Facial nerves heal very, very slowly. It is extraordinarily hard to be patient when one's face is involved. My husband had a beautiful smile before his surgery, but he came out of surgery with the Grade 5 facial paralysis. He looked like he had a stroke, he had difficulty swallowing, his right eye didn't close, and was totally numb on the right side of his face.
I have shared his experience over the years, but it is worth repeating. At about 9 months, his surgeon felt like there was no possibility of improvement, and suggested reanimation surgery. Ken's recovery from resect was difficult, and he adopted the policy of no more surgery unless it was a matter of life and death. As bad as his face was, he didn't consider surgery.
Through this discussion board we learned about Jackie Diels. By that time, he was suffering from medical care fatigue, and felt nothing would help. I contacted her and she advised that it was still too early to assess if neuromuscular retraining would be helpful for Ken. At about one year out, she asked for photos of Ken's smile and face in a number of different poses. She could see signs of the nerve regenerating; we couldn't! After Ken's first session with her at about 18 months, there was noticeable improvement. He had a second 2 1/2 day session with her the following year with her in Madison.She devised a series of exercises based on the way the nerves were working. Over the years, she has modified his exercises as he has progressed. The changes are measurable, as she takes photos each session, and we can see the difference year to year. Working with her was life changing. Today, if you met Ken, you probably wouldn't know that he has facial paralysis.The tone and symmetry looks natural, but if he were to give you a wide grin, you would notice. He is able to make a gentle, closed mouth smile, but his old smile is gone.
I encourage everyone, who has a damaged facial nerve, to get in touch with Jackie. I have sent many people to her, and they have had similar experiences. She is honest and caring, a true healer. She is based in Madison, Wisconsin, and spends time each year in Los Angeles and New York seeing patients. She also has a practice via Skype for people who can't travel to Madison.
Miranda