Can Corticosteroid Be Injected into a Hyperactive Undereye Muscle for Muscle Twitch? What About Botox?

asked 7 months ago by mbalta in tucson, az
Latest answer by Ronald Shelton, MD
Question viewed 127 times
Tags: under eyes, muscle spasms, twitch

Can corticosteroid be injected into a hyperactive undereye muscle twitch? What about Botox? I am looking for a permanent solution to a permanent problem.

6 answers to Can Corticosteroid Be Injected into a Hyperactive Undereye Muscle for Muscle Twitch? What About Botox?

Botox for eyelid twitch

See an ophthalmologist for evaluation of your twitch and possibly Botox will be recommended, not corticosteroid injections. The botox may break the cycle depending on what the cause of your twitch is. The twitch may recur after several weeks to several months after botox and you may need further Botox or different treatment.

Ronald Shelton, MD
Manhattan Dermatologist

What to do about an under eye muscle twitch

Most commonly the cause of an under eye muscle twitch is eye fatigue, but there are other causes. I would recommend a consultation with a board-certified ophthalmologist to determine the exact cause of the twitching. Neither steroid injections nor Botox are a permanent solution to any problem. Both of them act temporarily. Corticosteroid injections do not do anything for under eye muscle twitching. In fact corticosteroids applied or injected around the eye can... more

Emily Altman, MD
Short Hills Dermatologic Surgeon

Your symptoms are known as blepharospasm and botox is a good solution

Hello, Injection of steroids is not a good idea as it will have a thinning effect on the surrounding tissue. Botox will helps but it will only be temporary. I would have an experienced injector perform this. Just know that you may have to progressively increase the amount and areas injected until you get the ideal amount of muscle paralysis. All the best, Dr Repta

Remus Repta, MD
Phoenix Plastic Surgeon

Well first you need an appropriate assessment by an oculoplastic surgeon.

Eye twitching or blepharospasm is often a benign condition what is mildly bothersome. However, for some it can be severe. Depending on your circumstances, you may benefit from treatment with BOTOX or Dysport. However, corticosteroids have no role in treating this condition. An oculoplastic surgeon will assess your eyelid twitch and look for secondary causes for the condition such as dry eye. These need to be treated first before injecting the muscle with... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Hyperactive under eye and Botox

Botox is the solution you are looking for. An undereye muscle twitch is neurologic in origin and there is no permanent solution to this problem. Botox is your best option and it will work very well but only for a period of 3-4 months and then need to be repeated. However, with that being said, there are many patients, that after receiving this treatment, receive a biofeedback mechanism that can reduce the return of the twitch in the long run. Essentially, you retrain... more

Shepherd G. Pryor, MD
Scottsdale Facial Plastic Surgeon

Hyperactive Undereye Muscle Twitch

First, neither of these is a permanent solution. Cortisteroid will be absorbed by your body over time, and this is not a good use for it anyway. Botox could work in this area, but it does only last 3-4 months average, so you will need to do it repeatedly. I would suggest you visit a highly experienced injector or perhaps an ocular specialist for evaluation and options, as undereye muscles require very specific injection levels and technique.

F. Victor Rueckl, MD
Las Vegas Dermatologist

www.lakesdermatology.com

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