The Gillies’ procedure refers to a compensational procedure in which the face motor skills ( movement abilities) are reanimated after a damage of the facial nerve. In the case of a facial nerve damage, the corner of the mouth drops and the eyelids can cannot shut sufficiently so that a watch-glass-eye patch ( protective eye patch ) has to be worn in the night. These symptoms can also occur independently when the facial nerve is partially damaged. An insufficient eyelid closure can cause a great deal of problems to the suffering patient and is therefore a central topic in the field of plastic and reconstructive surgery. In order to restore the lid function, a muscle from the temporal region can ne transpositioned in such a way that a thin strip of the muscle fascia will be pulled on the upper and lower lid respectively. The temporal muscle is innervated from a motor branch of the trigeminal nerve and therefore remains intact even when the facial nerve is damaged. The temporal muscle is responsible for chewing and biting. During this procedure, only a 1 cm stripe of the muscle is being used and therefore there are no deficits after the muscle harvest and transposition. The harvested muscle strips and their fascia are so transpositioned that both reins ( on the upper- and lower lid respectively ) meet at the inside corner of the eye and are here sutured together. In this way the eyelid closure is once more possible through a contraction of the transpositioned muscle . The patients are not obliged to wear any protective eye patches after the operation since the lid closure is possible also when in bed. The human brain has the capability to learn this new motor-pathway and as new software, store it and re-organize the information in the brain cortex. As a result ,the new movement can be automated and with time, a synchronous lid closure with the opposite side and therefore a recovered face symmetry can be reached. The Gillies’ procedure represents a typical example of muscle transfers in the field of Plastic and Hand surgery in which an intact muscle is transpositioned in such a way that an affected function can be restored ( motor replacement operation). Furthermore the Gillies’ procedure, through which an eyelid lift ( blepharoplasty) is achieved, constitutes an indicative therapeutic measure that is characterized as reconstructive and not as aesthetic meaning that it’s expenses should be covered by health insurances. The goal of the procedure is to restore the eyelid closure in order to prevent the drying of the eyes. Our Plastic Surgery Clinic in Berlin specializes in the field of facial reconstruction and offers all possible therapeutic procedures and approaches for the facial paralysis treatment

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