Blepharospasm & Hemifacial Spasm Treatment in San Diego

Blepharospasm and hemifacial spasm treatment in San Diego offers effective relief for uncontrolled eyelid and facial muscle contractions that interfere with comfort, vision, and daily life.

patient with her head in the eye examining machine

Restoring Comfort and ControlWith Blepharospasm & Hemifacial Spasm Treatment in San Diego

At San Diego Eyelid Specialists, we provide advanced solutions for patients experiencing persistent muscle spasms around the eyes and face. Blepharospasm and hemifacial spasms can be disruptive, uncomfortable, and sometimes even debilitating, but modern treatment techniques can significantly improve symptoms and restore quality of life. Dr. Srinivas Iyengar, a fellowship-trained oculoplastic surgeon, specializes in treatments tailored to each patient’s unique needs. Schedule a consultation today to begin exploring your options for relief.

What Are Blepharospasms and Hemifacial Spasms?

Blepharospasms are involuntary contractions of the eyelid muscles that cause repeated blinking or eye closure. They can interfere with vision and create significant discomfort in everyday activities.
Hemifacial spasms, on the other hand, involve involuntary contractions on one side of the face. These spasms can spread from the eyelid to the cheek, mouth, or neck, creating both functional and cosmetic concerns.
Both conditions are typically benign but can have a profound impact on quality of life, making accurate diagnosis and effective treatment essential.

Blepharospasm and Hemifacial Spasm Symptoms

The symptoms of these conditions vary in severity, but they often share similar patterns. Common symptoms include the following:

Frequent or uncontrollable blinking
Involuntary eyelid closure
Twitching of the eyelid or surrounding muscles
Facial spasms affecting one side of the face (hemifacial spasm)
Difficulty keeping the eyes open for extended periods
Increased irritation or dryness of the eyes due to spasms

How Do We Treat Blepharospasms and Hemifacial Spasms?

The most effective and widely used treatment for blepharospasm and hemifacial spasm is BOTOX® injections. Ophthalmologists have used BOTOX safely for decades to help control these muscle spasms. By temporarily relaxing the overactive muscles, BOTOX reduces the frequency and severity of spasms, allowing patients to regain comfort and control. Dr. Iyengar customizes each treatment plan based on the specific areas affected and the patient’s goals. The procedure is performed in-office, involves minimal discomfort, and does not require downtime.

Benefits of Blepharospasm and Hemifacial Spasm Treatment

Living with constant eyelid or facial spasms can make daily life challenging, from simple conversations to reading, driving, or working. Treatment not only brings physical relief but also restores confidence and improves overall well-being. Benefits of this procedure include the following:

Relief from uncontrolled muscle contractions
Improved comfort and vision
Restored ability to perform daily activities
Quick, in-office treatment with no recovery period
Long-lasting relief with repeat treatments as needed
Natural-looking results without altering facial expression

Who Is a Good Candidate for Blepharospasm or Hemifacial Spasm Treatment in San Diego?

Good candidates for treatment are individuals who experience persistent, involuntary eyelid or facial spasms that interfere with daily life. Many patients have already tried other therapies without relief and are seeking a targeted solution.

Candidates should be in good overall health and have realistic expectations about the results. During your consultation, Dr. Iyengar will determine whether BOTOX treatment is appropriate for your condition.

Your Consultation

During your consultation at San Diego Eyelid Specialists, Dr. Iyengar will carefully evaluate your symptoms, medical history, and previous treatments. He will examine the specific muscles involved and discuss your goals for treatment. This collaborative approach ensures your care plan is personalized and designed to provide the best possible outcome.

What to Expect During Your Treatment

Your treatment will be performed in the office and typically takes only a few minutes. After carefully evaluating your muscle activity, Dr. Iyengar will place precise BOTOX injections into the affected areas using very fine needles. Most patients describe the sensation as mild and tolerable, with little to no downtime afterward. The injections work by temporarily relaxing the overactive muscles, reducing or eliminating the spasms that interfere with daily life. You may notice improvement within just a few days, with full results typically becoming apparent in about one to two weeks.

Recovering After Blepharospasm or Hemifacial Spasm Treatment

Recovery is minimal, and most patients resume their normal activities right away. Some temporary redness or mild swelling at the injection sites may occur but typically resolves within hours. Patients are advised to avoid rubbing the treated area and to refrain from strenuous exercise for the rest of the day.

Results typically last several months, with follow-up treatments providing ongoing relief.

San Diego Specialists Office Tour

How Much Does Blepharospasm and Hemifacial Spasm Treatment Cost?

The cost of treatment varies depending on the severity of the condition, the number of injections required, and whether insurance coverage applies. Many medical insurance plans may cover treatment when it is deemed medically necessary. During your consultation, our team will provide detailed information about costs and coverage options.

Meet Your ProviderDr. Srinivas Iyengar

Dr. Srinivas Iyengar is a fellowship-trained oculoplastic surgeon and a board-certified ophthalmologist with extensive expertise in both cosmetic and reconstructive eyelid procedures. With over a decade of experience, he is trusted by patients and physicians alike for his precision, advanced surgical techniques, and compassionate approach to care. His background in managing complex eyelid conditions makes him uniquely qualified to treat blepharospasm and hemifacial spasm.

Why Choose San Diego Eyelid Specialists?

At San Diego Eyelid Specialists, patients benefit from a boutique practice dedicated exclusively to eyelid care. Dr. Iyengar’s fellowship training, surgical precision, and experience with complex cases set him apart as one of the region’s leading oculoplastic surgeons. With an emphasis on safety, natural results, and personalized care, our practice provides exceptional outcomes for both cosmetic and medical eyelid concerns.

Frequently Asked Questions Blepharospasm and Hemifacial Spasm Treatment

How long do the results of BOTOX last?

Most patients experience relief for three to four months, with repeat treatments providing continued benefits.

Is the treatment painful?

Discomfort is minimal and often described as a quick pinching sensation during injection.

Can I drive after my appointment?

Yes. Because the procedure requires no anesthesia or downtime, patients can safely resume normal activities, including driving.

Are there any risks associated with treatment?

Minor side effects such as temporary bruising or eyelid heaviness can occur but are uncommon and resolve quickly.

Will the treatment affect my facial expressions?

When performed by a skilled oculoplastic surgeon, treatment relaxes only the overactive muscles, preserving your natural facial expressions.