Blepharospasm Treatment in NYC

Relief from Uncontrollable Eyelid Spasms

Blepharospasm is a neurological condition that causes involuntary, forceful blinking or eyelid closure. While not life-threatening, it can be disruptive, frustrating, and even debilitating—especially when it interferes with vision and daily activities. At our Upper East Side office in Manhattan and Rye, NY office, Dr. Robert Schwarcz, a double board certified oculofacial plastic surgeon, offers precise, effective treatment for blepharospasm using targeted botulinum toxin injections.

If you're seeking expert blepharospasm treatment in NYC, Dr. Schwarcz brings over two decades of experience and an advanced understanding of facial muscle dynamics to help restore comfort and control.

What Is Blepharospasm?

Blepharospasm is a form of focal dystonia, which means it causes repetitive, involuntary muscle contractions in a specific area—in this case, the eyelids. Patients may experience:

• Frequent, uncontrollable blinking

• Eye irritation or dryness

• Fatigue from keeping the eyes open

• Difficulty seeing due to forced eyelid closure

In moderate to severe cases, blepharospasm can significantly impair vision and quality of life.

The most common and effective treatment involves botulinum toxin (such as Dysport or Botox) injected directly into the muscles responsible for the spasms.

Are You a Candidate for Blepharospasm Treatment?

You may be a good candidate for treatment if:

• You’ve been diagnosed with benign essential blepharospasm

• You experience involuntary blinking or spasms that affect your daily life

• You’ve had previous success with botulinum toxin injections—or are exploring treatment for the first time

• You’re in overall good health and want a non-surgical solution

Dr. Schwarcz performs a comprehensive evaluation to confirm the diagnosis and create a customized injection plan.

Who May Not Be a Candidate?

Blepharospasm treatment may not be recommended if you:

• Have a neuromuscular condition like myasthenia gravis

• Are allergic to botulinum toxin

• Have active infections near the injection site

• Are pregnant or breastfeeding

In these cases, Dr. Schwarcz will discuss alternative management options and closely coordinate care with your neurologist or primary physician.

Preparing for Treatment

No major preparation is required, but a few guidelines can improve comfort and results:

• Avoid blood thinners, aspirin, and supplements like fish oil for a few days beforehand (with physician approval)

• Arrive with clean, makeup-free skin around the eyes

• Let us know about any new medications or medical conditions

You’ll receive detailed instructions ahead of your visit.

What to Expect During the Procedure

Blepharospasm treatment is performed in-office and takes just 10–20 minutes. Here’s how it works:

• Before Injections: Dr. Schwarcz will review your muscle activity, ask about your symptoms, and map out the injection sites

• During Injections: Using an ultra-fine needle, he’ll administer small amounts of botulinum toxin into targeted eyelid muscles

• After Treatment: You’ll be able to resume most normal activities right away with little to no downtime

There’s minimal discomfort, and the injections are carefully placed to avoid unwanted weakness or asymmetry.

Recovery and Results

Recovery is simple and fast:

• First 24–48 Hours: You may notice slight redness or bruising at the injection sites

• 1 Week: Results begin to take effect, with reduced muscle spasms

• 2 Weeks: Full results are visible—most patients experience significant relief from blinking and spasms

• 3–4 Months: Effects gradually wear off, and repeat treatment is typically scheduled at this interval

Most patients find that consistent treatment dramatically improves daily function, comfort, and quality of life.

Results That Make a Difference

Botulinum toxin therapy is the gold standard for blepharospasm, and Dr. Schwarcz’s precision approach ensures:

• Reliable, predictable symptom relief

• Minimal side effects or complications

• Custom dosing based on your history and facial anatomy

Patients often report that they can drive, read, and work more comfortably after treatment—and enjoy a more relaxed, confident appearance.

Complementary Services

For patients with underlying eyelid conditions or aesthetic concerns, Dr. Schwarcz may recommend:

• Ptosis Repair: If eyelid drooping contributes to your symptoms or function

• Upper Blepharoplasty: To remove excess skin that may worsen spasms or obstruct vision

• Dysport/Botox for Cosmetic Use: Smooth crow’s feet or brow lines during the same session

Every treatment plan is tailored to your unique goals and facial structure.

Why Choose Dr. Schwarcz for Blepharospasm Treatment in NYC?

With more than 20 years of experience in oculoplastic surgery, Dr. Robert Schwarcz is uniquely qualified to diagnose and treat facial movement disorders like blepharospasm. His deep understanding of functional eyelid anatomy and aesthetics means your results are both effective and natural.

Whether you’re newly diagnosed or looking for a more refined approach, you’re in expert hands with Dr. Schwarcz.

Ready to find relief from eyelid spasms? Click the Request an Appointment button below to schedule a consultation with Dr. Schwarcz and get started on a path toward greater comfort and clarity.