Is botox safe for patients who have had Bell's Palsey

Stephen Mandy, MD answers: Botox risky if you have Bell's Palsy history?

have a slightly drooping lid and smile/bell's palsy incomplete smile & sliglhtly smaller eye, droopy lid- both residual from bell's palsy. b/c i got from bell's, nerve problem, i'm alittle afraid of injecting something which also might affect the nerves. botox was suggested, but again, would it be risky b/c of bell's history? i once tried restylane below for tired lines and when it plumped up bottom, made smaller eye look even smaller. any experience with this? trying to avoid potential problems before doing anything. want old smile back but can live with this, but eye issue really bothers me. opinions and suggestions greatly appreicated. thanks...


Stephen Mandy, MD
4 months ago

Botox is a superb way to "normalize" a face that shows asymmetry as a consequence of Bell's Palsey.  Very often, the unaffected side shows hyperactive expression in an attempt to compensate for the opposite side's paralysis, and this can be relaxed into a more normal repose.  However, use of Botox to achieve this effect should be done by someone with superb knowledge of facial muscle function and great experience with the finesse of Botox injection.  Fillers also can be helpful in dealing with the atrophy that often accompanies long periods of disuse of some of the facial muscles.

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