Cosmetic Concern: 74-year old with long standing left facial paralysis following the removal of an acoustic neuroma from the brain stem.
Diagnosis: Left facial paralysis. Marked left lower eyelid atrophy. Left lower eyelid vertical inadequacy.
Treatment: Custom ePTFE left orbital rim implant. Left midface lift.
Alloderm implant to the left lower eyelid. Hard palate graft to the left lower eyelid.