Transection of Muscles to reduce unwanted co-contraction of the facial synkinesis

Selective Myectomies

Offering excellent results in the field of selective dorsal neurectomy surgery, 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 desired results both psychologically and physically.

What is Selective Myectomy Surgery?

It is a technique that aims to improve muscle contractions around the eyes, mouth and neck after synkinesia. In this technique, certain muscle groups that control the facial muscles are targeted and weakened. In this way, unwanted contractions of the facial muscles in patients are reduced and the patient's quality of life is further improved. After these procedures, scars may remain for a while. This is a normal situation and there is no need to worry. With regular and proper wound care, you can get rid of selective myectomies surgery scars in a short time.

How is Selective Myectomy Surgery Performed?

Platysma myectomy surgery is a fairly quick and simple procedure. First, the facial muscles of the patient are analyzed in detail. After these analyzes, the traumatized facial muscle or facial muscles are detected. These detected facial muscles are carefully and precisely stimulated and cut with special surgical instruments. In this way, excessive facial contractions are reduced and facial expressions become more natural.

Which Muscles Are Most Commonly Targeted in Myectomies?

  • Depressor Anguli Oris Muscle

The Depressor Anguli Oris Muscle, known as the depressor muscle of the corner of the mouth muscle, is a muscle with a very strong synkinetic side. therefore, in case of a possible paralysis, it pulls the smile aesthetics of the person downwards. In cases of paralysis in the depressor anguli oris muscles located in the corners of the mouth area, the muscle is targeted and removed. Thus, problems in the patient's smile aesthetics are improved.

  • Depressor Labii inferioris Muscle

The Depressor Labii inferioris Muscle, also known as the lower lip depressor muscle, is slightly weaker on the synkinetic side, so the activity of the same muscle on the normal side creates asymmetry. For this reason, it can cause possible symmetry and involuntary contractions when the person laughs or speaks. To completely eliminate this problem, myectomy is performed by targeting the depressor labii inferioris muscle. This allows the patient to move more comfortably when smiling or eating.

  • Buccinator Muscle

The buccinator facial muscle, located in the innermost part of the cheek, is in a very tense state in patients with synkinesia. This level of tension sometimes prevents the patient from smiling and sometimes causes the patient to involuntarily bite the inside of the cheek. In these cases, the buccinator muscle is sufficiently stimulated and removed to reduce the tension in the muscle. Thus, the tension level in the patient's mouth muscles is eliminated and the patient can smile freely.

What is Targeted Muscle Destruction? How is it Different from Myectomy Surgery?

Targeted muscle destruction is a surgical intervention to restore the function of facial muscles in cases such as facial paralysis. In this method, paralyzed or weak muscles are destroyed in a specific way. Thus, while increasing the activity of healthy muscles, excessive muscle activity is prevented. This operation has certain differences from myectomy surgery in general. The main differences are the scope and sensitivity, the surgical procedure and its effects. To discuss these differences in detail;

  1. Scope and Precision: Targeted muscle destruction offers a more specific and precise treatment by targeting specific muscle groups that are paralyzed or overactive. In this method, only the affected muscles are targeted, while healthy muscles are preserved as much as possible. In a normal myectomy, all or most of the muscle is removed or cut.
  2. Surgical Procedure: Targeted muscle destruction usually requires a less invasive surgical procedure. This usually involves less invasive methods such as nerve blocks or botulinum toxin injections. Regular myectomy surgery, on the other hand, usually requires a more extensive surgical procedure and involves a more specialized approach, such as complete removal or cutting of the muscle.
  3. Results and Impacts: Targeted muscle destruction aims to achieve a natural and symmetrical appearance by focusing on improving facial expression. The emphasis is on preserving the natural expression of the face and maintaining the balance of the muscles. In normal myectomy surgery, on the other hand, there may be more extensive muscle destruction and this may cause more pronounced changes in facial expression.

What are the Advantages of Myectomy Procedure?

The myectomies procedure, which is one of the most preferred facial paralysis techniques today, has many advantages. One of these advantages is that the person becomes more confident and happy in his/her social life. Other advantages of selective myectomy surgery are as follows;

  • Symptom Reduction: platysma myectomy surgery can reduce or completely eliminate unwanted muscle spasms caused by facial paralysis. This can help the patient to lead their daily life more comfortably.
  • Improving Facial Expressions: By focusing on the muscle groups where the surgery was performed, facial expressions can become more symmetrical and natural. This can lead to an increase in the patient's social interactions and psychological well-being.
  • Personalized Treatment: Selective myectomy offers a customized treatment option based on the patient's symptoms and the condition of the facial muscles. This can better adapt to the individual needs of the patient.
  • May Be Minimally Invasive: In some cases, selective myectomy can be performed using minimally invasive surgical techniques. This can mean less postoperative pain, faster recovery and less risk of complications.
  • Long Lasting Impact: Selective myectomy can provide long-term control of facial paralysis symptoms. When done correctly, symptoms are unlikely to return after the post-operative recovery period.

Why Myectomy for Synkinesia Patients?

Synkinesia is a condition that occurs after facial paralysis and is characterized by the involuntary movement of one muscle, usually the paralyzed one, during the activity of another muscle. For example, when a person tries to close their eyes, their mouth involuntarily pulls away. Since these and similar conditions greatly affect a person's social life, myectomy surgery aims to partially or completely remove or weaken the paralyzed muscle. At this point, the problematic muscle is split and removed. In this way, the activity of the paralyzed muscle causing synkinesis is reduced or prevented and involuntary muscle movements are eliminated.

Cost of Selective Myectomy Surgery

Contrary to popular belief, the selective myectomy technique is a very affordable procedure. For this reason, we recommend you to make a detailed research about the cost of selective myectomies surgery. In this way, you can realize the cost of platysma myectomy in an affordable way.

Before and After Selective Myectomy

You can view our platysma myectomy before and after gallery to see the results of the successful selective myectomy surgery performed by Dr. Be.

Why Doctor Be in Selective Myectomy Technique?

As one of the best facial paralysis treatment surgeons in Turkey, Dr. Be has extensive experience and expertise in the selective myectomy technique and at the same time offers the best and most perfect results to his patients by using the latest technological tools. Thus, by prioritizing patient satisfaction, he has become one of the best facial paralysis treatment clinics in Turkey.

Frequently Asked Questions About Selective Myectomies

What is the recovery time for oral myectomy surgery?

Patients can return home the same day after oral myectomy. However, a period of 2-3 diseases should be expected for complete recovery. During this period, gargling should be done as much as possible and at the same time, hard foods should be avoided. This can speed up the healing process even more.

Where are the incisions made in platysma muscle myectomy?

In platysma muscle myectomy, the incisions are made in the face and neck area. Therefore, the incisions are never noticeable.

What is the recovery time after platysma myectomy?

After the platysma myectomy operation, the patient can stay overnight or return home as desired. However, it takes 2-3 weeks for full recovery to be observed. In order to spend this period healthy and fast, you can do small exercises and eat soft foods at the same time.

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