1 Division of Facial Plastic & Reconstructive Surgery, Esteem Penn State Health Cosmetic Associates, Facial Nerve Disorders Clinic; Department of Otolaryngology-Head & Neck Surgery, Facial Plastic & Reconstructive Surgery, Penn State College of Medicine, 500 University Drive H-091, Hershey, PA 17033, USA. Electronic address: jlighthall@pennstatehealth.psu.edu.