At Eye and Face Clinic, Consultant Ophthalmic Surgeon Janice Brady offers specialist botulinum toxin injections for the treatment of blepharospasm — a neurological condition causing involuntary, uncontrollable spasms and closure of the eyelids. As a Consultant Surgeon with specialist expertise in both the eye and face, Dr Brady is uniquely qualified to diagnose and treat this condition with the precision, care, and clinical understanding it demands.
Smooths facial lines by relaxing targeted muscles
Frown lines, forehead lines, crow’s feet, and early signs of ageing
Frown lines, forehead lines, crow’s feet, and early signs of ageing
Fine needles, with numbing cream or ice packs available
Visible from 3-5 days, peak at 10-14 days, lasting 3-4 months
Waterford clinic
Consultant Oculoplastic Surgeon
MB BCh BAO BMedSc MSc MRCOphth FRCSI(Ophth)
Blepharospasm typically begins gradually, often with increased blinking or light sensitivity, and may progress over time.
Signs and symptoms include:
The efficacy and favourable side-effects profile of botulinum toxin injections have made it the treatment of choice for blepharospasm. Botulinum has been an effective treatment for blepharospasm since FDA approval in 1989, with over 30 years of proven use.
Botulinum works by blocking the nerve signals that tell the eyelid muscles to contract excessively. By targeting only the affected muscles around the eyes, Botulinum reduces spasms without harming vision or affecting other facial areas.
At Eye and Face Clinic, we use the leading brand of botulinum toxin, manufactured by Allergan in Ireland, which has decades of safe and effective clinical use behind it.
Your treatment begins with a thorough specialist consultation, during which Dr Brady will assess your symptoms, review your medical history, and confirm that botulinum toxin injections are the most appropriate treatment for you.
The procedure itself is carried out in clinic and takes only a matter of minutes. Most people notice improvement within three to seven days after treatment, with maximum benefit appearing at around two weeks. Injecting small amounts of botulinum toxin into the precise muscles slows the rate and force of involuntary blinking, effectively and safely reducing symptoms for usually about three to four months.
Regular repeat treatments are recommended to maintain the benefit. Dr Brady will work with you to establish a treatment schedule that keeps your symptoms well controlled and your quality of life as high as possible.
Botulinum toxin injections for blepharospasm are generally very well tolerated. The most commonly reported side effects include temporary drooping of the eyelid, mild eye dryness, or minor bruising at the injection sites. These effects are usually short-lived and resolve on their own. Dr Brady will discuss all potential side effects with you in full during your consultation and answer any questions you may have.
Blepharospasm is not a cosmetic concern — it is a genuine medical condition that can have a profound impact on a person’s ability to carry out everyday tasks, their independence, and their emotional wellbeing. At Eye and Face Clinic, Consultant Ophthalmic Surgeon Janice Brady treats blepharospasm with the seriousness and specialist expertise it deserves, offering patients a compassionate, evidence-based approach to managing their symptoms and improving their quality of life.
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