Synkinesis treatment in Rotterdam and online

What we treat

• The eye closing or narrowing when you smile, talk or eat
• The mouth corner or chin moving when you blink
• Tight bands in the neck, a dimpled chin, a pulled-down mouth corner
• Facial tightness, fatigue and pain that come with synkinesis
• Crocodile tears

Read What is synkinesis? for how it develops.

Our approach

We see synkinesis as a movement pattern the brain learned during a long recovery, not as permanent damage. That means it can be unlearned. Our Neuro-Proprioceptive Rehabilitation method helps the brain send balanced signals to both sides of the face again, through conscious relaxation, special techniques you practise at home, and treatment sessions with our specialists.

• Non-invasive and painless: no Botox, fillers, surgery or electrical stimulation.
• For the late stage: from about 8 months after the onset, with no upper limit. Many patients come 10 to 30 years later.
• Usually 6 to 12 months, with daily work at home.

Wondering how this compares with Botox, retraining or surgery? See Synkinesis treatment options compared.

Measured, not guessed

In the clinic, we measure your synkinesis and nerve before the program and track the change during it:

• Nerve Conduction Study: how well each branch of the facial nerve carries signals.
• Synkinetic Correlation Analysis: a test developed in our clinic that measures how much the muscles on the affected side move together, compared with the healthy side.

How we measure recovery and synkinesis

In the clinic, online or both

Coming from abroad

• Visits: for patients from abroad, we space clinic visits 10 to 12 weeks apart, or work fully online.
• Getting here: most patients fly into Amsterdam Schiphol, which has direct trains to Rotterdam Centraal. Eindhoven airport is another option.
• Where to stay: the Postillion Hotel is in the same World Trade Center building as the clinic. The NH Atlanta and The James are nearby.
• Getting around: the clinic is a 10 to 15 minute walk from Rotterdam Centraal, or a short tram or metro ride to the Beurs stop.
• Visa: check the Dutch entry requirements for your country before you book.

More in When you visit us in Rotterdam and Treatment for international patients.

What our patients say

• Susana (Texas, USA): told that surgery was her only hope for a dimpled chin, she gained symmetry and pain relief through a 6-month online program.
• Staci (USA): discharged by three US healthcare systems, she regained eye closure and her smile with a mix of clinic and online sessions.
• Jamie (Canada): after three years of synkinesis and neck tightness that physiotherapy did not fix, Jamie found that the synkinesis reduced and self-confidence returned. Jamie’s story
• Viky: after Botox and other therapies did not release a tense spot near her mouth, the clinic’s techniques brought lasting relaxation.

Costs

The first step is a video consultation with Dr. Pashov of about 40 minutes. We analyse your case, explain what you can realistically expect and which program fits best. The cost of a full program depends on the option you choose and how many sessions you need. We discuss this in the consultation, and you decide afterwards.
See the consultation page and the program pages for prices.