We present a Madelung disease case which affected in its progressive evolution the cervical anterior, submadibular, occipital and bilateral parotid areas. The excision of the lipoma located in the parotid area involved the dissection of the temporal zygomatic branches of the facial nerve which resulted in their different degree post-surgical paresis. We monitored the evolution of the paresis after the intake of nimodipine for 7 days immediately after the surgery, noticing total remission of the paresis 6 months later.