Modified Selective Neurectomy with Symmetrical Facial Repositioning.

Importance: There are no surgical techniques described to treat synkinesis and concurrent facial asymmetry. We describe our innovative and effective approach and technique. Objective: To improve the spontaneous smile mechanism as well as facial symmetry in patients with synkinesis not only during the smile mechanism but also at rest. Design: Surgical pearls-surgical technique description. Setting: Private practice. Participants: Patients who underwent the operation.