloveart #supportthearts #artislife #plasticsurgeryisart #plasticsurgeonnyc #plasticsurgerynyc #artbaselmiami #suewilliams #suewilliamsartist

A little late to the party but made it to @artbasel today and found a promising piece of art from Sue Williams for my new apartment. I was introduced to her work from my fiancé @cestmoijesse and fell immediately in love with her work ! Her work explores issues surrounding gender and the body. Very inspired and loving the warm weather during the cold months back at home. I love to draw and paint and I plan on taking more time for it this upcoming new year! #iloveart #supportthearts #artislife #plasticsurgeryisart #plasticsurgeonnyc #plasticsurgerynyc #artbaselmiami #suewilliams #suewilliamsartist ...

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Instagram post 17858346307627477 I am at @artbasel in Miami and today one of my patients came in for a routine post-operative visit this week and I think her result is beautiful art!!! Many of my patients as they approach their early forties want to rejuvenate their appearance and do not want to wait till they get older and want to reset a youthful appearance for the next 10 plus years!! On this beautiful woman I performed a #deepplanefacelift fir drooping cheeks #nasolabialfolds and early #jowling, and a lower eyelid #blepharoplasty and #temporallift to open and rejuvenate her eyes .  She always hated her dropping #nasaltip and #dirsalhump on her bridge so I performed a #closedrhinoplasty to balance and perfect her look!  As you can see with her hair pulled back you cannot see any scars!!! You can wear your hair up in a #ponytail after surgery!!! She is an anesthesiologist so I am always humbled and honored when someone in medicine trusts me with their face!! She is only a few months post op but looking so beautiful and rejuvenated already !!! I am grateful she trusted me with her face at such a young age .  #facelift can rejuvenate like injectable fillers and Botox cannot!!! plasticsurgerybeforeandafter #faceliftbeforeandafter #faceliftnyc #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc #extendeddeepplanefacelift #minifacelift #eyeliftsurgery #faceliftnyc #rhinoplastynyc

I am at @artbasel in Miami and today one of my patients came in for a routine post-operative visit this week and I think her result is beautiful art!!! Many of my patients as they approach their early forties want to rejuvenate their appearance and do not want to wait till they get older and want to reset a youthful appearance for the next 10 plus years!! On this beautiful woman I performed a #deepplanefacelift fir drooping cheeks #nasolabialfolds and early #jowling, and a lower eyelid #blepharoplasty and #temporallift to open and rejuvenate her eyes . She always hated her dropping #nasaltip and #dirsalhump on her bridge so I performed a #closedrhinoplasty to balance and perfect her look! As you can see with her hair pulled back you cannot see any scars!!! You can wear your hair up in a #ponytail after surgery!!! She is an anesthesiologist so I am always humbled and honored when someone in medicine trusts me with their face!! She is only a few months post op but looking so beautiful and rejuvenated already !!! I am grateful she trusted me with her face at such a young age . #facelift can rejuvenate like injectable fillers and Botox cannot!!! plasticsurgerybeforeandafter #faceliftbeforeandafter #faceliftnyc #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc #extendeddeepplanefacelift #minifacelift #eyeliftsurgery #faceliftnyc #rhinoplastynyc ...

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Instagram post 17843303779847656 Great having my #plasticsurgery colleagues that I know from the @thecuttingedgesymposium come observe my #deepplanefacelift #blepharoplasty and #necklift techniques in my Park Avenue #plasticsurgeryclinic,  Tget hail from Paris, Israel, Toronto and NYC!  @realdrsix 
@realdrboca 
@dr.abrahampathak @drmarchac #nycplasticsurgery #plasticsurgeonnyc

Great having my #plasticsurgery colleagues that I know from the @thecuttingedgesymposium come observe my #deepplanefacelift #blepharoplasty and #necklift techniques in my Park Avenue #plasticsurgeryclinic, Tget hail from Paris, Israel, Toronto and NYC! @realdrsix @realdrboca @dr.abrahampathak @drmarchac #nycplasticsurgery #plasticsurgeonnyc ...

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Instagram post 18076606738158050 Loving my new surgical scrub hat @thecuttingedgesymposium learning from some of the best #plasticsurgeons in the world!  @doctoraston and Dr Dan Baker have put together an amazing group of speakers and program and I am grateful to be here.  #plasticsurgerynyc #plasticsurgeonnyc

Loving my new surgical scrub hat @thecuttingedgesymposium learning from some of the best #plasticsurgeons in the world! @doctoraston and Dr Dan Baker have put together an amazing group of speakers and program and I am grateful to be here. #plasticsurgerynyc #plasticsurgeonnyc ...

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Instagram post 18085156051187842 Teaching my #deepplanefacelift #necklift and other techniques such as #liplift #blepharoplasty #temporallift and #fatgrafting to my #plasticsurgery colleagues observing in my Park Avenue operating rooms from Morocco, Austria, and Philippines .  I am excited to be part of a movement of #plasticsurgeons creating more natural results with the deep plane approach. Thanks to my colleagues for their interest and friendship. @dr_reghaimaria 
@zinongdoctormo 
@edwindelrosario
@pauloprvt Austria 
@rhinoplastikwien
@docteursanaaelmounjid 
@oscarflorest
@wafaa_mraolmi_  #plasticsurgerynyc #plasticsurgeonnyc

Teaching my #deepplanefacelift #necklift and other techniques such as #liplift #blepharoplasty #temporallift and #fatgrafting to my #plasticsurgery colleagues observing in my Park Avenue operating rooms from Morocco, Austria, and Philippines . I am excited to be part of a movement of #plasticsurgeons creating more natural results with the deep plane approach. Thanks to my colleagues for their interest and friendship. @dr_reghaimaria @zinongdoctormo @edwindelrosario @pauloprvt Austria @rhinoplastikwien @docteursanaaelmounjid @oscarflorest @wafaa_mraolmi_ #plasticsurgerynyc #plasticsurgeonnyc ...

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Instagram post 18067802098169229 #transformationtuesday !!!! Today I was reminiscing about one of my #facelift patients from many years ago!!!! She was 59 years old at that time,  and looked 20 years younger after surgery!!! She was worried about her dropping jawline, #jowls, fallen cheeks #nasolabialfolds and #platysmabands .  I performed a  #minifacelift #necklift #platysmaplasty lateral #temporallift #blepharoplasty .  I have not seen her recently but she holds a special place in my heart.  I was just starting my practice at the time and I was grateful she trusted me with her face! #plasticsurgerybeforeandafter #faceliftbeforeandafter #faceliftnyc #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc #extendeddeepplanefacelift #deepplanefacelift #eyeliftsurgery #faceliftnyc

#transformationtuesday !!!! Today I was reminiscing about one of my #facelift patients from many years ago!!!! She was 59 years old at that time, and looked 20 years younger after surgery!!! She was worried about her dropping jawline, #jowls, fallen cheeks #nasolabialfolds and #platysmabands . I performed a #minifacelift #necklift #platysmaplasty lateral #temporallift #blepharoplasty . I have not seen her recently but she holds a special place in my heart. I was just starting my practice at the time and I was grateful she trusted me with her face! #plasticsurgerybeforeandafter #faceliftbeforeandafter #faceliftnyc #faceliftdubai #faceliftspecialist #faceliftexpert #plasticsurgerynyc #plasticsurgeon #plasticsurgeonnyc #extendeddeepplanefacelift #deepplanefacelift #eyeliftsurgery #faceliftnyc ...

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New York City Office
630 Park Ave, New York, NY 10065
Tel. (212) 570.2500 | Fax (212) 249-2264

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Tel. (516) 773-4646 | Fax (516) 773-1360

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Dr. Jacono has launched a new Middle Eastern Facial Plastic Surgery version of his website faceliftusa.ae … MORE >

Doctor Jacono performs Charitable Surgery for Children with Cleft Lip and Palate on Missions to Third World Countries and also on Women who are Victims of Domestic Violence. … MORE >

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Mission Statement

Doctor Jacono’s desire to become a facial plastic surgeon was solidified in grade school. There was a girl on his school bus route who was born with a cleft lip and palate deformity. Unfortunately, whenever she spoke, air and words escaped through her nose. Kids teased her and were cruel, and nobody would sit next to her on the bus, so he decided to sit with her. One day, the girl had plastic surgery and returned to school with her face repaired. Suddenly, classmates saw her face instead of her deformity and immediately treated her normally. It was at that moment that Doctor Jacono knew he wanted to fix people’s faces and change their lives. This is why he has gone on over twenty plastic surgery missions to poor countries around the world and provided free cleft lip and surgery for birth defects to over 500 children.

Because of this experience in his childhood, Doctor Jacono understands that one of our basic needs as human beings is to feel confident about our appearance. It’s is Doctor Jacono’s passion to help his patients achieve their facial aesthetic goals, creating natural appearing results to either enhance their beauty and proportion or rejuvenate their aging appearance. He is a world-renowned leader in the field of facial plastic surgery and only performs surgery on the face, not the body. He has innovated many facelift, eyelid lift, and rhinoplasty surgical techniques, publishing in leading peer reviewed literature and lecturing at plastic surgery conferences all over the world. He is committed to sharing what he has learned teaching surgeons from around the world.

His approach is to maintain your uniqueness and facial identity; it is still you just better. To do this he uses a customized, bespoke approach to each patient employing the most minimally invasive, innovative, and cutting-edge technology. Doctor Jacono has never performed the same procedure on any two of the thousands of patients he has treated. He is committed to providing his surgical expertise in a caring, supportive environment with a professional staff that has you as their focus and concern.