Bell’s palsy or idiopathic facial paralysis due to malfunction of the facial nerve (VII cranial nerve), but until recently, it has now been related to both Lyme disease and Herpes simplex.  Simplex can follow multiple nerve branches, while zoster tends to follow a single nerve branch, such as the first division of the fifth cranial nerve. This paper are reviewed some consideration on HZO with Bell’s paralysis lagopthalmia cases and noted results of surgical treatment for lagopthalmia after medical treatment failure.