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For those with permanent facial paralysis, advanced surgical options can give them hope for restoring facial function. Joshua D. Rosenberg, MD, is one of the top facial reconstructive surgeons to offer complex facial paralysis surgeries that can improve the muscle movement and appearance of the face. One surgery that has had success in facial reanimation is a gracilis muscle transfer, a procedure that Dr. Rosenberg performs for his patients at his NYC surgical center.

What is a Gracilis Muscle Transfer or Transplant?

When long-term facial paralysis has occurred, the muscles in the face may atrophy. There may also be nerve damage that is irreversible. A gracilis muscle transfer is usually used with a nerve grafting procedure to restore nerve signals and muscle movement. The gracilis muscle is located in the upper inner thigh and has unique qualities. A small portion of the muscle can be transferred or transplanted in the face with the needed nerve, vein and artery.

During a gracilis muscle transfer, Dr. Rosenberg lifts the skin and tissue on the affected side of the face, similarly to a facelift procedure. The portion of gracilis muscle is harvested from the inner thigh or groin, then transplanted to the face. It is vital to ensure the transplanted muscle will have adequate blood vessels to restore circulation to the muscle tissue for healing.

Recovery from gracilis muscle transfers is fairly quick, usually within two weeks after the surgery. Over the next several months, muscle strength can improve and movement can begin to occur as the nerve transfer becomes effective. Facial function can slowly increase over the months and years that follow, with best results achieved through ongoing physical therapy.

If you have permanent facial paralysis and want to explore whether you are a candidate for gracilis muscle transfer surgery, schedule a consultation with Dr. Rosenberg. We have offices in NYC and Upper East Side for your convenience.

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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