Blepharospasm & Facial Spasm

What is spasm?

Blepharospasm and hemifacial spasm are periodic spasms of the muscles in the eyelids or face that develop either spontaneously or after facial trauma or Bell’s palsy. These spasms can be extremely debilitating, and patients may be unable to open their eyes, swallow, or speak, leaving them functionally blind.

Oculoplastics specialists were among the very first physicians to treat these movement disorders with botulinum toxin (Botox, Xeomin, or Dysport), and have been pioneers since the earliest clinical trials in the 1980s. Our specialized training makes us uniquely qualified to analyze and treat the delicate eyelids, allowing for the optimal balance of opening and closing the eyelids appropriately.

Deepak Ramesh, MD

Oculofacial Plastic Surgery

How is this treated?

Treatment is with injections of botulinum toxin (Botox, Xeomin, or Dysport) to weaken the spasmodic muscles. The effect starts within 3-7 days, and lasts for up to 3 months. Rarely, surgery may be considered to treat very severe disease. Treatment is typically lifelong, although patients find they need less medicine as time goes on. This can be combined with fillers or other cosmetic treatments for a synergistic cosmetic effect.