Facial Synkinesis(Post-Paralysis Tightness & Twitching)
When facial nerves heal incorrectly, they can cause involuntary movements, tightness, and pain. We offer a comprehensive approach to restore facial harmony and comfort.
Clinical Presentation of Synkinesis
What is Synkinesis?
Synkinesis (sin-kih-NEE-sis) means "linked movement." It occurs after a facial nerve injury (like Bell's palsy, trauma, or tumor removal) when the regenerating nerve fibers connect to the wrong muscles.
Instead of sending a signal only to smile, the nerve might also send a signal to close the eye or tighten the neck. This results in involuntary movements and a sensation of tightness or "fighting" against your own face.
Signs & Symptoms
- Eye narrowing or closing when smiling (Ocular-oral synkinesis)
- Mouth corner pulling up when blinking (Oral-ocular synkinesis)
- Deep dimpling of the chin
- Tightness or banding in the neck (Platysma activation)
- Facial spasms or twitching
- Deep ache or pain in the cheek
- Fatigue from facial muscles constantly contracting
The "Frozen" Smile
Patients often feel their smile is weak or paralyzed. In reality, synkinesis often causes the opposing muscles (those that pull the smile down) to fire at the same time as the smile muscles.
It's like driving with the parking brake on. Treatment focuses on releasing that brake.
Video Analysis: Recognizing Synkinesis
Treatment Options
1. Targeted Chemodenervation (Botox)
Strategic use of Botox to weaken the miswired muscles (like the eye closer or neck bands), allowing the intended muscles (like the smile) to move more freely.
2. Neuromuscular Retraining
Specialized physical therapy to teach your brain to isolate facial movements. We work closely with expert facial therapists to guide your recovery.
3. Selective Neurectomy
A highly specialized surgery where Dr. Jowett identifies and cuts the specific nerve branches causing the unwanted movement, permanently reducing synkinesis while preserving function.
Navigating Your Care:
Why Choose Revitalis?
Managing synkinesis requires a deep understanding of facial anatomy and nerve physiology. Dr. Nate Jowett is one of the few surgeons globally who performs Selective Neurectomy, a sophisticated procedure that can offer lasting relief when Botox and therapy are not enough.
We don't just treat the paralysis; we treat the entire facial system to restore comfort, symmetry, and a natural smile.