Blepharospasms and Botox

Our new employee asked me on emails:

Regarding blepharospasms, I was wondering if Botox could ever get rid of involuntary spasms if the muscles relaxed enough, or is Botox more of something that decreases the spasms, but can’t fully get rid of them?

So basically everything you said is right.

The answer is: It’s dose dependent.

So If I use high enough of a dose it will all “freeze” up and not move. But it would also look very frozen and weird on the patient. So I’m trying to strike a balance where it just spasms a little bit where it is manageable by the patient (not painful, and not eye-shutting) but it still looks normal without one side of the face being super frozen.

There are also some areas of the face where I don’t want to inject too much Botox for fear of creating ectropion.