Recovery Timeline After Facial Spasm Surgery: What Patients Should Expect

Following microvascular decompression surgery for facial spasms, most patients typically remain in the hospital for 3 to 5 days, assuming no complications arise. Early mobility is encouraged, and many patients are able to get out of bed as early as the second day post-surgery. This early movement helps promote circulation and reduce the risk of postoperative complications such as blood clots.

Immediate Post-Operative Care

In the first few days after surgery, medical staff closely monitor vital signs, neurological function, and pain levels. It's common for patients to experience mild side effects such as low-grade fever or headaches. These symptoms are usually temporary and managed effectively with medication. In some cases, a lumbar puncture may be performed to relieve pressure, drain excess cerebrospinal fluid (CSF), and ensure proper CSF clarity and flow.

Wound Healing and Discharge

Sutures are generally removed between 5 to 7 days after the procedure. Once the incision site is healing well and the patient shows stable recovery progress, they are cleared to return home. At this stage, it's crucial to keep the surgical area clean and dry, following all hygiene instructions provided by the healthcare team.

At-Home Recovery Tips

After discharge, patients should prioritize rest and avoid strenuous physical or intense mental activities that could strain the nervous system. Activities like heavy lifting, prolonged screen time, or high-stress work tasks should be minimized during the initial recovery window. Emotional stability also plays a key role—managing stress and avoiding sudden mood swings supports optimal healing.

Full Recovery Timeframe

While the initial recovery phase lasts about one to two weeks, complete healing can take several weeks to a few months, depending on individual health factors and the body's response to surgery. Most patients notice a significant reduction in facial twitching within the first month, with continued improvement over time.

To support long-term recovery, patients are advised to follow up regularly with their neurosurgeon, maintain a healthy lifestyle, stay hydrated, and report any unusual symptoms such as persistent headaches, dizziness, or signs of infection at the incision site. With proper care, the majority of individuals achieve favorable outcomes and return to normal daily activities within a short period.