Surgical Options for Blepharospasm and When They’re Considered

If you deal with frequent, uncontrollable blinking or eye spasms, you may be living with a condition called blepharospasm. While many cases are managed with BOTOX® injections, some people find that their symptoms return too quickly or become less responsive over time. For individuals in this category, surgical options may offer long-term relief.

At Ophthalmic Plastic & Cosmetic Surgery Inc. in St. Louis, Dr. John B. Holds – a board-certified ophthalmic plastic surgeon with over 30 years of experience – has helped numerous patients decide whether surgery is right for them. This blog explores the procedures available for blepharospasm and when they might be a good choice. 

When Is Surgery Considered for Blepharospasm?

Surgery is generally recommended when:

• Less invasive solutions like BOTOX become ineffective, or their effects don’t last long enough.
• Symptoms significantly interfere with daily life, including vision.
• You experience side effects or complications from injections.

If conservative treatments are no longer working, surgery may help to target the underlying muscle activity responsible for the spasms.

Common Surgical Treatments for Blepharospasm

Several surgical options can reduce or eliminate muscle spasms around the eyes.

Myectomy

Myectomy is the most common surgery for blepharospasm. It involves removing selected facial muscles responsible for eyelid closure, reducing involuntary blinking. Depending on the severity, either a limited or full myectomy may be performed.

Orbicularis Oculi Resection

This procedure focuses on removing portions of the orbicularis oculi muscle, which is largely responsible for eye closure. It can be tailored to the patient’s specific needs.

Selective Facial Nerve Branch Ablation

In some cases, surgeons may target nerve branches that control the spastic muscles. This helps to minimize unwanted muscle contractions.

What to Expect from Surgery

Surgical outcomes vary, but many people notice significant improvement and decreased reliance on BOTOX afterward. Recovery time and risks depend on the specific procedure, and results are best when it’s performed by a specialist in oculofacial plastic surgery – such as those at Ophthalmic Plastic & Cosmetic Surgery Inc.

Explore Surgical Relief for Blepharospasm in St. Louis

If you or a loved one is struggling with blepharospasm that no longer responds to injections, surgical intervention may offer lasting relief. Contact Ophthalmic Plastic & Cosmetic Surgery Inc. to schedule a consultation with Dr. Holds or another member of our team. Call 314-567-3567 to book an appointment at our St. Louis, St. Peters, or Arnold locations.