I have constant, visible twitching under my left eye 2 months after lower blepharoplasty. What can I do to make it stop. (Photo)

Question

Its been 2 month since my sx and I still have uninterrupted and visible twitching nonstop under my left eye. Please help.

Mehryar (Ray) Taban, MD, FACS · Answer

You need to see an ophthalmologist or oculoplastic specialist for evaluation. It could be early blepharospasm but most likely benign eyelid fasciculations which can be treated with botox.

Sanjay "Jay" Keni, MD · Answer

Hi Ahovind,Let me reassure you this is possible after lower bleph.  It results from irritation and inflammation of then nerve/muscle of the lower eyelid as it heals.  It will likely get better but may take some time.Follow closely with your surgeon.  He/she might recommend massage, cold compress, or even Botox to relax the muscle.Best wishes on your healing,Dr. Jay

David Cheung, MBChB, Bsc(Hons), FRCOphth · Answer

Hi greetings from the UK. Rest assured what you're experiencing can occur in the absence of surgery anyway. As others have said it can occur more commonly post surgery and we sometimes see it following any type of surgery. Usually it self resolves. Sometimes it improves with reduction in caffeine intake and better sleep patterns anyway. Very rarely if persistent, low dose botulinum toxin injections may be necessary. I'd agree that seeing an oculoplastic surgeon would be valuable. Best wishesDavid

Jason Brett Lichten, MD · Answer

You should follow the postoperative instructions given to you by your surgeon.  If you do not have them or have questions, call their office and be sure to follow the protocols they have established for your surgery.  If you are not happy with the answers they give, seek a second opinion in person with a local specialist.

Mehdi Sina, MD · Answer

Hi,Eyelid twitching, also known as blepharospasm can be treated with a very small dose of botox. Please follow up with your surgeon.Best,Mehdi Sina, MD

I have constant, visible twitching under my left eye 2 months after lower blepharoplasty. What can I do to make it stop. (Photo)

Answers (5)

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