Facial Synkinesis: When Movements Intertwine and Expressions Fade
What is Facial Synkinesis?
Following facial nerve (seventh cranial nerve) injury and partial recovery, many patients encounter an unexpected challenge: involuntary, simultaneous muscle movements that distort natural facial expressions. This condition is known as Facial Synkinesis, and it is one of the most common complications following facial paralysis—especially Bell’s palsy.
Dr. Tarek Amer, Consultant in Facial Nerve and Microsurgery:
“Restoring facial movement doesn’t always mean restoring natural expression. Sometimes, a smile needs to be freed from an involuntary wink.”
Symptoms of Facial Synkinesis:
Symptoms vary between individuals, but often include:
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Involuntary contractions – such as the eye closing during a smile
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Facial asymmetry – uneven movement between facial sides
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Distorted emotional expression – making social interaction difficult
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Muscle discomfort or pain – from constant, unwanted contractions
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Watery or dry eyes – due to incomplete eyelid closure
Why Does Synkinesis Occur?
After partial nerve recovery, regenerating nerve fibers may misroute and connect to incorrect muscles. This leads to crossed signals—for example, fibers meant for mouth movement may instead stimulate eye muscles, resulting in involuntary muscle co-activation and disrupted facial harmony.
Common Underlying Causes of Facial Nerve Injury:
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Bell’s Palsy – the most frequent cause
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Trauma or skull fractures
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Head and facial tumor surgeries
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Infections or tumors affecting nerve function
How Is It Diagnosed?
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Comprehensive clinical examination
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Detailed review of medical history and injury timeline
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Electromyography (EMG) – to assess abnormal muscle activity
Treatment: Personalized to You
Botox Injections
One of the most effective non-surgical treatments for facial synkinesis. Botox relaxes overactive muscles, improving facial symmetry and relieving symptoms. It is a repeatable, safe, and fast-acting solution.
Precision Surgery
In severe or non-responsive cases, Dr. Amer may perform advanced procedures like:
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Selective neurolysis – to fine-tune nerve activity
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Targeted muscle resections – to reduce undesired contractions
Dr. Tarek Amer is a regional pioneer in such delicate operations, skillfully navigating the complex anatomy of the face to restore function and aesthetics.
Restoring Your Face… Restoring Your Confidence
Facial synkinesis is not the end of the road after facial paralysis—on the contrary, it’s a new chapter that can be managed successfully with the right care.
At Dr. Tarek Amer’s specialized center, the face is seen as a mirror to the soul. Every scientific and surgical effort is made to return it to its natural harmony—or even better.
📞 Book your consultation now to assess your condition and explore your personalized treatment options