Can Hemifacial Spasm Affect Both Sides Of The Face?

Are you experiencing involuntary muscle movements in your face? While the occasional twitch is generally harmless, persistent spasms may be a sign of hemifacial spasms — a condition that can disrupt your life.

Dr. Raymond Sekula specializes in providing experienced care for patients looking to find relief from these frustrating spasms. While hemifacial spasms typically affect one side of the face ("hemi" meaning half), both sides can be impacted in rare cases.

During a detailed neurological exam, Dr. Sekula can provide a diagnosis and recommend advanced solutions, like microvascular decompression surgery, to help you regain control and confidence. Schedule an appointment in New York, NY, or keep reading to explore your options.

What causes facial twitching?

So, what causes facial twitching in the first place? There are many potential triggers, including:

• Eye strain: Staring at screens for hours at a time or focusing on near objects for too long can strain the eye muscles and cause twitching.
• Caffeine or alcohol consumption: These substances stimulate the nervous system and lead to temporary facial twitching.
• Stress or anxiety: Feeling overwhelmed or anxious can increase muscle tension and twitching in the face.
• Medications: Some medications, such as antidepressants, can lead to twitching as a side effect.
• Neurological conditions: In some cases, facial spasms can be a symptom of underlying conditions like hemifacial spasms, multiple sclerosis, or Bell's palsy.

What are hemifacial spasms?

Hemifacial spasms are involuntary muscle movements caused by the compression or irritation of the facial nerve. These spasms typically start around the eye and can spread to other areas, such as the cheek or mouth. They may last a few seconds to several minutes and can occur multiple times throughout the day.

While not life-threatening, hemifacial spasms can impact your quality of life. People with this condition may experience embarrassment or difficulty performing tasks like speaking or eating.

Can hemifacial spasms affect both sides of the face?

Most people diagnosed with hemifacial spasms experience symptoms on one side of the face. However, in rare cases, both sides can be affected. This is known as bilateral hemifacial spasms and may require more intensive treatment. During a neurological exam in New York, NY, please inform Dr. Sekula if you have spasms on one or both sides of your face. We will work with you to determine the course of treatment.

How are hemifacial spasms treated?

There are a few different ways to treat hemifacial spasms, depending on the severity and underlying cause. While botulinum toxin type A (BOTOX®) injections provide temporary relief, one of the most effective long-term solutions is microvascular decompression surgery. During the procedure, Dr. Sekula will insert a small cushion between the blood vessel and facial nerve to relieve pressure.

Microvascular decompression surgery requires only a small incision behind the ear and 1 – 2 nights in a hospital for recovery. Most patients experience significant relief from spasms and an improved quality of life after surgery.

Take control of involuntary muscle movements

Do you have questions such as, "What causes facial twitching?" or "Can hemifacial spasms affect both sides of the face?" If so, schedule a neurological exam with Dr. Raymond Sekula and get the answers you seek. Don't let involuntary muscle movements disrupt your day any longer — take control with specialized care in New York, NY. We are committed to helping you find relief and regain confidence.