When half of your face suddenly loses its ability to move, the resulting asymmetry can be both physically and emotionally distressing. Bell’s palsy is a condition that causes temporary facial paralysis or weakness, typically affecting only one side of the face. While frightening when it occurs, most cases recover significantly with proper medical care.
Dr. Michael Cohen provides expert diagnosis and treatment for Bell’s palsy throughout Long Island, combining his extensive ENT expertise with a compassionate approach to this challenging condition.
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Our Expertise and Philosophy
With over 25 years of experience treating facial nerve disorders, Dr. Cohen understands both the physical and emotional impact of Bell’s palsy. His approach focuses on rapid intervention, comprehensive care, and support throughout the recovery process. For patients experiencing sudden facial weakness, prompt evaluation is essential to rule out other serious conditions and begin appropriate treatment.
Dr. Cohen’s expertise in otolaryngology and facial plastic surgery provides a unique advantage in managing Bell’s palsy, allowing him to address both functional and aesthetic concerns during recovery.
What Is Bell’s Palsy?
Bell’s palsy is a condition that causes sudden weakness or paralysis of the facial muscles on one side of the face. It occurs when the seventh cranial nerve (facial nerve) becomes inflamed or compressed, disrupting the signals between the brain and facial muscles. This nerve controls most facial expressions, eyelid movement, taste sensation on the front two-thirds of the tongue, and tear and saliva production.
Unlike a stroke, which affects facial movement due to brain injury, Bell’s palsy results from a problem with the facial nerve itself. The condition typically develops rapidly over 48-72 hours and often reaches maximum weakness within a week. While the exact cause remains unclear, experts believe viral infections may trigger inflammation of the facial nerve. About 40,000 Americans develop Bell’s palsy annually, with adults between ages 15-60 most commonly affected.
Common Symptoms and Concerns with Bell’s Palsy
Bell’s palsy presents with several distinctive symptoms that typically appear suddenly:
- Facial weakness or paralysis on one side
- Inability to close the eye completely
- Altered taste sensation
- Pain around the jaw or behind the ear
- Excessive tearing or dry eye
- Difficulty with eating, drinking, or speaking
- Increased sensitivity to sound on the affected side
Many patients worry about permanent facial paralysis, but Dr. Cohen reassures patients that approximately 85% of individuals with Bell’s palsy recover completely within 3 months, with most showing improvement within 2 weeks.
Dr. Cohen’s Customized Approach to Bell’s Palsy
Dr. Cohen employs a methodical, comprehensive approach to diagnosing and treating Bell’s palsy:
- Prompt evaluation to confirm diagnosis and rule out other conditions
- Early intervention with proven therapies, ideally within 72 hours of symptom onset
- Specialized eye protection strategies if the eye cannot close properly
- Regular monitoring of recovery progress
- Collaboration with other specialists when necessary
Is Treatment Right for You?
Anyone experiencing sudden facial weakness or paralysis should seek immediate medical evaluation. Treatment for Bell’s palsy is most effective when started early and is particularly important if you have:
- Complete facial paralysis
- Inability to close your eye completely
- Severe pain behind the ear or in the face
- Slow or no improvement after initial treatment
- Previous episodes of facial paralysis
During your consultation, Dr. Cohen will thoroughly evaluate these factors to determine the most appropriate treatment approach for your specific situation.
What to Expect During Your Evaluation
Your initial assessment for Bell’s palsy typically includes:
- Comprehensive discussion of your symptoms and medical history
- Thorough examination of facial movement and nerve function
- Neurological testing to ensure symptoms are isolated to the facial nerve
- Possible imaging studies in certain cases
- Detailed explanation of your condition and treatment plan
What to Expect During Bell’s Palsy Treatment
Treatment for Bell’s palsy focuses on reducing nerve inflammation, protecting the eye, and supporting recovery:
- Oral corticosteroids to reduce inflammation, typically prescribed within 72 hours
- Eye protection measures including artificial tears, ointment, and possibly an eye patch
- Facial exercises and massage techniques as recovery progresses
- Regular follow-up appointments to monitor improvement
- Discussion of additional options if recovery is incomplete after several months
Most patients begin to see improvement within 2-3 weeks, with recovery continuing over 3-6 months. Dr. Cohen provides guidance throughout this process, adjusting treatment as needed based on your progress.

Frequently Asked Questions About Bell’s Palsy
Most patients begin to see improvement within 2-3 weeks, with complete or near-complete recovery within 3-6 months. Approximately 70% of patients with complete paralysis recover fully, while the percentage rises to about 94% for those with partial paralysis.
Yes, in about 7-10% of cases, Bell’s palsy can recur, either on the same side or the opposite side of the face. Dr. Cohen provides guidance on managing recurrent episodes.
Most cases of Bell’s palsy do not require surgery. However, if recovery is incomplete after several months, surgical options may be considered to improve facial symmetry and function.
Facial exercises, warm compresses, gentle massage, and proper eye care are important components of home care that Dr. Cohen will discuss with you based on your specific situation.
While stress alone does not cause Bell’s palsy, it may contribute to its development by weakening the immune system and making the body more susceptible to viral infections that could trigger the condition.

Why Choose Dr. Michael Cohen for Bell’s Palsy Treatment
- Board-certified in both Otolaryngology-Head and Neck Surgery and Facial Plastic Surgery
- Over 25 years of experience treating facial nerve disorders
- Recognized as a Top Doctor by NY Top Docs for 25 consecutive years
- Specialized expertise in both medical and surgical management of facial paralysis
- Compassionate approach focused on both physical and emotional recovery
- Multidisciplinary network of specialists for comprehensive care
- Advanced diagnostic and treatment technologies
- Convenient locations serving Long Island patients
Schedule Your Consultation with Long Island’s Premier Facial Nerve Specialist
If you’re experiencing facial weakness or paralysis, prompt evaluation is essential. Contact our office to schedule a consultation with Dr. Cohen. With convenient locations in Syosset and Port Jefferson Station, we provide accessible, expert care for patients with Bell’s palsy throughout Nassau and Suffolk County.
Early intervention offers the best chance for complete recovery. Don’t delay seeking treatment for this concerning but treatable condition.