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Revista de la Facultad de Medicina (México)

On-line version ISSN 2448-4865Print version ISSN 0026-1742


AFRASHTEHFAR, Cyrus Dean Mario  and  AFRASHTEHFAR, Kelvin Ian. Smile enhancement with botulinum toxin in a patient with facial palsy. Rev. Fac. Med. (Méx.) [online]. 2015, vol.58, n.4, pp.34-38. ISSN 2448-4865.

By altering muscle function, facial palsy causes functional, psychological, emotional, aesthetic and social changes. There are several etiologies and multiple treatments to treat paralyzed side. However, patients with longstanding facial palsy, patients in whom surgical treatment has generated minimal benefits or patients who are not candidates for surgical treatments, the use of botulinum toxin is an adequate alternative to treat affected side when there are sequelae as sinkynesis, hypertony or hemifacial spasm. In the unaffected side is also used to cause static and dynamic aesthetic and functional symmetry.

We present a male patient with right idiopathic facial palsy treated with selective contralateral chemodenervation with botulinum toxin. This treatment resulted in the patient’s favorable evolution towards functionality and normalization of dynamic facial symmetry.

Keywords : botulinum toxin; botox; facial palsy; Bell’s palsy; facial asymmetry.

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