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Long-Term Botox for Hemifacial Spasms

Balloon Cottage
I have had hemi-facial spasms for 10 years. For the last 3-4 years Botox has proved very successful. I am contemplating surgery which is drilling into the skull because I am concerned about Botox losing it's effect after 30 years (when I am 85) and/or causing weakened facial muscles and a dropping face, eyelid, etc. Are there any studies of Botox used for Hemi-Facial Spasms for 30 years out? I cannot find any information on Botox used for 30 years. Please advise.

Answers (9)

From board-certified doctors and trusted medical professionals
Ron Shelton, MD profile photo
Dr. Ron Shelton, MD
Dermatologic Surgeon, Board Certified in Dermatology
4.8 | 54 Reviews
Answer
Houtan Chaboki, MD profile photo
Dr. Houtan Chaboki, MD
Board Certified Facial Plastic Surgeon
4.9 | 130 Reviews
Answer
Mark J. Lucarelli, MD profile photo
Dr. Mark J. Lucarelli, MD
Oculoplastic Surgeon, Board Certified in Ophthalmology
5.0 | 15 Reviews
Answer
Kenneth D. Steinsapir, MD profile photo
Dr. Kenneth D. Steinsapir, MD
Oculoplastic Surgeon, Board Certified in Ophthalmology
4.8 | 78 Reviews
Answer
Dr. Michael McCracken, MD
Oculoplastic Surgeon, Board Certified in Ophthalmology
Answer
Dr. Louis W. Apostolakis, MD
Board Certified Facial Plastic Surgeon
Answer
Dr. Richard W. Fleming, MD (retired)
Board Certified Facial Plastic Surgeon
Answer
Dr. Edward Lack, MD (retired)
Board Certified Dermatologist
Answer
Dr. Kevin C. Smith, MD (retired)
Dermatologic Surgeon, Certified in Dermatology
Answer

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