Facial Paralysis (Bell’s Palsy)


Our Service

Paralysis of the face, often called Bell’s palsy, can be the result of a traumatic injury, surgery, tumors, stroke, or infection. No matter the cause, it can be a devastating condition for patients. The aesthetic, functional and psychological impact of facial paralysis cannot be overstated. Bradford A Bader, MD – Facial Plastic and Reconstructive Surgery is committed to assisting facial paralysis patients. We offer the latest and most advanced treatments and procedures to help restore the natural appearance and function of a paralyzed face.

Bell’s palsy is the term applied to cases of facial paralysis where there is no other obvious cause. It accounts for 85% of all cases of facial paralysis which makes it the number one cause of facial paralysis in this country. The cause is a virus that infects the facial nerve and causes it to swell within the bony canal it travels through to exit the skull. This leads to damage to the facial nerve and signals can no longer travel to the muscles of the face and results in the inability to move one side of the face. The paralysis in Bell’s palsy develops rapidly in a matter of hours or a few days and is noticed by patient as an inability to blink or smile and drooping of the lower face.

Patients with facial paralysis should be evaluated by a physician as soon as possible. The diagnosis of Bell’s palsy is only made when other potential causes have been ruled-out. Your physician might choose to order tests such as an audiogram, blood tests, CT scan and/or MRI depending on your specific history and physical examination. There are effective treatments for Bell’s palsy when it is diagnosed early, which often include short courses of high doses of steroids and anti-viral medications.

Fortunately, 70% of all Bell’s palsy patients will fully recover within 6-12 weeks. Paralysis that lasts beyond 12 weeks requires further investigation by your physician to rule-out other potential causes. The remaining 30% that do not completely recover can experience residual symptoms such as facial twitching, facial spasms, excess tearing, dry eyes, incomplete eye closure, obstruction of vision, nasal obstruction, inability to smile, facial asymmetry and facial drooping. All of these problems can lead to decreased self-confidence and depression.

As a facial plastic surgeon, Dr. Bader has a unique expertise in the diagnosis and treatment of facial paralysis. He offers many innovative non-surgical and surgical therapies to restore facial function and movement.

Muscle relaxing injections (Botox and Xeomin) can calm facial twitching and spasm.

There are many procedures aimed at protecting the eye and rehabilitating the eyelids. The inability to close the eye is often addressed by implanting a a tiny weight made of gold, titanium or platinum under the skin and muscle of the upper eyelid to help it close. The brow can droop and obstruct the vision and this is often corrected with a direct browlift. The lower eyelid tends to droop and can lead to excess tearing as the natural tears cannot drain through the tear duct efficiently. A lower lid tightening procedure is an effective method of restoring symmetry and function of the lower eyelid.

Nasal obstruction is a common complaint of patients with facial paralysis as the muscles that help keep the nostril open fail and cause the nostril to collapse. This can be addressed by inserting cartilage grafts and sutures to help stent the nostrils open. Most patients consider the lower face droop and inability to smile or purse their lips the most distressing consequence of facial paralysis. Many patients feel self-conscience about their appearance and tend to avoid social activities. They avoid eating in front of others because of the difficulty in keeping food and drink in their mouth. The inability to smile or purse the lips to give a kiss robs patients of the ability to physically exhibit spontaneous joy, love and emotion and takes a psychological toll over time.

These are several ways to improve the lower facial droop and appearance and function of the lips. These procedures include various techniques for re-suspending drooping tissue, the so-called “static” procedures, and the restoration of muscle function through various nerve grafting and/or re-routing techniques, the so-called “dynamic” procedures. Your candidacy for static and/or dynamic procedures is dependent upon various factors such as age, overall health, reason for paralysis, length of paralysis and the status of the facial nerves and muscles. Dr. Bader’s thorough assessment of your facial paralysis may also include imaging, such as CT or MRI, and studies of the electrical activity of your nerves and muscles to help determine your candidacy for the various procedures.

Your Consultation

Dr. Bader would like all facial paralysis patients to know that they do not have to live with the paralysis forever and there are very effective treatments available. If you or a loved one has facial paralysis, please call Dr. Bader for a consultation to learn more about the rapidly advancing ability to restore facial appearance and function.

To find out more about Dr. Bader or the cosmetic procedures offered at his office, please contact us today 214.501.2021.


A Word From Our Patients

Both the staff and Dr. Bader were personable and they made me feel comfortable. This is sometimes difficult for me as I am one of those who are very nervous when seeing a doctor that I’ve not established rapport with previously.


I felt very comfortable with Dr. Bader. Good bedside manner. Trusted his judgement. The office staff was great too!


I thought he was awesome! He really listens and shows concern for your health!


I think he is an excellent doctor. Addressed my concerns and answered my questions. I thought he was very thorough and I would recommend.


Doctor Bader’s strong confidence and cheerful approach has allowed me to never doubt the outcome of any procedure I consult him on. He takes great strides to ensure comfort and understanding and I have had complete success and extreme satisfaction the many times he has helped me. I have referred other friends to Dr. Bader and never hesitate to contact him with any questions. He is unusually accommodating and takes as much time as necessary to address all questions raised. Just a great experience all around.


I am so thankful for Dr. Bader. Since the first day I met with him, I knew I was in good hands. He is extremely knowledgeable and an expert in his field. He walked me through the surgery process step by step. Thanks to Dr. Bader, I can breathe like I never have before, and I absolutely love the cosmetic work he did on my nose as well. I have had many compliments on it. I also must say that my recovery was unbelievably easy. I didn’t have one complication. I would highly recommend Dr. Bader and his friendly staff. You will be very satisfied!


Dr. Bader’s staff is so friendly and personable; I look forward to my visit every three months. I’ve been using Dr. Bader for many years for my quarterly BOTOX injections and I’m pleased with the results every time. He listens to what my desires are and executes them perfectly. I do refer anyone and everyone to Dr. Bader when asked for aging assistance. Five Stars!


Dr. Bader was highly recommended to me by my brother who is a physician. He was very knowledgeable, experienced, and kind and I was extremely pleased with my outcome. I have recommended him to others, including family members, who have had great experiences and results, as well.


After consulting with several facial plastic surgeons, I chose Dr. Bader based on his thorough explanations of procedures and techniques, his ability to effectively answer all of my questions and concerns, and the caring nature of his staff. Although my facial surgery was minor in scope, Dr. Bader really understood how important it was to me.


Dr. Bader did a deviated septum and rhinoplasty for our daughter. She was so happy with the outcome of the surgery. He is very thorough and the office staff is wonderful at answering any questions you may have. If you are looking for a doctor who makes you feel confident and comfortable then Dr. Bader and staff are the right choice.

Terri Broussard

Just wanted to say THANK YOU for getting me in last Friday. My results are amazing already, I feel like a new person.


A big thank you for the beautiful flowers you sent after my procedure! Thank you for the caring before during, and after. Can’t wait for the final results!


I couldn’t be happier. You and Dr Bader make the office a warm and caring placing. I am forever grateful for a beautiful job, well done. I think y’all are wonderful


I really appreciate Dr. Bader for his patience, kindness and caring attitude! He answered all of my questions and performed a surgery beyond my expectations. I’m in love with my new nose and 10/10 recommend him to anyone and everyone! 


I will definitely return. Dr. Bader and his staff are wonderful! Dr. Bader’s techniques and care are as close to perfection as it gets. The staff are very friendly, honest people. I have had fillers and Botox and I am very pleased. At my age 52 I was seeking a natural rejuvenated look and Dr. Bader was able to deliver.


Came to Dr Bader today to have botox injected and he was SO incredibly thorough and took time to explain everything to me, which is much different than the provider that I have been seeing previously for my botox. Will definitely be coming back to Dr Bader for all my fillers and botox!


Very good Dr/Surgeon.. I would highly recommend to anyone… Excellent bedside manners

S Rice

Dr. Bader is not only one of the best doctors in Dallas, he is one of the best in the country! He is gifted surgically, is highly intelligent and well read, and is completely devoted to ensuring his patients receive the very best care. If anybody asks me who to see in Dallas for facial plastic surgery, I would not recommend anybody over Dr. Bader.

P. Daniel Ward