Post-Treatment > Facial Issues

Botox Treatments

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debbiefletcher:
I am eight years post-op and have had facial nerve damage immediately and synkinesis  since 4 months after surgery. Botox has helped tremendously, as I used to have horrible muscle spasms in my facial muscles. The right (surgery) side of my mouth had a very pronounced droop in the beginning, but looks almost normal now. Insurance didn't want to pay, but I kept fighting until they approved. Good luck!

JLR:
Since I have that awful eye droop my eye dr doesn't recommend Botox because it might freeze the eye muscle and have difficulty closing eye (which I had for over a yr. now eye closes fine). Do you have Botox to correct eye droop. Thanks

lablove:
Botox performed in a synekinesis clinic by a plastic / reconstructive surgeon working side by side with a facial physical therapist while being followed by an ophthalmologist is the way to go. Every 3 month assessments / modifications / treatments has been life changing. I couldn't be more happy in my awful situation of severe facial paralysis. The good thing about botox is that it does wear off so even if the eye doesn't close & needs more attention, the dosage & placement of the injections can be changed. I have confidence in exact placement of the toxin by the experienced facial palsy plastic surgeon. While botox is readily offered & available by lots of practitioners, I would look for one who works with a PT & your surgeon. It will be 2 years next week post surgery & every 3 months followup with PT evaluation & Botox started 8 months postop. There continues to be small improvements in function of facial muscles & I continue to be positive & hopeful though I sure miss my toothy grin.

Kaci:
Thank you all for your opinions and sharing your own experiences. Updating on my Botox appt. the plastic surgeon works with my surgeon and neurosurgeon so I felt he understood my situation. I do have synkinesis and I must say it’s so annoying. When I blink my mouth moves with it and i always feel like I’m twitching, I just want it to relax. So hard to explain but if you experience this I guess you would understand it. I had Botox for the dimpling, above my right brow to try and lift the lid more and a lot around my mouth to even it out more. I was blinking better prior to the Botox, almost fully closing and the Botox made it more difficult to close now. Not back to where it was but def affected that. He was very conservative for this reason. My mouth area looks better, that dimple is gone but another was created in a different spot. For the first week I felt like it may have relaxed my muscles because I wasn’t twitching as much, that pulling to the right feeling but now it seems to be back. Other then not having tears, losing my hearing on one side, the pulling of that facial muscle is hard to deal with. Overall I’m happy I had it done, I go back in a few weeks to possibly to alittle more. Insurance did pay for the Botox

Rhcdad:
Good to hear! Constant hills for us on the other side to climb. It can get you at times. I'm headed to the gym, something I found super beneficial.

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