The most time-tested treatment for facial paralysis involves a facelift on the paralyzed side of the face combined with a soft tissue “sling” used to pull up the corner of the mouth. In this procedure, tissue called fascia is harvested from the thigh through a surgical incision. Fascia is a form of connective tissue, which in this location is relatively strong and inelastic. Following a facelift on the paralyzed side of the face, this tissue is then sewn to the corner of the mouth and used to lift it. This provides relatively quick improvement in facial symmetry and speech, and it helps keep food in the mouth. Most patients experience initial “over-correction” that relaxes with time. This means that immediately after surgery, the corner of the mouth is elevated into a prominent smile that relaxes with time. This surgery is relatively quick, and the benefits of it are realized rapidly after surgery once swelling subsides. The downside is straightforward: No movement is restored to the face.