Last May, I wrote about my husband's 2009 MVD surgery. Unfortunately, the hemifacial spasm resumed late last year. The TN didn't, thank God. After researching, I was sorry to see that others have had the return spasms return at about the 10 year mark, post MVD He has gotten some relief from Botox injections by a very capable neurologist who specializes in Movement Disorders. She also prescribed Trileptal twice daily, and he's using an oral tincture of medical marijuana, (which is legal in our state), as well as a vape form. My heart goes out to anyone who is suffering from the debilitating condition.