Results

Results

Results of the reconstruction of facial paralysis by Prof. Kehrer

The microsurgical reconstruction of facial paralysis is one of the highest disciplines in reconstructive surgery and ranks among the most technically demanding procedures in plastic surgery. These highly complex operations require a deep understanding of muscular, neural, and vascular anatomy of the face, as well as the highest level of microsurgical precision. Due to the immense challenges and the extensive surgical planning involved, only a few highly qualified microsurgeons worldwide practice this specialized field on a regular and continuous basis.
Congential facial palsy. The demands on the functional and aesthetic outcome of patients with partial paralysis are much higher. Symmetry, facial balance and harmony must be maintained both at rest and during facial expressions. The new smile must be natural and spontaneous. This lovely patient first received a CFNG (powerful donor nerve 1.2 mm caliber) and subsequently a tiny free functional muscle transplant. This fine gracilis muscle was harvested from the thigh to replace smile muscles that were missing from birth. Her smile and other facial features are much better after one year. Scars are very inconspicuous. Smile surgery!

Freier lebendiger Oberschenkel-Muskel zur Wiederherstellung des Lächelns bei Gesichtslähmung - Reizung mit elektrischem Nervenstimulatur durch Prof. Dr. Andreas Kehrer

If facial palsy persists for a longer period, there is also a loss of the mimic muscles that are responsible for smile. Free functional muscle transplantation to restore smile and facial expression is one of the most advanced microsurgery techniques.

We harvest the living muscle via a small incision on the inner thigh and transplant it under the cheek tissue via an inconspicuous face-lift incision. Our expertise allows us to shape the muscle to such an extent that it only takes up a small amount of space and is barely or no longer visible under the skin.

This patient can smile again after his reconstruction. The quality of life and social function have improved significantly."
Patient with massive synkinesis (involuntary mass movements) following left facial paralysis (PFPS). A selective neurectomy and partial myectomies (targeted nerve branch/partial muscle resections) were performed. After the operation, his eye ring muscle is less spastic, so that the left eye looks almost normal. The smile is much more harmonious and balanced. The lips are more centered and symmetrical. The chin muscles (previously retracted) have relaxed. Function and aesthetics have improved significantly.”

Functional Corrugator Resection in Endoscopic Brow Lift


This patient suffered from migraines caused by nerve entrapment within the corrugator and frontalis muscles of the forehead. To address this, an endoscopic brow lift with functional corrugator resection was performed, successfully eliminating her migraine headaches. As a bonus, her forehead now appears significantly smoother. She can no longer produce frown lines, resulting in a rejuvenated brow and glabella region. Remarkably, she no longer requires Botox treatments, as the frown lines are absent both at rest and during attempts to frown. Bye-bye Botox treatments—hello natural rejuvenation!

Complete facial paralysis of a 62-year-old patient after tumor surgery (parotid tumor). After a temporalis muscle transfer in its most modern form (Labbé-lengthening temporalis myoplasty) in combination with a masseter nerve transfer (V-to-VII nerve transfer), both the resting symmetry and the dynamics of the facial expression are restored. The patient is again able to hold liquid food in the mouth and smile symmetrically.

Examples of my work

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