How to chose a doctor for Botox injections for eyelid twitching?

Question

A little over a year ago I began to experience twitching in my lower left eyelid. Since about May of last year, the twitching has progressed to both my upper and lower lids of each eye. It’s not impairing my vision but is extremely irritating. I’m ready to make a move and try Botox but I’m not sure the route to take. I do not have insurance. Can I go straight to a plastic surgeon or do I need to see an ophthalmologist first? Please help! (I do not have insurance and plan to pay out of pocket.)

Jason Emer, MD · Answer

I recommend getting a formal evaluation with a board certified ophthalmologist. Botox results resolve in 3-4 months. Best, Dr. Emer

Tanya T. Khan, MD · Answer

Hello, you may have either benign essential blepharospasm or hemifacial spasm. These conditions are BEST evaluated by an oculoplastic surgeon, and this is where I would start.

Andrew T. Lyos, MD, FACS · Answer

Hello and thank you for your question!  Botox has been used for blepharospasm (eye twitching) and facial spasms very successfully. After the neurologist has ruled out any neurological complications and it is found to be merely twitching with no underlying diagnosis, this can be relieved by Botox.  I would recommend a board certified plastic surgeon who is an expert with this type of condition inject your Botox, this will assure you can reduce the twitching yet also keep the cosmetic symmetry of your eyes.  I hope this information helps and best of luck to you!

Jeffrey Joseph, MD, FACS · Answer

Numerous providers can help you.  A facialplastic surgeon, plastic surgeon, oculoplastic surgeon, dermatologist or neurologist all may do it.  Call a few to see what costs are involved in your area.

Nelson Castillo, MD · Answer

Thank you for sharing your question.  A small amount of Botox can often improve this eye twitching and I would advocate for either an ASPS board certified plastic surgeon or oculoplastic surgeon. Hope this helps.

How to chose a doctor for Botox injections for eyelid twitching?

Answers (5)