Surgery for the eye aims to improve eye closure. A small weight can be placed under the skin of the upper eye lid and that helps it to close by the action of gravity. The lower eye lid is lax, and that is improved by tightening it through a small operation at the outside corner of the eye. Sometimes this needs to be re-enforced by insertion of a little tendon graft or even some cartilage that can be taken from the ear. Surgery for the face very much depends on what the patient desires to achieve. These can range from relatively straightforward procedures, what we call static procedures, which simply improve the symmetry of the face, so that an individual looks normal or more normal in photographs or in social situations. At the other end of the spectrum of complexity, operations to actually restore movement to the mouth and aim to produce a dynamic smile. In long established, severe palsies, this would require the importation of new muscles into the face, and this can either be by redirecting a muscle that’s already there on the side of the jaw, such as the biting muscle, or bringing a new muscle in from the inside of the leg, the gracilis muscle.