Restoration of movement to the upper eyelid in facial palsy by an individual gold implant prosthesis.

F acial nerve palsy causes lagophtalmia of the upper lid (Fig. 1). In addition to being an esthetic deformity, it may lead to recurrent keratitis, keukoma, conjunctivitis, and even blindness. In facial palsy, overaction of the levator palpebrae muscle is present. Closure of the eye and downward movement of the lid can be achieved by adding weight to the upper lid. This article describes a technique for providing upper lid implants of gold for patients who have experienced facial palsy.