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Facial Nerve Services

For more than 20 years, experts at the UPMC have diagnosed and treated thousands of people suffering from facial nerve disorders.

As part of the University of Pittsburgh Department of Otolaryngology, UPMC is one of the leading centers for diagnosis and management of facial paralysis in the world.

We provide answers and second opinions for patients who feel they’ve run out of options. We also teach other doctors about the evaluation and management of facial nerve disorders.


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What Conditions Do We Treat?

The most common facial nerve disorders we treat include:

  • Bell’s palsy.
  • Facial nerve trauma.
  • Cancer-associated facial paralysis.
  • Congenital facial paralysis.
  • Hemifacial spasm.
  • Lyme disease.
  • Ramsay Hunt syndrome.
  • Synkinesis.
  • Vestibular schwannoma.

Who Can Benefit from Facial Nerve Treatment?

Anyone with facial paralysis may benefit from facial nerve treatment, including those whose facial paralysis has resulted from:

  • Congenital causes or syndromes.
  • Inflammatory conditions.
  • Infections.
  • Trauma/injury.
  • Tumors.
  • Viral reactivation.

What Facial Nerve Services Do We Offer?

The UPMC Facial Nerve Center, located within University Ear, Nose, and Throat Specialists – Shadyside in Pittsburgh, Pa., offers both nonsurgical and surgical treatment options for facial nerve disorders. Treatment begins after your care team discusses your diagnosis, treatment risks, benefits, and options with you.

Because facial paralysis conditions are unique to each patient, we consider your individual case when developing a treatment plan.

Some of the more common treatments for facial nerve disorders and paralysis include:

  • Botox injections.
  • Injectable fillers.
  • In-office procedures.
  • Medications.
  • Physical therapy.
  • Surgery.

Common surgical options include:

  • Nerve grafting or nerve transfers.
  • Eye surgery to better enable eyelid closure.
  • Eyebrow surgery to life the brow.
  • Resection of problematic facial muscles.
  • Selective resection of problematic nerves.
  • Surgery to restore facial symmetry.

We also may use a combination of treatments for the best possible results.

Facial Nerve Gallery

Patient had DAO resection for right facial synkinesis due to Lyme disease. Selective denervation, DAO resection, and fascia lata for nasal valve repair for right facial synkinesis due to Ramsay Hunt syndrome. Selective denervation, DAO resection, and Botox for left facial synkinesis due to Ramsay syndrome Selective denervation and asymmetric facelift for left facial synkinesis due to Ramsay Hunt syndrome Fascia lata static suspension, lower lid tightening and placement of a platinum eyelid weight for flaccid facial paralysis following extirpation of a parotid tumor Right facial nerve exploration and repair, 5-7 nerve transfer for flaccid facial paralysis due to penetrating facial injury Right facial nerve exploration and repair, 5-7 nerve transfer for flaccid facial paralysis due to penetrating facial injury Patient with synkinesis before and after left DAO resection. Patient with synkinesis before and after left DAO resection and upper blepharoplasty. Patient with synkinesis before and after left DAO resection. Patient with synkinesis after right DAO resection. Patient with eyes open and closed, with flaccid facial paralysis before fascia lata static suspension, left brow lift, left eyelid weight, left lower lid tightening. Fascia lata static suspension, lower lid tightening and placement of a platinum eyelid weight for flaccid facial paralysis following extirpation of a parotid tumor Patient with flaccid facial paralysis after right eyelid weight placement.

What Can I Expect?

To decide on the best treatment, your doctor will not only consider the cause of your paralysis, but also your:

  • Age
  • Prior treatments
  • Prognosis

Your doctor will discuss with you the possible range of facial movement that can be expected to return with each treatment option. The entire team is here to answer your questions and help you decide which treatment is best for you.

To provide the most holistic possible care, we may work with other UPMC specialists, such as:

  • Neurosurgeons
  • Otologists
  • Physical therapists
  • Ophthalmologists

Every person’s facial appearance is a very personal and emotional subject. If you’re considering facial nerve surgery, make an appointment for a free consultation with a UPMC facial nerve surgeon. It's often helpful to bring a family member to your first consultation.

Research on facial paralysis

The UPMC team is dedicated to furthering research and education on facial paralysis. Many patients participate in our ongoing research and clinical trials to help further the field of facial nerve conditions, treatments, and procedures.

You may be asked to participate in our research. You have the right to accept or decline the offer, and your decision will not affect your care at UPMC.


By UPMC Editorial Staff. Last reviewed on 2026-04-29.

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