Swaraj Bose, MD
Neuro-Ophthalmologist & Orbital Surgeon located in Cedars Sinai Medical Towers, Los Angeles, CA
As a leading neuro-ophthalmologist in Beverly Hills, CA, and the surrounding Greater Los Angeles area, Dr. Bose has significant expertise in treating blepharospasm and hemifacial spasm, including the use of BOTOX to relieve symptoms.
Blepharospasm, Hemifacial Spasm & Botox Treatment Q & A
What causes blepharospasm?
Blepharospasm describes a condition where the eyelid twitches every few seconds, sometimes causing the eye to close completely. In most cases, eye twitching lasts a relatively short period of time and occurs unpredictably over the course of days, weeks or months. In some patients, it can become chronic, occurring on a regular basis and in both eyes. This condition is called benign essential blepharospasm. Many factors can contribute to blepharospasm, including:
dry eye syndrome
conjunctivitis (pink eye)
eyelid inflammation (blepharitis),
nervous system disorders
caffeine or alcohol
When eyelid spasms do not resolve within a few weeks or if you notice twitching in other areas of your face, your eyelid is red or swollen, or you have difficulty opening your eye, you should see the doctor for an evaluation.
What causes hemifacial spasm?
Hemifacial spasm causes uncontrollable twitching on one side of your face. Several factors can cause the condition, including Bell's palsy, tumors, injury to the facial nerve or compression of the nerve by a blood vessel which results in irritation of the nerve. In nearly all cases, twitching begins near the eye and moves toward the chin as the condition progresses. It most commonly affects women and people over age 40.
How are blepharospasm and hemifacial spasm treated?
Both blepharospasm and hemifacial spasm can be treated with BOTOX. BOTOX works by blocking the nerve signals that cause the facial muscles to contract, the same way it helps prevent crow's feet and frown lines from forming in cosmetic surgery applications. BOTOX injections typically last several months before retreatment is needed. Dr. Bose will be able to determine which facial muscles require injection based on your symptoms and the data he gathers during your physical exam. Other treatment options include medication and surgery to decompress the nerves.
Additional information here.
Major Insurance Providers Accepted
For questions regarding your specific insurance plan, please contact the office.
Words from our patients
"Dr. B is the FIRST physician to CARE and LISTEN to my journey & symptoms. I almost cried; someone finally cared enough to listen & explain what I've been experiencing."
"He is a true doctor, not just trying to make money off of you, he is really trying to help you! I HIGHLY recommend Dr. Bose!"
"No other Doctor was able to successfully diagnose and treat me. If any of you out there need help with your eyes I highly recommend him."
"He is the most calming and reassuring individual whom I have had the honor to meet, and Dr. Bose has treated my mother with great care and compassion."
"I had a lot of anxiety during my first visit, but Dr. Bose put me at ease. He listened to my concerns and made me feel taken care of. I'm lucky to have him treating me."
"The office is modern, clean and stocked with state of the art equipment. Dr. Bose you gave me all the time I needed to properly exam and diagnose."
"It's unfortunately rare these days to find a doctor with a good bedside manner [...] so it was very appreciated to find exactly that in Dr. Bose."
"He was extremely friendly, attentive, with an incredible sense of humor, and it was quite evident he cared and approached things in a positive way."
"He gives the best advice and you don't leave until you have the answers you need. He and all of his staff are extremely helpful and friendly."
""I walked in there thinking I was doomed by a diagnosis from a previous Doctor and after Dr. Bose's logical explanations, I was happily convinced that I was ok."
"He takes the time to explain the issues, the options, and the solutions that are best for each patient. He spends the time needed to make sure you understand everything"
"Dr. Bose and his staff are thorough, professional and approachable. State of the art equipment gave me even more confidence in Dr Bose's ability to safeguard my eyes."
"Dr. Bose was incredibly thorough and sensitive. His staff was amazing and kind."