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Botox for Bell's Palsy Twitching?
Yes – Bell's Palsy (both symptomatic spasm and for symmetry) is a medical indication for Botox. Many insurance plans will cover treatment so call your insurer to check if you're covered.
Clinical Context
Bell's Palsy results from inflammation of the facial nerve, which can weaken one side of the face while the other moves normally, creating noticeable asymmetry. As the nerve heals, fibers can misconnect, causing synkinesis — involuntary twitching or squeezing around the eye or mouth when you move another part of your face. Botox blocks acetylcholine release at the nerve-muscle junction, calming these overactive muscles so your face rests and moves more evenly on both sides.
