You may be willing to live with the symptoms and appearance of poor eyelid closure and decide not to have surgery on your lids at this time. In some cases the symptoms of poor closure can be improved with aggressive lubrication and taping the eyelids shut. Some patients are able to keep the eyelids closed with a patch.
Sometimes when a patient's facial nerve function returns, an eyelid may be droopy or the affected side may twitch. This is called aberrant regeneration of the facial nerve and happens when the "wires cross" as the nerve wakes back up again. Common symptoms may include a drooping lid when a patient smiles or tearing mostly when eating or chewing. These symptoms may be controlled with Botox injections.