Facial Palsy Awareness Week: Day 4

Life with unexpected facial expressions:


Synkinesis happens when the recovering nerve reattaches to the wrong muscles. This meant that when I tried to smile my eye would close, when I tried to raise my eyebrows the corner of my mouth would raise and when I ate I would cry.

Luckily with a combination of physiotherapy and Botox over the last 3 years, I have largely managed to control the worst of the synkenesis although when I am due more Botox I can feel it starting to creep back. My platysma, the muscle in the neck, starts to get tight and pulls whenever I try to smile, pout, whistle or say certain sounds. I start to get over activity in my "good" eyebrow which pulls at the opposite corner of my mouth and I get dimples (not the cute kind) in my chin with most mouth movements. Everything just generally starts getting tight and starts pulling. 

Many people don't have access to treatment such as specialist neurophysiotherapy or Botox because of the low number of specialists in the country and having to fight for funding for what is deemed to be cosmetic. 

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