FAQ
How much does blepharospasm treatment cost?
The cost of blepharospasm treatment depends on the treatment recommended and whether ongoing management is required. Following your consultation and assessment, you will receive a personalised treatment plan and information about the associated costs before proceeding.
Is BoNT treatment for blepharospasm safe?
BoNT injections are a well-established treatment for blepharospasm and are generally considered safe when administered by an appropriately trained and experienced specialist. As with any medical treatment, side effects can occur and may include temporary eyelid drooping, bruising, dry eye or facial weakness.
Careful placement and individualised dosing help minimise these risks. Your specialist will discuss the potential benefits and side effects with you before treatment.
Is blepharospasm painful?
Blepharospasm itself is usually not painful, although repeated muscle contractions can cause discomfort, tension, or a feeling of heaviness around the eyes. Associated ocular surface irritation or dry eye may also cause discomfort in some patients.
If you are experiencing significant pain alongside involuntary eyelid movements, mention this during your assessment so other potential causes can be considered.
Will I need repeat treatment?
Most patients receiving BoNT injections for blepharospasm require repeat treatment because the effects are temporary. Results generally last about three to four months before muscle activity gradually returns.
The timing of subsequent treatment varies by patient and can be adjusted based on the duration of symptom relief and your individual response.
If my eyelid twitches, do I have blepharospasm?
Not necessarily. Occasional eyelid twitching, or myokymia, is very common and can occur due to factors such as tiredness, stress or caffeine. It is usually temporary and differs from the persistent involuntary contractions associated with blepharospasm.
If twitching becomes persistent, affects both eyes or makes it difficult to keep your eyes open, specialist assessment may be appropriate. You can also read our guide to why your eye keeps twitching to learn more about common causes of eyelid twitching and when to seek advice.
What are the risk factors for blepharospasm?
Blepharospasm most commonly develops in middle or later adulthood and is more frequently reported in women. A family history of blepharospasm or other movement disorders may also increase susceptibility, suggesting that genetic factors can play a role in some patients.
Other factors, including persistent ocular surface irritation, previous eye problems and certain neurological conditions, may be associated with blepharospasm. Stress, fatigue and bright light are more commonly considered triggers that worsen existing symptoms rather than direct causes of the condition.
