Q U I C K A N S W E R:
Facial nerve surgery is reconstructive surgery that improves facial symmetry and restores some movement after facial nerve paralysis, which affects expression and functions such as eye closure, speech, eating and drinking. Procedures are tailored to the affected area — the eyelid and eyebrow, the smile, or the lower face — after clinical assessment. Dr Ong Wei Chen performs facial nerve surgery at WC Ong Plastic Reconstructive Surgery, Gleneagles Medical Centre, Singapore.
The facial nerve controls our facial expressions, with branches across the face and neck that also enable basic functions such as eye closure, speech, drinking and
chewing. When the facial nerve is paralysed, these functions become difficult and the face loses expression and symmetry. Through specialised reconstructive operations, facial symmetry and some basic functions can be improved, and the right approach is chosen after a clinical assessment.
What is facial nerve paralysis?
“Facial nerve surgery is reconstructive work at its most delicate — the goal is to restore symmetry and some movement, helping a person close an eye or regain part of a smile.” — Dr Ong Wei Chen, Senior Consultant Plastic SurgeonFacial nerve paralysis is a loss of movement in the muscles controlled by the facial nerve, which affects expression and basic functions such as closing the eye, speaking, drinking and chewing. It also causes a loss of facial symmetry, which many people find distressing. The cause and pattern vary between individuals, so assessment is important. Dr Ong Wei Chen evaluates each case at WC Ong Plastic Reconstructive Surgery, Gleneagles Medical Centre, before discussing options.
What are the surgical options for facial paralysis?
Surgery for facial paralysis is tailored to the affected part of the face, and options are grouped into these areas:
- Eyelid and eyebrow — procedures to help eye closure and lift a drooping brow, protecting the eye and restoring balance.
- Face and smile — techniques that aim to restore movement or support to the cheek and smile.
Lower face — procedures addressing the lower face and mouth for improved symmetry.
- Others — additional or adjunctive procedures selected according to individual needs.
How is the right procedure chosen?
The right procedure is chosen after a detailed discussion and clinical assessment, as the cause, pattern and duration of the paralysis all influence what is suitable. There is no single operation for facial palsy; the plan is individualised and sometimes staged. Realistic expectations are important, as surgery aims to improve symmetry and some function rather than fully restore normal movement. Dr Ong Wei Chen assesses each patient and explains the suitable options before any decision is made.
FREQUENT ASKED QUESTIONS
What can facial nerve surgery realistically achieve?
Facial nerve surgery aims to improve facial symmetry and restore some movement or function, such as eye closure or part of a smile, rather than fully restore normal facial movement. The outcome depends on the cause, severity and duration of the paralysis, so results vary between individuals. A clinical assessment sets realistic expectations. Dr Ong Wei Chen discusses what surgery can achieve for your situation at WC Ong Plastic Reconstructive Surgery, Gleneagles Medical Centre.
Who is a candidate for facial paralysis surgery in Singapore?
People with facial nerve paralysis affecting expression, eye closure or the smile may be candidates, and suitability depends on the cause and pattern of the paralysis. A detailed discussion and clinical assessment are needed to choose the most appropriate procedure. Both adult and paediatric patients can be assessed. Dr Ong Wei Chen evaluates each case individually before advising on options.
Why does eye closure need to be addressed in facial palsy?
When the facial nerve is paralysed, the eye may not close fully, which can leave the surface of the eye exposed and at risk. Procedures targeting the eyelid and eyebrow help restore closure and protect the eye, as well as improving symmetry. This is often a priority in the treatment plan. Dr Ong Wei Chen assesses eye protection as part of the overall facial-palsy assessment.
Is facial nerve surgery covered by Medisave or insurance in Singapore?
Facial nerve surgery is reconstructive and medically indicated, so it is generally claimable, depending on your policy and the clinical assessment. WC Ong Plastic Reconstructive Surgery can assist with direct insurance e-filing and Medisave claims. Because coverage varies with the diagnosis and your policy, confirm the details with your insurer or the clinic before surgery.
