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Facial Paralysis Causes 

Offering perfect results in the treatment of crying asymmetric face, Dr. Be improves the quality of life of his patients with personalized treatment plans. In line with these perfect results, he brings his patients to the results they desire both psychologically and physically.

What Are Asymmetric Crying Facies (ACF)?

ACF, known as "Asymmetric Crying Facies" in the medical literature, is a very common type of facial paralysis today. This very common type of facial paralysis is a facial anomaly that generally occurs in infancy, but also in childhood. This facial anomaly is caused by weakness or underdevelopment of the muscles on one side of the face and is usually evident in the lower part of the face, especially around the mouth.

When diagnosing the disease, attention is generally paid to the asymmetrical appearance of the baby's face changes during crying. This is because one side of the face moves normally, while the other side remains immobile or has limited movement. In this way, insufficient development or damage to the nerves that control the facial muscles, especially the facial nerve, can be detected.

What Causes Asymmetric Crying Facies?

Asymmetrical crying face may be caused by many reasons. Hereditary genetic factors are at the top of these situations. If we need to examine these conditions closely, they are as follows;

  • Genetic Factors

Genetic factors are at the top of the list of conditions that cause crying asymmetric face treatment. These genetic factors are caused by gene mutations or anamolics that affect the formation of the facial nerve during embryonic development. These anomalies cause asymmetry in the baby's face, resulting in asymmetric crying face syndrome.

  • Intrauterine Period Effects

After genetic factors, intrauterine effects are the most common causes of crying asymmetric face treatment. During these periods, infections that damage the facial nerves of the fetus can sometimes occur. These infections destroy the baby's facial nerves, causing asymmetric crying facial paralysis. In addition, toxic substances that the mother is exposed to can also cause this disease.

  • Birth Trauma

Birth trauma can also cause asymmetric weeping facial paralysis. In particular, difficult or intervention births and the use of forceps can trigger asymmetric facial palsy in the fetus. Birth trauma should therefore be treated with caution and not underestimated.

  • Idiopathic (Unknown) Causes

Sometimes crying facial asymmetry can also occur for unknown reasons. Therefore, instead of giving complete information, the patient's facial nerves should be analyzed in detail. Thus, it will be correct to reach a definitive judgment.

What Are The Symptoms of Asymmetric Crying Facies ?

As with any facial paralysis, asymmetric weeping facial paralysis has certain symptoms. These symptoms help to treat the disease before it progresses too far. Therefore, by analyzing the following symptoms well, you can diagnose the disease before it progresses too far.

  1. Asymmetries during crying: When babies with crying facial asymmetry cry, there is usually a marked asymmetry on one side of the face. These asymmetries usually manifest as a difference in the corner of the mouth, the root of the nose or the eyelids on the crying side.
  2. Asymmetries Occurring in the Eyelids: The eye asymmetry that occurs during crying can be caused by one eyelid being lower or more raised than the other. This is caused by a disturbance in the neural regulation of the facial muscles.
  3. Mouth Asymmetry: Another symptom of crying facial asymmetry is asymmetries on one side of the baby's mouth during crying. While these asymmetries are in their normal position, a pulling or asymmetry can be seen on the other side. This is usually associated with the lower facial muscles being affected.
  4. Nose Asymmetry: Finally, another symptom of asymmetrical crying face is asymmetries in the root or wings of the nose. This is caused by the facial muscles not coordinating correctly.

How Is Asymmetric Crying Facies (ACF) Diagnosed?

There are many different methods for early diagnosis and treatment of asymmetric facial paralysis. These methods are divided into 5 factors. These are; Observational examination, Crying test, Neurological evaluations, Imaging tests, Expert opinions. If we need to discuss these methods in detail;

  • Observational Examination: To identify asymmetric facial paralysis, careful observation of the facial muscles and facial expressions of infants after birth is essential. For this, an observational examination is performed by clinic staff or a pediatrician.
  • Cry Test: When a baby cries, it is important to observe facial muscles and facial expressions. Therefore, asymmetries in the baby's face during crying can be clearly examined.
  • Neurological Evaluation: In addition to an observational examination and a crying test, the baby should also undergo a neurological evaluation. This is because ACF is often caused by an abnormality in the development of the facial nerves. For this reason, a neurological examination can sometimes be included in the diagnostic process.
  • Imaging Tests: In rare cases, imaging methods such as ultrasonography or MRI can be used for a more detailed diagnosis. These methods can more clearly show the anatomical structure of the facial nerves and possible abnormalities.
  • Other Expert Opinions: In some cases, pediatric neurologists or plastic surgeons may also be involved in the diagnostic process. In particular, they can assess whether the condition requires surgery or further evaluation.

What Is The Treatment for Asymmetric Crying Facies?

In addition to early treatment of asymmetric facial paralysis, it is also important to apply the right treatment. For this, the patient needs to be treated well. With the treatment methods listed below, the symptoms of the disease can be reduced or completely eliminated.

  1. Observation and Monitoring: ACF is usually not a medical problem and often does not require surgical intervention. Therefore, in cases with mild symptoms that do not affect the child's development, only regular observation and follow-up is recommended.
  2. Training and Consulting: It is important to inform families and caregivers about ACF and that the symptoms are generally harmless. At this point, the concerns of the family can be reduced and the child's quality of life can be improved.
  3. Physical Therapy and Muscle Exercises: Physical therapy or muscle exercises may be recommended to strengthen facial muscles, increase coordination and improve symmetry. Such treatments can often help relieve symptoms.
  4. Surgical Intervention: In rare cases, surgical correction may be considered if ACF causes significant cosmetic or functional impairment that needs to be treated. This may involve correcting the anatomical arrangement of facial nerves or muscle reconstruction.
  5. Supportive Treatment Options: Supportive treatment options may also be considered for the management of other symptoms accompanying ACF. For example, if the eyelids open irregularly, ophthalmologic treatments or supportive treatments for other symptoms may be applied. For example, if the person has problems with their eyelids, Golden eyelid weight therapy may be applied.

Asymmetric Crying Facies Before and After

You can view our asymmetric crying facies before and after gallery to see the successful asymmetric crying facies treatment results performed by Dr. Be in asymmetric crying facies surgery.

Asymmetric Crying Facies Surgery Cost

Turkey, which is a very suitable destination in terms of correction of the appearance of the weeping face, is advantageous in every respect. The main reason for this is that there is a lot of competition for asymmetric weeping face surgeries. At the same time, another reason why the cost of weeping asymmetric facial asymmetry is affordable is that Turkey is advantageous in terms of exchange rate and the Ministry of Health provides great support to aesthetic centers.

When we compare the crying asymmetric facial asymmetry prices in Istanbul with the cost in other cities, we can say that Istanbul is more affordable. We can say that this is because there is more competition in Istanbul. For this reason, you can experience a more comfortable process by choosing aesthetic centers in Istanbul.

Doctor Berke, One of Turkey's Asymmetric Crying Facies Surgeons

Dr. Be, one of the best facial asymmetry surgeons in Turkey, offers perfect results in crying facial asymmetry surgery. Thus, it allows you to have the look you want by achieving your dream look without any problems.

Frequently Asked Questions About Asymmetric Crying Facies

My newborn baby has an asymmetrical crying face, is this condition treatable?

Asymmetrical crying face, which occurs mostly in newborn babies, is a treatable condition. You should not worry about this.

Can asymmetrical crying face disorder that occurs at a young age be treated later in life?

Asymmetric crying face disorder, which manifests itself at a young age, can also be treated at a later age. Therefore, there is no standard treatment age.

What is the connection between Cayler's syndrome and crying asymmetric face?

Cayler syndrome, also known as asymmetric crying face with heart defects, is a disorder directly related to crying face asymmetry, and is caused by a disorder of the muscle that controls the heart muscle and the lip muscle. This disorder causes both cup problems and crying asymmetry.

Publications about Facelift & Rejuvenation

Modified Composite-Flap Facelift Combined With Finger-Assisted Malar Elevation (FAME): A Cadaver Study.

Cakmak O, Özücer B, Aktekin M, Özkurt FE, Al-Salman R, Emre IE.

Aesthet Surg J. 2018 Nov 12;38(12):1269-1279. doi: 10.1093/asj/sjy062.

PMID: 29509842

Surgical Approach to the Thick Nasolabial Folds, Jowls and Heavy Neck-How to Approach and Suspend the Facial Ligaments.

Cakmak O, Emre IE, Özücer B.

Facial Plast Surg. 2018 Feb;34(1):59-65. doi: 10.1055/s-0037-1615283. Epub 2018 Feb 6.

PMID: 29409105 Review.

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