BOTOX® for Eyelid & Facial Spasms

Botox® is the most common medical treatment for eyelid and facial spasms. When used correctly by a trained physician, 96.6% of patients will have a noticeable and sustained improvement after injection of Botox.

A number of patients suffer from spasms of the eyelid and face. These are typically aggravated by voluntary facial movements. They are increased with fatigue and emotional stress, and they are suppressed with sleep, relaxation and hypnosis. It often begins with twitches and increases in frequency and severity over time. Eventually this results in a sustained spasm. Women have eyelid and facial spasms 3-4 times more often than men.

These spasms may be localized to a single muscle (eyelid) or involve multiple muscles of the face. Spasms that affect both sides of the face are typically caused by a chemical imbalance in the brain. Rarely the spasm is due to a brain stroke or multiple sclerosis. Spasms located to one side of the face are due to dysfunction of the facial nerve (called hemifacial spasm). In 85-100% of cases, the nerve is compressed by vessels located in the brain.

Possible side effects include inability to close your eyelid, eyelid drooping, tearing, and other less common side effects like a flu syndrome.

How long does BOTOX last?

Depending of the cause of the spasm, the effect of the Botox typically lasts 12-15 weeks. Giving more Botox does not make the effect last longer. Similarly the effect does not get stronger or weaker over years of treatment. Over time the nerves recover and form new nerve endings. It is also possible that there is deactivation of the toxin itself. Multiple injections are more effective than increasing the volume of the injection.Your physician may need to adjust the dose of Botox to best treat your spasms.


If you would like to learn more about BOTOX® for Eyelid & Facial Spasms call 1-800-244-9907 to make an appointment at Central Valley Eye Medical Group.


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Dear Friends,

We at Central Valley Eye hope that you and your families are well. To continue to protect the health of our patients and staff during the coronavirus pandemic, we are taking all reasonable precautions as we provide the eye care that our community needs:

  • All patients and staff must now wear masks within the clinic building. Please bring one from home.
  • Whenever appropriate, we are rescheduling patients with fever, cough, or cold symptoms
  • We have adjusted our schedule to decrease the number of patients in our waiting rooms
  • We have increased our already strict sanitizing practices
  • Whenever appropriate, we are diverting visits to telemedicine (by cell phone, tablet, laptop, or desktop). Please contact us for further details at 209-952-3700.

If you are unsure whether to come in for your visit, please call us.

Following state guidelines, the doctors at Central Valley Eye have recently resumed performing elective surgeries. Our surgery coordinators will be contacting patients to reschedule the surgeries that needed to be postponed. We appreciate your patience during this time.

If you have any questions, please do not hesitate to contact us at 209-952-3700.

Warmest regards,

Brandy Simpson
Practice Manager
Central Valley Eye Medical Group, Inc.