Eyebrow lift or Botox for Bells Palsy? Recently turned 21, I was diagnosed Bells Palsy when I was 5. (Photo)

Question

due to not treating on time i developed synkenises on my right side. over the years ive gotten used to not smiling too big and restricting my facial expressions so i dont look wonky In this picture however im smiling big how i usually dont and i notice weakness of my facial muscles since i dont have much movement around my eyebrow and eyelid and upper cheek...

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. I suggest that you move forward and consult with a board certified facial plastic surgeon.
Best wishes,

Toby Mayer, MD · Answer

Unilateral bro lift on low side for better symmetry after Bell’s palsy. This will give you a cheaper and better outcome. Your hairline looks high so it should be done using the procedure we developed called the Irregular Trichophytic Forehead Lift Incision so your hairline isn’t raised further. See an experienced surgeon who can show you photos of the hairline without a noticeable scar.

Tom D. Wang, MD, FACS · Answer

Hi there, thanks for your question and photo.  It is difficult for me to tell the position of your eyebrows as it is not included in the photo.  In general, synkinesis following Bell's can be improved with Botox.  If your eyebrow is lower on the side affected by the Bell's, you may consider a unilateral brow lift to compensate for that on a long term basis.  In general, I have not found that to be the case for most post-Bell's patients.  Of course, an in-person evaluation can be very helpful to answer theses questions for you.  Best of luck to you!

Curtis Wong, MD · Answer

more predictable and less costly in the long run... and you can have it at your hairline or you can have it at the upper edge of your brow as both would work well.  I would prefer the brow approach as it would be easier and more predictable and very easy to revise if it was not perfect.

Ivan Vrcek, MD, FACS · Answer

Thank you for your question and photo!
An in-person evaluation would be critical to assess your particular facial dynamic movement; however, in general both botox and surgical options can be used in patients like yourself. You might consider starting with botox since it is less invasive and progressing to surgery if needed.
Consider finding an ASOPRS oculoplastic surgeon in your area for a consultation.
Best of luck!

Eyebrow lift or Botox for Bells Palsy? Recently turned 21, I was diagnosed Bells Palsy when I was 5. (Photo)

Answers (6)

Answer: Browlift

Answer: Browlift

Answer: Both options are reasonable to consider

Answer: Both options are reasonable to consider

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.

Eyebrow lift or Botox for Bells Palsy? Recently turned 21, I was diagnosed Bells Palsy when I was 5. (Photo)

Answers (6)

Answer: Browlift

Answer: Browlift

Answer: Both options are reasonable to consider

Answer: Both options are reasonable to consider

Browse related questions

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.