---
title: What is a palpebral spring?
description: "A palpebral spring is an implant that uses a fine spring mechanism to actively help close the eyelids in facial paralysis. It links the upper and lower lids so that residual muscle action or brow movement assists blinking. ## Mechanism…"
url: "https://bluefinvision.com/knowledge-base/topics/treatments-procedures/what-is-a-palpebral-spring/"
updated: "2025-12-12"
category: "Treatments & Procedures"
---

# What is a palpebral spring?

A palpebral spring is an implant that uses a fine spring mechanism to actively help close the eyelids in facial paralysis. It links the upper and lower lids so that residual muscle action or brow movement assists blinking.

## Mechanism

The spring is anchored to the tarsal plates or orbital rim and exerts a closing force when activated. Unlike a simple weight, it can provide dynamic closure and opening, aiming for a more natural blink.

- Implant design and placement are tailored to facial anatomy
- Adjustment may be required to balance closure strength and comfort
- Used less commonly than gold weights due to complexity and potential complications
- Usually reserved for selected patients in specialised centres

## Considerations

Palpebral springs can improve corneal protection and cosmesis but carry risks of extrusion, infection, and mechanical problems. Careful patient selection and long‑term follow‑up are essential.

- Some patients prefer simpler static procedures or weights
- Device removal is possible if function is inadequate or complications occur
- Artificial tears and protective strategies remain part of care
- Integration with broader facial reanimation plans should be considered