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Many people who have experienced Bell’s palsy or other types of facial paralysis may also suffer from synkinesis, or facial muscle spasms. Even when facial movement has returned, synkinesis can still impact the movement and appearance of the face. Joshua D. Rosenberg, MD, is a trusted facial plastic and reconstructive surgeon who specializes in treatments for facial paralysis and the after effects like synkinesis.

What is Facial Synkinesis?

The facial nerves relay impulses that control muscle movement. When facial paralysis occurs, these nerve pathways can be interrupted, rerouted or moved, affecting different muscles. Nerve fibers may be impacting other muscles due to previous nerve repair surgeries or other changes in the facial dynamics. This can cause muscle spasms or simultaneous movement when the brain sends signals through the nerve pathways. Muscles may tighten or spasm, or certain muscles may move involuntarily when you voluntarily move other muscles. Some of the typical signs of synkinesis include:

  • Muscle twitching in facial muscles
  • Eyes closing partially when you smile
  • Muscle tightening that causes headaches or facial pain
  • Lifting of the cheek muscles when closing the eyes
  • Tightness in the neck bands or checks
  • Dimpling on the chin

To treat facial synkinesis, Dr. Rosenberg first must perform a thorough exam and evaluation. Each patient is different and may require a unique approach to achieve the desired results. Some of the possible treatments for facial spasms and symptoms caused by synkinesis include:

  • Selective neurolysis surgery
  • Muscle transfer
  • Facial slings
  • Eyelid surgery

If you have had Bell’s palsy or other facial paralysis and still are suffering from symptoms caused by synkinesis, there are treatment options available. Contact Dr. Rosenberg to explore treatments for your facial muscle spasms to improve your facial function and comfort. We have offices in NYC and Upper East Side for your convenience.

Do you want to make an appointment with Dr. Rosenberg? Do not wait!

Our Patient Reviews

Joshua D. Rosenberg, M.D.

4.9 / 5.0

Based on 11 reviews

Tonio Jennifer

Knowledgeable Doctor, great staff...somehow Dr Rosenberg makes you feel that no matter the odds he will come thru for you and with me he did so many times

Karmita Avila

I haven't the opportunity to meet the doctor yet, I have an appointment. I was referred by an ENT doctor in NJ, Dr. Douglas Leventhal, nice, young, excellent bed manners. Unfortunately he does not reconstruction nasal perforation, but he was very interested in helping me, and he referred me to a colleague in NY, and asked me wait a call from them, otherwise to call him back if they didn't contact me. Thanks GOD, they are very efficient and received, today two calls , I finally got to talk to Evelyn, very kind, and patient, gave me the appointment, I hope that my present health problem due to bad medical practice years ago, Dr. Rossenberg, can reconstruct my septum. I thank you from deep of my heart.

Nada Alkhawam

I want to thank DR. Rosenberg for his time and he’s amazing staff,he did a wonderful job operating on my face moving the cyst last Tuesday , I couldn’t believe my self the way he operates berly any brosis, he’s amazing surgeon , and he’s staff especially Ann& daina they are on top everything sweetheart they answered all my questions, with friendly since humor, I’m so lucky to have him As surgeon

Theresa Norris

Excellent surgeon supported by caring medical team members. Highly recommend.

Jan Wong

Dr. Rosenberg and his staff are thoughtful, caring and made me feel at ease during my procedure and at my follow up visits. Highly competent and friendly staff. Definitely recommend.

Sue Bee

An excellent Doctor who is kind and compassionate. He genuinely cares about his patients and their well-being.

logo Joshua D. Rosenberg, M.D. New York, NY

Joshua D. Rosenberg, M.D.
234 East 85th Street, 4th Floor
New York NY 10028

(212) 241-9410

Opening hours:
Monday & Friday 9:00 AM – 5:00 PM

Joshua D. Rosenberg, M.D.
2052 Richmond Road
Staten Island NY 10306

(718) 420-1279

Opening hours:
Monday & Friday 9:00 AM – 5:00 PM