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Selective Denervation in New York City

Our selective denervation procedure in New York City is designed to enhance the ability to smile, improve facial symmetry, and reduce facial tightness for individuals with facial nerve issues. This surgery is particularly beneficial for patients experiencing faulty and overactive nerve regeneration.

Mapping the Facial Nerve Branches in Selective Denervation

During selective denervation, the facial nerve branches are carefully mapped to determine the muscles they control. The goal is to isolate and disconnect the branches responsible for opposing the smile and causing synkinesis (involuntary muscle movements during facial expressions)

Am I A Good Candidate For Selective Denervation?

Selective denervation is a valuable option for individuals facing severe facial nerve issues. If you’re aiming to regain a natural smile, enhance facial symmetry, and reduce facial tightness, our team at Norelle Health is here to guide you. We will help determine if selective neurolysis in New York City aligns with your specific needs and goals.

Your Personal Consultation

At Norelle Health, we prioritize patient collaboration. Before proceeding with selective denervation in New York City, our team thoroughly discusses the procedure with each patient, taking into account their unique needs and goals. Together, we determine if this surgical option is the right choice.

 

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About The Procedure

Mapping the facial nerve branches is a crucial step in the selective denervation procedure, aimed at improving facial function and aesthetics. This meticulous process involves several key steps:

  1. Preoperative Assessment

    • Facial Nerve Function Testing: Before surgery, comprehensive testing of facial nerve function is performed to understand the extent of nerve damage and identify overactive nerve branches.
    • Imaging Studies: Advanced imaging techniques such as MRI or CT scans may be used to visualize the facial nerve’s anatomy and guide the mapping process.
  2. Intraoperative Mapping

    • Electromyography (EMG): During the surgery, electromyography is used to map the facial nerve branches. This technique measures the electrical activity of muscles to identify which nerve branches are causing abnormal movements or tightness.
    • Nerve Stimulation: A nerve stimulator is used to electrically stimulate different branches of the facial nerve. This helps the surgeon pinpoint the exact locations of the problematic nerve branches.
    • Real-Time Feedback: The surgeon receives real-time feedback on muscle responses to stimulation, allowing for precise identification of overactive or faulty nerve branches.
  3. Selective Denervation Procedure

    • Targeting Problematic Nerves: Once the overactive or misfiring nerve branches are identified, the surgeon selectively cuts or denervates these branches. This helps to reduce abnormal muscle movements and improve facial symmetry.
    • Preserving Function: Care is taken to preserve the healthy nerve branches that contribute to normal facial expressions, ensuring that the patient retains as much natural movement as possible.
  4. Postoperative Care and Rehabilitation

    • Immediate Recovery: After the procedure, patients may experience some swelling and discomfort, which are managed with pain medications and proper care.
    • Physical Therapy: Postoperative physical therapy is crucial to help retrain the facial muscles and optimize the outcomes of the selective denervation. Exercises are tailored to enhance muscle function and improve facial symmetry.
    • Follow-Up Appointments: Regular follow-up visits with the surgical team are essential to monitor healing, assess improvements, and address any concerns.

Benefits of Mapping the Facial Nerve Branches

  • Precision: Accurate mapping allows for targeted treatment, reducing the risk of damaging healthy nerve branches.
  • Enhanced Outcomes: Patients can experience significant improvements in their ability to smile, reduced facial tightness, and better overall facial symmetry.
  • Minimized Complications: By precisely identifying and treating only the problematic nerve branches, the risk of complications is minimized, leading to a smoother recovery process.

Mapping the facial nerve branches is a sophisticated and essential component of selective denervation, ensuring that patients achieve the best possible results in restoring facial function and appearance.

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Meet Norelle Health

Rakhna Araslanova, MD is a fellowship-trained Facial Plastic and Reconstructive Surgeon with a comprehensive surgical background in Otolaryngology-Head and Neck Surgery. Dr. Araslanova specializes in craniofacial reconstruction, facial paralysis rehabilitation as well as aesthetic facial plastic surgery. Dr. Araslanova graduated with a University Medal in... Learn More »