I have not seen what your are describing after using Botox for 11 years

Francisco Canales, MD answers: Is it normal to have swelling after Botox?

I had Botox injections 4 days ago in my forehead, and around my eyes. Today I noticed that everywhere I had the injection it looks lumpy and swollen. When I do my "surprised" face, I also get this lump right in the middle of my forehead just above where they do it for the crease between the eye. I have had Botox before and in some places it seems to leave an indentation. Can anyone tell me what might be happening? I am getting very nervous and am wondering if I should make an appointment to see a plastic surgeon. The Dr. that did it this time is qualified, but is a GP. Thanks for any information on this!


Francisco Canales, MD
10 months ago
By Francisco Canales, MD - Sonoma Valley Plastic Surgeon

Claudia,

I have not seen the lumps you refer to. Usually any lumpiness disappears within a few hours. I also have not seen indentations as a result of Botox. Conceivably you could have some bleeding below the periosteum (lining of the bone). That could conceivably cause lumpiness that lasts longer and it may take a couple of weeks to resolve.

Certainly seek a second opinion after finding out exactly how much Botox you had. In our office, we have used Botox since 1998, and we advise our patient to be off aspirin and off anti-inflammatories to minimize any bleeding or hematomas. Good luck with your recuperation.

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