In this post we will answer the following question:
If synkinesis is not due to aberrant regeneration of the nerves, then why Selective Neurolysis surgery achieves some good results?
What is Selective Neurolysis surgery?
The selective neurolysis is actually a process of destruction. During the process of selective neurolysis – with a surgical intervention – certain small branches of the facial nerve are burnt or cut through.
How does it affect synkinesis?
If parts of the facial nerve are burnt or cut, the signals, that “travel” through those destroyed nerves do not reach your muscles. If the signals cannot reach the muscle fibres, those fibres will not engage during the movement. Therefore, the synkinetic involvement of those muscles reduces.
Of course, the regular function of that same muscle also reduces. Because not the complete signal but only a fraction of it would reach your muscle when you want to engage it.
That’s why selective neurolysis does produce certain improvements, the same as Botox. But while Botox is temporary, selective neurolysis is forever.
At Crystal Touch Clinic we do not use any invasive methods. Therefore, we do not use selective neurolysis in our rehabilitation.
Whether you consider selective neurolysis surgery as your solution – is your choice. We cannot say what you should and what you should not do. You have to remember that it is your face. Whatever you do with this face, is only your decision and your responsibility.
We suggest to, first, consider and inform yourself well about all the options that are available to you, and only then make up your mind.
– Alex Pashov
Crystal Touch Bell’s palsy clinic