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Facial twitching, also known as facial spasms or involuntary muscle contractions, can be a concerning symptom that affects individuals of all ages. While facial twitching is not always indicative of facial paralysis, it can sometimes be associated with conditions that affect the facial nerves and muscles. At New York Facial Paralysis, we specialize in diagnosing and treating facial paralysis and related conditions, including those that may cause facial twitching.

Understanding Facial Twitching

Facial twitching refers to the involuntary movement or spasm of facial muscles, which can manifest as rapid, repetitive contractions or jerking motions. These twitches can occur in various areas of the face, including the eyelids, cheeks, lips and chin. While occasional facial twitching is common and often harmless, persistent or severe twitching may be a cause for concern, especially if it is accompanied by other symptoms. The following are some conditions that may cause facial twitching and their connection to facial paralysis.

Bell’s Palsy

Bell’s palsy is a condition characterized by sudden, temporary weakness or paralysis of the facial muscles, usually on one side of the face. While the exact cause of Bell’s palsy is unknown, it is believed to result from inflammation or compression of the facial nerve, which controls muscle movement in the face. Facial twitching may occur in some individuals with Bell’s palsy, especially during the acute phase of the condition.


Synkinesis is a condition that occurs as a result of aberrant nerve regeneration following facial nerve injury or paralysis. It involves the involuntary movement of facial muscles in response to voluntary movements of other facial muscles. For example, smiling may trigger unintended movements in other areas of the face, such as eyelid closure or lip movement. While synkinesis is not directly related to facial twitching, it can cause abnormal facial movements that may be mistaken for twitching.

Facial Neuropathy

Facial neuropathy refers to damage or dysfunction of the facial nerve, which can result from various causes, including trauma, infection, tumors or autoimmune conditions. Depending on the extent and location of the nerve damage, individuals with facial neuropathy may experience facial twitching, weakness, paralysis or sensory disturbances. Prompt diagnosis and treatment are essential to prevent permanent nerve damage and restore facial function.

Other Neurological Disorders

In some cases, facial twitching may be a symptom of underlying neurological disorders that affect the brain or nervous system, such as multiple sclerosis, Parkinson’s disease or dystonia. These conditions can cause abnormal muscle movements, including facial twitching, as a result of disrupted nerve signaling.

Seeking Evaluation and Treatment

If you are experiencing facial twitching or other symptoms that may be related to facial paralysis, it is important to seek evaluation and treatment from a qualified medical professional. At New York Facial Paralysis, our team of experts specializes in diagnosing and treating facial paralysis and related conditions, using advanced diagnostic techniques and innovative treatments to restore facial function and improve quality of life.

During your evaluation, we will conduct a thorough examination and may perform additional tests, such as imaging studies or nerve conduction tests, to determine the underlying cause of your symptoms. Based on our findings, we will develop a personalized treatment plan tailored to your specific needs and goals. Schedule a consultation with us today to learn more about how we can help you.

Posted on behalf of New York Facial Paralysis

Grand Park Building, 110 East 40 Street, Suite 501
New York, NY 10016

Phone: (212) 434-4050

FAX: (212) 434-4059


Monday - Friday: 8:30 AM – 5:00 PM



New York Facial Paralysis

At Manhattan Eye, Ear, and Throat Hospital

Grand Park Building, 110 East 40 Street, Suite 501
New York, NY 10016

(212) 434-4050 (212) 371-3223 (FACE)

Opening Times: Monday - Friday: 8:30 AM – 5:00 PM

If you are interested in discussing your case with the NYFP specialists: