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In most cases of facial paralysis, one side of the face is affected while the other side remains animated. This can distort the features of the face, as well as limit function for speaking, chewing and eye movement. Nerve grafts and transfer are some of the surgical options available to restore movement to facial muscles to improve function and appearance. One technique that is used is cross-face nerve grafting, a surgery offered by Joshua D. Rosenberg, MD.

Joshua D. Rosenberg, MD, is a respected facial plastic and reconstructive surgeon with a passion for helping those with facial paralysis find effective treatment options. His time spent as a founding member of Mount Sinai’s Facial Nerve Paralysis Program has given him the experience needed to perform the most advanced options in nerve repairs. For those with facial paralysis, nerve grafting can offer a solution to improve muscle function on the paralyzed side of the face, including the cross-face method.

What Is Cross-Face Nerve Grafting?

The idea behind cross-face nerve grafting is to use the working facial nerves on the other side of the face to drive function in the paralyzed side. To achieve this, a nerve is harvested from another area of the body to graft to the working facial nerve. The transferred nerve begins to learn the movements and function from the active facial nerve, usually over several months. Once the transferred nerve becomes active, it can be transferred to the paralyzed side to begin reanimating the muscles.

Cross-facial nerve grafting is best performed on those who have had facial paralysis for more than two years. If muscles have been stagnant for more than two years, a muscle graft or transfer may be needed. This surgery can be very successful, but it does require two years or more for the results to be fully realized and physical therapy is needed to retrain the muscles.

If you are interested in learning more about cross-face nerve grafting or other facial paralysis treatments, contact the office of Dr. Rosenberg today for a consultation.

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Our Patient Reviews

Joshua D. Rosenberg, M.D.

4.9 / 5.0

Based on 11 reviews

Tonio Jennifer

Knowledgeable Doctor, great staff...somehow Dr Rosenberg makes you feel that no matter the odds he will come thru for you and with me he did so many times

Karmita Avila

I haven't the opportunity to meet the doctor yet, I have an appointment. I was referred by an ENT doctor in NJ, Dr. Douglas Leventhal, nice, young, excellent bed manners. Unfortunately he does not reconstruction nasal perforation, but he was very interested in helping me, and he referred me to a colleague in NY, and asked me wait a call from them, otherwise to call him back if they didn't contact me. Thanks GOD, they are very efficient and received, today two calls , I finally got to talk to Evelyn, very kind, and patient, gave me the appointment, I hope that my present health problem due to bad medical practice years ago, Dr. Rossenberg, can reconstruct my septum. I thank you from deep of my heart.

Nada Alkhawam

I want to thank DR. Rosenberg for his time and he’s amazing staff,he did a wonderful job operating on my face moving the cyst last Tuesday , I couldn’t believe my self the way he operates berly any brosis, he’s amazing surgeon , and he’s staff especially Ann& daina they are on top everything sweetheart they answered all my questions, with friendly since humor, I’m so lucky to have him As surgeon

Theresa Norris

Excellent surgeon supported by caring medical team members. Highly recommend.

Jan Wong

Dr. Rosenberg and his staff are thoughtful, caring and made me feel at ease during my procedure and at my follow up visits. Highly competent and friendly staff. Definitely recommend.

Sue Bee

An excellent Doctor who is kind and compassionate. He genuinely cares about his patients and their well-being.

Joshua D. Rosenberg, M.D. New York, NY logo

Joshua D. Rosenberg, M.D.
234 East 85th Street, 4th Floor
New York NY 10028

(212) 241-9410

Opening hours:
Monday & Friday 9:00 AM – 5:00 PM

Joshua D. Rosenberg, M.D.
2052 Richmond Road
Staten Island NY 10306

(718) 420-1279

Opening hours:
Monday & Friday 9:00 AM – 5:00 PM