Why is my eye closing when I raise my eye brow? (Photo)

Question

I had a lower Blepharoplasty and canthoplasty (fox eye) I didn’t really want the fox eye but they said this is the only way I’ll get the desired result. Anyway I had the procedure 18 months ago and I lost the majority of feeling around my eyes. Now I am getting the feeling / movement back when I raise my eyebrows my left eye closes involuntarily. I have been back to see the surgeon and he has said I will just need to treat it with Botox for THE REST OF MY LIFE! Please tell me there is a fix!?

Williams Bukret, MD · Answer

Your eye closing when raising your brow is likely due to nerve miscommunication between the trigeminal (CN V) and facial nerve (CN VII) after surgery. This can often be improved with targeted treatment.

Recommended Treatment:
Neuromuscular retraining to restore normal movement.
Targeted Botox (temporary use) to reduce misfiring signals.
Nerve block test to assess potential for nerve resetting.
Desensitization therapy to regulate nerve activity.
Surgical revision (if needed) to relieve excess tension.
Next Steps:
Consult a oculoplastic surgeon for evaluation. Starting with therapy and Botox is recommended before considering surgery. With the right approach, improvement is highly likely.

Hope this helps.
Dr. Bukret, from Argentina

Why is my eye closing when I raise my eye brow? (Photo)

Answers (1)