Sorry to hear about your Bells' palsy. Blepharospasm (eyelid spasms) can be improved with Botox in patients with Bell's palsy. The injector needs to not over-dose you as the eyelid closure is already weakened. Getting perfect symmetry for your face is not possible, but subtle improvements can be achieved. Problem is that you don't want your non-paralyzed side to droop to look more like the paralyzed side.
Botox to treat bell's palsy or other facial paralysis is a good but not perfect option
Botox can be used to paralyze facial muscles in patients who have paralysis on the other side (such as bell's palsy) to create a better symmetry. It's not perfect but creates a better symmetry. It can also be used for blepharospasm and blepharospasm was actually the first use of botox.
Can Botox help Bell's Palsy?
Palsy condition is a condition of facial nerve weakness, usually
one-sided. If the underlying cause of
the Bell’s Palsy and the facial weakness does not resolve, then animated facial
asymmetries can occur, such as low brow, droopy smile, smooth or soft tissue
fissures, weakness of eye closure, partial breathing obstruction and abnormal
lip movements on the side affected by the Bell’s Palsy. Paradoxically, the contra-lateral, or other,
side of the face is often afflicted by overanimated muscle motion, such a
facial twitching and elevated facial features.
I was a head and neck oncologic cancer surgeon for many years and, in
dealing with cancers around the facial nerve, induced facial nerve weaknesses
occurred in removing the cancer. I have
found, both in my reconstructive practice and over the last 18 years of my
aesthetic practice, that Botox® can be extremely helpful in modulating and
improving some of the excessive facial movements that occur on the unaffected
Botox® side. It also balances a lot of the soft tissue contours, such as brow
shape, eyelid appearance, nostril width and mouth position. Botox® combined with soft tissue fillers can
often make an extremely pleasing improvement in the long-term aesthetic
consequences of Bell’s Palsy. To find
out more, check the following link below.
Stephen Mulholland, Certified Plastic Surgeon, Yorkville, Toronto
For some patients, Botox can help with Bell's Palsy. It is best to consult with a Bell's Palsy and facial paralysis expert to determine the best treatment for you.
Does Botox help with Bell's palsy? Can it line up my face and stop my eye from twitching?
Yes. Botox can definitely improve symmetry in cases of facial palsy. This can be complicated and you need a physician injector who understands the issues presented by facial palsy. They also need an exceptional knowledge of the facial musculature. Botox can reduce spasticity/ twitching. It can also be used to raise or lower certain facial features improving symmetry. Make sure that your injector has successfully treated facial paralysis patients in the past.
Stephen Weber MD, FACS
Denver Facial Plastic Siurgeon
Botox can help with improving symmetry and balance especially in those with facial palsy
Botox can be used to help re-balance facial expression and reduce twitches in people who have Bell's and other palsy's. It is an advanced injection technique and requires an excellent understanding of facial anatomy and very precise placement of the drug for best effects. I think it's one of the most wonderful effects of Botox that go beyond pure aesthetics.