Hemifacialspasm in Aguadilla, PR

At Icala Medical Aesthetics, Dr. Lilliam Díaz-Vélez provides advanced diagnosis and treatment for hemifacial spasm, a neuromuscular condition that causes involuntary contractions on one side of the face. These spasms may begin around the eye and gradually spread to the cheek, mouth, or neck, often affecting both comfort and confidence. Using precise neurotoxin injectables and other types of individualized care, Dr. Díaz-Vélez helps patients in Aguadilla and San Juan, PR, regain natural expression and long-term relief.

What Is Hemifacial Spasm?

Hemifacial spasm occurs when the facial nerve (cranial nerve VII) becomes irritated or compressed, usually by a small blood vessel near its starting point at the brainstem. This irritation triggers irregular signaling to the facial muscles, causing unexpected and uncontrollable twitching or contractions.

Although the condition can develop gradually, it tends to worsen over time if left untreated. In some cases, hemifacial spasm may happen after a nerve injury or inflammation. Though not life-threatening, hemifacial spasm can be physically and emotionally distressing, interfering with speech, blinking, and daily interactions.

Common Symptoms

Hemifacial spasm usually begins subtly, with small, repetitive movements around one eye, and may progress to include:

  • Persistent eye or facial twitching on one side
  • Involuntary closing of one eye
  • Facial tightness or pulling sensations
  • Asymmetry between the two sides of the face
  • Difficulty relaxing the affected muscles

The spasms may be triggered or worsened by stress, fatigue, or facial movement. In severe cases, the spasms can even occur during sleep.

Treatment Options for Hemifacial Spasm

At Icala Medical Aesthetics, treatment focuses on reducing muscle contractions and restoring facial balance. The most effective non-surgical therapy for hemifacial spasm is neurotoxin injections, which safely and temporarily relaxes the overactive muscles.

Neurotoxin Therapy

Dr. Díaz-Vélez uses targeted micro-injections of a purified neurotoxin, such as Botox®, to interrupt the nerve signals that cause muscle spasms. The treatment takes only a few minutes and involves minimal discomfort. Most patients begin to notice relief within three to five days, with full improvement over the following week.

Results typically last about three to four months. You can maintain relief through regular treatments several times a year. Neurotoxin therapy allows patients to regain normal facial movement, reduce asymmetry, and restore confidence in their appearance—all without surgery or downtime.

Surgical Options

For severe or long-term hemifacial spasm cases that don’t improve with Botox, Dr. Díaz-Vélez may consider surgical procedures such as microvascular decompression (MVD). This technique relieves pressure on the facial nerve by repositioning or cushioning the blood vessel causing irritation.

Why Choose Us For Hemifacial Spasm Care

At Icala Medical Aesthetics, we understand how facial spasms can affect not only physical comfort but also self-image and emotional well-being. Dr. Díaz-Vélez combines her expertise in ophthalmology and oculoplastic surgery to provide safe, effective care that restores both function and balance of the eyes and face as a whole.

Our approach is rooted in precision, compassion, and respect for each patient’s individuality. With advanced techniques and state-of-the-art technology, we’re here to help you achieve long-term relief and renewed confidence.

Schedule Your Hemifacial Spasm Consultation in Aguadilla, PR

Reach out for expert hemifacial spasm care at Icala Medical Aesthetics. Call (787) 422-6349 to book your appointment.

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