•Facial palsy, most often a Bell’s palsy, recovers completely in most of the cases over 3 to 6 months.
•Unfortunately it may happen that the patient is left with disfiguring consequences:
- at rest a smaller eye
- a permanent pulling in the cheek, compared by one of my patient “as the hook of a butcher pulling inside his cheek”.
- a lopsided smile due to the hyperactivity of the muscles on the healthy side
- a closure of the eye when smiling or eating ( called synkinesias), and tears when eating (called crocodile tears) .
•Botox injections can improve the symmetry of the face, relax the cheek, control the synkinesias, and stop the crocodile tears.
•Also in case of severe facial palsy, which does not recover, Botox can also be used to close temporarily the eye to protect the cornea to avoid exposure keratitis.
•Dr Marion has a long experience of treating patients with facial palsy when working at Moorfield’s eye department at St George’s hospital.
• She has also a particular interest of the anatomy of the muscles responsible for the expression of emotions.
Bell’s palsy Botox treatment, facial palsy complication treatment, Botox treatment of facial asymetry, synkinesias after Bells palsy, aberrant regeneration of the facial nerve, crocodile tears, lop sided smile, asymetry of the face after facial palsy, cheeck contracture, exposure keratitis