Facial Paralysis Recovery: How Long Does It Take to Close the Eye Fully?

When facial paralysis leads to incomplete eye closure and visible white of the eye, it typically indicates a more severe case. With prompt treatment during the acute phase, usually within about a week, patients may begin to regain the ability to close their eyes properly.

Immediate Medical Intervention During the Acute Phase

During the early stages of facial paralysis, if there are no contraindications to steroid use, patients are often prescribed intravenous dexamethasone or oral prednisone. These medications help reduce inflammation and swelling of the facial nerve, which is crucial for a faster recovery. If a viral infection is suspected, antiviral drugs like acyclovir may also be administered to combat the underlying cause.

Nutritional Support for Nerve Healing

In addition to anti-inflammatory and antiviral treatments, it's important to support the healing of the facial nerve with neurotrophic (nerve-nourishing) medications. Commonly prescribed supplements include methylcobalamin, adenosylcobalamin, and vitamin B12, which can be taken orally to promote nerve regeneration and improve facial muscle function over time.

Complementary Therapies: Acupuncture and Physical Rehabilitation

About one week after the onset of symptoms, acupuncture can be introduced as a complementary therapy to stimulate the facial muscles and encourage recovery. Many patients start to see improvements within two to four weeks, and in some cases, full facial function can be restored, especially with a combination of medical treatment and physical therapy.