Since 2000, at San Rossore Medical Centre, Dr Grazia Salimbeni, assisted by a group of Plastic Surgery Colleagues, specialises in facial nerve and facial paralysis surgery.
Surgical treatments includefacial nerve repair surgery in parotid disease, nerve grafts for reinnervation of the facial nerve region, muscle transplants and transposition in inveterate paralysis, nerve graft enrichment in congenital paralysis.
Synkinesis is treated, when indicated, both surgically and with botulinum toxin. The centre liaises with rehabilitation centres that monitor the patient during functional recovery. Patients are monitored yearly and can rely on a comprehensive follow up, as well as on secondary surgery, to adjust any morpho-functional problems related to age and previous surgery.