The Best Surgeon for Hemifacial Spasm in Los Angeles

Choosing the best surgeon for hemifacial spasm is one of the most important steps toward long-lasting relief from this condition. Hemifacial spasm, caused by abnormal compression of the facial nerve, can lead to involuntary twitching and significantly affect quality of life.
Surgery, particularly microvascular decompression (MVD), offers patients a chance at permanent relief, but the success of the procedure depends greatly on the surgeon’s skill and experience. This article highlights the top specialists in Los Angeles who provide world-class care for patients with hemifacial spasm.
The Best Surgeons with World-Class Experience for Hemifacial Spasm
Dr. Aaron Cohen-Gadol, MD

Dr. Aaron Cohen-Gadol is internationally recognized for his expertise in performing complex cranial surgeries, including those for treating hemifacial spasm. Having completed more than 600 successful operations for this condition, he stands out as one of the most experienced surgeons in the United States. Patients trust him because of his precision in identifying and relieving the blood vessel compressions responsible for hemifacial spasm. His mastery of MVD has enabled countless patients to experience long-term relief, restoring their confidence and daily comfort.
Dr. Aaron Cohen-Gadol’s contributions extend far beyond the operating room. He is the founder of The Neurosurgical Atlas, the world’s most prestigious educational platform for brain surgery, which is used by neurosurgeons globally. This dedication to teaching and innovation ensures that his patients benefit from the most advanced and effective techniques. Also known for his compassionate approach, Dr. Cohen-Gadol takes time to thoroughly explain treatment options and probable outcomes to ensure that his patients feel supported and fully informed.
For patients seeking a hemifacial spasm surgeon in Los Angeles whom they can trust, Dr. Cohen-Gadol provides an unmatched combination of technical expertise, innovation, and patient-centered care. His record of surgical excellence has made him a leading choice for those hoping to achieve lasting relief from this condition.
Dr. Garni Barkhoudarian, MD

Dr. Garni Barkhoudarian, a neurosurgeon at the Pacific Neuroscience Institute in Los Angeles, is another highly regarded expert in treating hemifacial spasm. He specializes in minimally invasive neurosurgery and MVD techniques designed to relieve pressure on the facial nerve. His patients appreciate his thoughtful, individualized care and his ability to combine advanced technology with a focus on preserving their neurological function.
Dr. Garni Barkhoudarian also plays an important role in advancing research and education in neurosurgery. His work emphasizes improving patient safety and reducing recovery times, making him an excellent choice for those considering surgery. For patients in Los Angeles, his surgical precision and compassionate communication make him a trusted resource for hemifacial spasm treatment.
Why should you have your surgery with Dr. Cohen?
Dr. Cohen
- 7,000+ specialized surgeries performed by your chosen surgeon
- More personalized care
- Extensive experience = higher success rate and quicker recovery times
Major Health Centers
- No control over choosing the surgeon caring for you
- One-size-fits-all care
- Less specialization
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Access World-Class Hemifacial Spasm Surgery Experience From Dr. Aaron Cohen-Gadol with Over 600 Operations
When it comes to hemifacial spasm, experience matters. Dr. Aaron Cohen-Gadol has performed more than 600 MVD surgeries for this condition, making him one of the most experienced surgeons worldwide. His unparalleled expertise enables him to anticipate challenges and protect delicate neural structures during surgery.
MVD requires careful separation of the offending blood vessel from the facial nerve and insertion of a protective cushion to prevent further compression. The procedure demands extraordinary precision, as even the smallest error could affect facial function. With his depth of experience, Dr. Cohen-Gadol has consistently achieved outstanding success rates, helping patients achieve long-lasting relief from spasms that had previously dominated their lives.
For patients searching for the best surgeon for hemifacial spasm, Dr. Cohen-Gadol’s expertise and proven record of success provide peace of mind in knowing that they are in the hands of a leader in this field.
Treatment Approaches for Hemifacial Spasm
The primary treatment for hemifacial spasm is MVD, which directly addresses the root cause, compression of the facial nerve by a blood vessel. Undergoing this surgery provides the highest chance of attaining permanent relief; many patients experience complete resolution of symptoms after MVD.
Other treatment approaches include botulinum toxin (Botox) injections, which can temporarily reduce spasms by weakening the affected muscles. Although it’s effective in the short term, Botox requires repeated treatments and does not fix the underlying cause of hemifacial spasm.
Patients who choose to undergo surgery benefit most when it is performed by an experienced specialist. That is why selecting a hemifacial spasm surgeon on whom patients in Los Angeles can rely is so critical for achieving safe and lasting results.
Hemifacial Spasm FAQs
How long does it take to recover from hemifacial spasm surgery?
Most patients remain in the hospital for 2 to 3 days after MVD. Initial recovery takes several weeks, during which patients gradually return to their normal activities.
What is the success rate of hemifacial spasm surgery?
MVD has one of the highest success rates among neurosurgical procedures. Studies have reported that 85% to 95% of patients experience complete or near-complete relief from their symptoms after surgery, particularly when performed by an experienced surgeon.
Is MVD surgery safe?
MVD is considered a safe and effective treatment when performed by a highly trained neurosurgeon. Risks include infection, cerebrospinal fluid leak, and, rarely, hearing loss or facial weakness. However, in the hands of one of the best surgeons for hemifacial spasm, these risks are minimized, and the vast majority of patients experience life-changing improvement in their quality of life.
Conclusion
Finding the best surgeon for hemifacial spasm is essential for achieving lasting relief and reclaiming quality of life. In Los Angeles, world-class neurosurgeons such as Drs Aaron Cohen-Gadol and Garni Barkhoudarian provide advanced surgical techniques, compassionate care, and proven results.
For patients who are ready to take the next step, these specialists offer not only exceptional technical skill but also reassurance that their health and recovery are in the best hands. Whether through innovative microsurgery or personalized support, they represent the highest level of expertise available to patients seeking relief from hemifacial spasm.