Rehabilitation of facial palsy - The brow

Although a large portion of our developmental fervor in the treatment in facial palsy has dealt with dynamic smile reanimation, the proper movement, position, and shape of the upper horizontal third and the brow are crucial for an aesthetic reconstruction. Only a thorough understanding of the periorbital anatomy, the pathomechanics of the paretic brow, and the aesthetic techniques for brow lifts will allow the reconstructive surgeon the ability to provide their patient with the most natural surgical result. Herein, we review the pertinent anatomy and the aesthetic literature we feel is most valuable in assisting reconstructive surgeons who are undertaking the daunting task of achieving normality in the setting of CN7 palsy.