Bell's palsy- residuals and synkinesis.

Ideallly, Botox is started after there are few additional changes to the face. For Bell’s palsy this is often 4-6 months after the initial onset. There is some evidence that Botox performed during recovery may be helpful, but this is not fully clarified and is not performed in most practices. Physical rehabilitation is the first line treatment, and then Botox should be administered by a Facial plastic surgeon once a plateau has been reached regarding improvement during rehab sessions. You should notice improvement each week with effective rehabilitation.  

Thanks for the question. The first line treatment with synkinesis is physiotherapy. Second line is Botox. Most patients who require physiotherapy for synkinesis will go on the have botox as well. We do not know the answer as to when the best time to start Botox is, and practice varies between centers. I would mention that if you have had a facial palsy and you have one sided tinnitus, I would recommend you see an ENT surgeon for a full examination. I hope this helps 

Thank you for your question. You can receive Botox treatment now to help improve your appearance until your Bell's palsy resolves. Since this condition can resolve spontaneously, I would not recommend any surgery at this time.