Will Botox Help Nerve Damage from Bell's Palsy After 9 Years?

I have some nerve damage from Bell's Palsy. My left eye is squinty, nerve twitching by my nose, and my cheek is tight.It sounds like Botox may help.I had Bell's Palsy roughly 8 years ago. Is it too late for the treatments? Do you think I should go for it? 

Doctor Answers 8

Botox for facial muscle twitching

If you have twitching of facial muscles as your recover from your Bell's palsy Botox can help to stop these movements.  

Atlanta Plastic Surgeon
4.5 out of 5 stars 14 reviews

Botox after Bell's palsy works

To answer your question. YES!. Aberrant regeneation after Bell's palsy and hemifacial spasm can be helped by botox. Most often your insurance will cover it.

Chris Thiagarajah, MD
Denver Oculoplastic Surgeon
5.0 out of 5 stars 7 reviews

Botox Great For Facial Twitching

Synkinesis is the twitching of the facial muscles with voluntary action of some other facial muscles. Botox can help when injected into the twitching muscle.


Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 53 reviews

Botox use and facial nerve weakness

Following Bells Palsy, the muscles on one side of the face may be weaker than the other or the damaged nerve will, in some cases, cause areas of hyperactive contraction of the facial muscles. In either case, Botox can help enhance the balance of the facial muscles and increase symmetry. It is important you find a surgeon who has experience with this and can help you.

Amir M. Karam, MD
San Diego Facial Plastic Surgeon
4.5 out of 5 stars 104 reviews


Botox works by paralyzing the underlying muscles of the face. In cosmetic cases, it is used to lessen the wrinkling of the overlying skin. In your case it would be used to try and achieve a better balance of your remaining facial muscle function. You may have a nice result. It would be a good thing to try, knowing that the effects are temporary and can always be repeated if you like the result. Good luck.

David Shafer, MD
New York Plastic Surgeon
5.0 out of 5 stars 69 reviews

Botox, facial contouring, Dysport

Dear Tommy

i have used Botox for facial balancing after Bell's palsy.  it works well but very small doses must be used.

With Warm Regards,

Trevor M Born MD

Trevor M. Born, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 79 reviews

Botox for Bell's Palsy is experimental

Botox may help treat hyperkinesis (overactive muscles) after Bell's palsy, but it is experimental and requires a good relationship with a patient Plastic surgeon that is willing to spend extra time with you to help solve your problem.  It is definitely worth a consultation.  Good luck

Daryl K. Hoffman, MD
Los Gatos Plastic Surgeon
4.5 out of 5 stars 12 reviews

Botox and length of time since Bells Palsy

Botox can provide help for your Bell's palsy regardless of the time since the initial incident. The Botox is typically used on the normal side to relax and make it appear more similar to the weakened side.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 64 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.