Mayo Clinic's approach

Facial reanimation is a rare subspecialty. Working with a healthcare team of plastic surgeons and other specialists in facial reanimation gives you access to the most advanced and comprehensive care possible. Facial reanimation experts use optimal techniques to get the best outcomes. Mayo Clinic has a specialized team that has been performing facial reanimation surgeries for decades.

Mayo Clinic plastic surgeons and other experts work with people who have facial paralysis to develop an individual treatment plan for facial reanimation. They use innovative treatments that may include microsurgical facial nerve repair, facial nerve grafting, nerve transfer surgery, muscle transfer surgery and muscle transplant surgery.

Mayo Clinic plastic surgeons and specialists also perform facelifts, browlift surgery, eyelid reanimation surgery and other procedures. They also treat synkinesis, muscle tightness and facial muscle spasms. Procedures include chemodenervation and neuromuscular retraining, selective neurectomy and selective myectomy with terminal neurolysis.

Our team of facial nerve specialists can see you to confirm the diagnosis and decide if early intervention is necessary. Our team also can further evaluate your facial paralysis and suggest treatment. Plastic surgeons and specialists at Mayo Clinic uses every tool available to help bring back movement to your facial muscles.

Expertise and rankings

Experience

Facial reanimation surgery is a delicate and sophisticated surgery that employs techniques in aesthetic surgery, microsurgery and reconstructive surgery. This field requires a team of experienced specialists. While few centers around the world perform this surgery routinely, Mayo Clinic has been doing facial reanimation surgeries for decades. Mayo Clinic brings a level of expertise to the procedure not found elsewhere.

Each year, Mayo Clinic treats more than 4,000 people with facial reanimation procedures.

Mayo Clinic in Rochester, Minnesota, Mayo Clinic in Phoenix/Scottsdale, Arizona, and Mayo Clinic in Jacksonville, Florida, rank among the Best Hospitals for neurology and neurosurgery in the U.S. News & World Report Best Hospitals rankings. Mayo Clinic Children's Center in Rochester is ranked the No. 1 hospital in Minnesota, and the five-state region of Iowa, Minnesota, North Dakota, South Dakota and Wisconsin, according to U.S. News & World Report's 2023-2024 "Best Children's Hospitals" rankings.

Mayo Clinic in Rochester, Minnesota, is ranked high performing for ophthalmology by U.S. News & World Report.

Mayo Clinic in Rochester, Minnesota, and Mayo Clinic in Phoenix/Scottsdale, Arizona, are ranked among the Best Hospitals for ear, nose and throat by U.S. News & World Report.

Learn more about Mayo Clinic's neurology and neurosurgery departments' expertise and rankings.

Locations, travel and lodging

Mayo Clinic has major campuses in Phoenix and Scottsdale, Arizona; Jacksonville, Florida; and Rochester, Minnesota. The Mayo Clinic Health System has dozens of locations in several states.

For more information on visiting Mayo Clinic, choose your location below:

Costs and insurance

Mayo Clinic works with hundreds of insurance companies and is an in-network provider for millions of people.

In most cases, Mayo Clinic doesn't require a physician referral. Some insurers require referrals or may have additional requirements for certain medical care. All appointments are prioritized on the basis of medical need.

Learn more about appointments at Mayo Clinic.

Please contact your insurance company to verify medical coverage and to obtain any needed authorization prior to your visit. Often, your insurer's customer service number is printed on the back of your insurance card.

More information about billing and insurance:

Mayo Clinic in Arizona, Florida and Minnesota

Mayo Clinic Health System

Feb. 20, 2024
  1. Boonipat T, et al. Seminal studies in facial reanimation surgery: Consensus and controversies in the top 50 most cited articles. Journal of Craniofacial Surgery. 2022; doi: 10.1097/SCS.0000000000008436.
  2. Rodriguez Colon R, et al. Evaluating functional outcomes in reanimation surgery for chronic facial paralysis: A systematic review. Plastic Reconstructive Surgery. 2021; doi:10.1097/GOX.0000000000003492.
  3. Deramo P, et al. Pediatric facial reanimation: An algorithmic approach and systematic review. Archives of Plastic Surgery. 2020; doi:10.5999/aps.2020.00710.
  4. Facial nerve disorders. American Academy of Facial Plastic and Reconstructive Surgery, Inc. https://www.aafprs.org/A/RE3.aspx. Accessed June 22, 2023.
  5. Zaidman C. Facial nerve palsy in children. https://www.uptodate.com/contents/search. Accessed June 23, 2023.
  6. Farhadieh RD, et al., eds. Facial reanimation. In: Plastic Surgery: Principles and Practice. Elsevier; 2022. https://www.clinicalkey.com. Accessed June 22, 2023.
  7. Pham TB, et al. Reducing risk in facial reanimation surgery. Facial Plastic Surgery Clinics of North America. 2023; doi:10.1016/j.fsc.2023.01.008.
  8. Pinkiewicz M, et al. A comprehensive approach to facial reanimation: A systematic review. Journal of Clinical Medicine. 2022; doi:10.3390/jcm11102890.
  9. Snyder V, et al. Advances in facial reanimation. Otolaryngologic Clinics of North America. 2023; doi:10.1016/j.otc.2023.02.020.
  10. Pan DR, et al. The evolution of facial reanimation techniques. American Journal of Otolaryngology. 2023; doi:10.1016/j.amjoto.2023.103822.
  11. Harb JL, et al. The role of the cross face nerve graft in facial reanimation and endoscopic harvest of the sural nerve. Atlas of the Oral and Maxillofacial Surgery Clinics of North America. 2023; doi:10.1016/j.cxom.2022.09.003.
  12. Evgeniou E, et al. Cross facial nerve grafting for smile restoration: Thoughts on improving graft inset. Plastic and Reconstructive Surgery. 2022; doi:10.1097/GOX.0000000000004178.
  13. Dey JK (expert opinion). Mayo Clinic. July 4, 2023.
  14. Nguyen HT. Allscripts EPSi. Mayo Clinic. July 5, 2023.
  15. Mardini S (expert option). Mayo Clinic. Aug. 15, 2023.
  16. Boonipat T, et al. Dual innervation of free gracilis muscle for facial reanimation: What we know so far. Journal of Plastic, Reconstructive and Aesthetic Surgery. 2020; doi:10.1016/j.bjps.2020.05.084.
  17. Lu GN, et al. Facial nerve reconstruction. Otolaryngologic Clinics of North America. 2023; doi:10.1016/j.otc.2023.04.004.
  18. Hussain A. Dynamic eyelid reconstruction in facial nerve palsy. Survey of Ophthalmology. 2023; doi:10.1016/j.survophthal.2023.05.003.
  19. Fernandez-Carrera Gonzalez I, et al. Gracilis muscle-free flap objective improvement of oral commissure excursion in facial palsy reanimation surgery: Systematic review and meta-analysis. Facial Plastic Surgery and Aesthetic Medicine. 2023; doi:10.1089/fpsam.2022.0283.
  20. Qureshi Z, et al. Simplified technique for lateral canthal tendon canthopexy. Indian Journal of Ophthalmology. 2022; doi:10.4103/ijo.IJO_3126_21.
  21. De Jongh FW, et al. Botulinum toxin A treatment in facial palsy synkinesis: A systematic review and meta-analysis. European Archives of Otorhinolaryngology. 2023; doi:10.1007/s00405-022-07796-8.

Facial reanimation surgery