I have Bells Palsy 1 month now. My right eye looks significantly bigger maybe even swollen any thoughts on what to do? (photo)

Question

I may have just noticed the size today due to the fact that I actually put on eyeliner for the first time possibly making the difference more noticeable. Please note that my eye doesn't hurt at all and I can blink almost normal. It also closes slowly all the way

Rohit Jaiswal, MD · Answer

Thanks for your question and posting a photo. 
Bell's palsy typically has a self-resolving course in the majority of patients. There are four grades (I-IV) with IV being the most severe. Fortunately, most patients are in the grade I; about 71% should regain total function of the nerve. Even if full recovery doesn't happen, chances are good that the asymmetry will be fairly minimal. 
Assuming the correct diagnosis is, in fact, Bell's palsy, typically the first step is just to watch it for weeks. During that time there may have to be some tests run to make sure nothing else is causing it. Assuming these are normal, if there is still no sign of recovery after 3 weeks then additional tests may need to be done. 
There are many options for treatment in the event there is not a full recovery. However, one month is likely too soon to do any surgical treatment- again, most patients will have a significant recovery (though it can take time). 
It is critical to follow up with a qualified physician during this time- ideally a neurologist, ENT surgeon, or plastic surgeon. They will be able to monitor progress and refer for testing if necessary. 
Best wishes, 
Rohit Jaiswal, MD 
Plastic Surgeon; Las Vegas, NV

Mark L. Mazow, MD, FACS · Answer

Bells' palsy is usually diagnosed either in the setting of a viral infection or when other forms of facial palsy have been excluded. If you haven't been fully evaluated, then it would be advisable to do that. Bells' palsy will usually resolve in 6-8 weeks. If facial function hasn't returned by then nerve conduction studies can be helpful to evaluate the progress. Facial nerve palsy can cause retraction of the upper an lower lids on the affected side. I would advise you to see a fellowship trained Oculoplastic surgeon for a complete evaluation.

Flora Levin, MD, FACS · Answer

it is a bit hard to tell from the photo but looks like your right (?) lower eyelid (looking at the photo) is sitting lower than the left lower eyelid. There is more white (sclera) showing, making your eye look bigger. Bell’s palsy can affect the position of the lower eyelid (and the upper) and it may take weeks-months for it to improve. I suggest an exam with an oculoplastic specialist to assess the problem and monitor or offer intervention if/when needed.

Sara A. Kaltreider, MD (retired) · Answer

The facial nerve function can slowly return after Bell's Palsy. This may take up to 6-12 months. It is beneficial to see an Oculoplastic surgeon to follow your improvement and check your cornea. If total function does not return, then there are several procedures that can help tremendously with the symmetry. Best wishes.

I have Bells Palsy 1 month now. My right eye looks significantly bigger maybe even swollen any thoughts on what to do? (photo)

Answers (4)

Answer: Bell's Palsy

Answer: Bell's Palsy

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I have Bells Palsy 1 month now. My right eye looks significantly bigger maybe even swollen any thoughts on what to do? (photo)

Answers (4)

Answer: Bell's Palsy

Answer: Bell's Palsy

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Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.