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Blepharospasm, Hemifacial Spasm & BOTOX Treatment Specialist

NeuroEyeOrbit Institute

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

  • light sensitivity

  • conjunctivitis (pink eye)

  • eyelid inflammation (blepharitis),

  • nervous system disorders

  • fatigue

  • smoking

  • 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.


Anthem Blue Cross Blue Shield
Anthem Blue Cross of California
Assurant Health
Cedar Sinai Medical Group
Health Net
Healthcare Partners
Motion Picture Industry Health Plan
Railroad Medicare
Screen Actors Guild
Universal Healthcare
Worker's Compensation