{"id":23621,"date":"2024-05-03T11:29:40","date_gmt":"2024-05-03T17:29:40","guid":{"rendered":"https:\/\/www.artefacial.com\/uncategorized\/como-restaurar-la-funcion-del-parpado-en-la-paralisis-facial-tratamiento-para-la-extrusion-de-una-pesa-de-oro\/"},"modified":"2026-05-28T17:21:21","modified_gmt":"2026-05-28T23:21:21","slug":"restoring-eyelid-function-in-facial-paralysis-treatment-for-extrusion-of-a-gold-weight-implant","status":"publish","type":"post","link":"https:\/\/www.artefacial.com\/en\/surgery\/restoring-eyelid-function-in-facial-paralysis-treatment-for-extrusion-of-a-gold-weight-implant\/","title":{"rendered":"Restoring eyelid function in facial paralysis: Treatment for extrusion of a gold weight implant"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"23621\" class=\"elementor elementor-23621 elementor-23613\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-694fd74 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"694fd74\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8a0f90c\" data-id=\"8a0f90c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4b6fb88 elementor-widget elementor-widget-text-editor\" data-id=\"4b6fb88\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The implantation of a gold weight is currently the\u00a0gold<strong>\u00a0<\/strong>standard for treating paralytic lagophthalmos, which is the inability to close the eye fully after facial paralysis. However, certain complications are associated with this procedure. Migration and extrusion of the implant are the most common, especially in older patients, and they may occur months or years after the operation. Extrusion should be treated promptly to prevent infections. If untreated, the implant will be pushed out through the thin eyelid skin.\u00a0\u00a0<\/p><p>The implant must be repositioned by the surgeon to correct extrusion and restore eyelid function. The procedure is safe and can be performed under local anesthesia. The gold weight is removed and placed in a more superior position under the levator muscle\u2014the muscle responsible for elevating the upper eyelid. Therefore, the implant will be covered by a thicker muscle layer, which should significantly decrease the risk of extrusion. A second protective layer of AlloDerm tissue matrix may also be placed, although not all surgeons consider this necessary.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c6d2e76 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c6d2e76\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-698d4ef\" data-id=\"698d4ef\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e878487 elementor-widget elementor-widget-video\" data-id=\"e878487\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/youtu.be\\\/q1YMJ7ai1LI&quot;,&quot;show_image_overlay&quot;:&quot;yes&quot;,&quot;image_overlay&quot;:{&quot;url&quot;:&quot;https:\\\/\\\/www.artefacial.com\\\/wp-content\\\/uploads\\\/2024\\\/05\\\/Restoring-eyelid-function-in-facial-paralysis-1.webp&quot;,&quot;id&quot;:23635,&quot;size&quot;:&quot;&quot;,&quot;alt&quot;:&quot;Restoring eyelid function in facial paralysis&quot;,&quot;source&quot;:&quot;library&quot;},&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t\t\t<div class=\"elementor-custom-embed-image-overlay\" style=\"background-image: url(https:\/\/www.artefacial.com\/wp-content\/uploads\/2024\/05\/Restoring-eyelid-function-in-facial-paralysis-1.webp);\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-custom-embed-play\" role=\"button\" aria-label=\"Play Video about Restoring eyelid function in facial paralysis\" tabindex=\"0\">\n\t\t\t\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-play\" viewBox=\"0 0 1000 1000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M838 162C746 71 633 25 500 25 371 25 258 71 163 162 71 254 25 367 25 500 25 633 71 746 163 837 254 929 367 979 500 979 633 979 746 933 838 837 929 746 975 633 975 500 975 367 929 254 838 162M808 192C892 279 933 379 933 500 933 621 892 725 808 808 725 892 621 938 500 938 379 938 279 896 196 808 113 725 67 621 67 500 67 379 108 279 196 192 279 108 383 62 500 62 621 62 721 108 808 192M438 392V642L642 517 438 392Z\"><\/path><\/svg>\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-88f3773 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"88f3773\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4b2a2a9\" data-id=\"4b2a2a9\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1a01c2f elementor-widget elementor-widget-text-editor\" data-id=\"1a01c2f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Recovery is quick and painless. Patients should expect mild bruising and swelling for about a week after surgery. Postoperative care includes applying prescribed topical anti-inflammatory ointment and cold compresses. Lastly, repair of the skin over the implant is complete about a month after surgery.\u00a0<\/p><p>The goal in these cases is to restore eyelid function while minimizing the risk of extrusion recurrence. Additionally, adequate eyelid closure guarantees protection of the ocular surface, which is essential for eye health.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>The implantation of a gold weight is currently the gold standard for treating paralytic lagophthalmos, which is the inability to close the eye fully after facial paralysis. However, certain complications are associated with this procedure.<\/p>\n","protected":false},"author":2,"featured_media":23623,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20,22],"tags":[936,937,934,935,939,938],"class_list":["post-23621","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-oculoplastic-procedures","category-surgery","tag-extrusion-of-ocular-implant","tag-gold-weight-for-lagophthalmos","tag-lagophthalmos-correction-surgery","tag-lagophthalmos-postoperative-care","tag-treatment-for-gold-weight-extrusion","tag-treatment-of-paralytic-lagophthalmos"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Facial Paralysis: Restoring Eyelid Function in Costa Rica<\/title>\n<meta name=\"description\" content=\"Gold weight implantation is currently the standard 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