Persistent lumps following Botox injections are unusual.

Stephen A. Goldstein, 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!


Stephen A. Goldstein, MD
11 months ago
By Stephen A. Goldstein, MD - Denver Plastic Surgeon

Claudia:

I have been using Botox close to thirteen years and never have seen persistent lumps. We typically advise our patients to be off of all anti-inflammatory medications and aspirin products two weeks prior to any injections to minimize the risk of bruising. It sounds like this most likely represents bruising at the injection sites. If it is bruising that is causing the lumps, then I would expect to see this clear up with time. I would advise you to follow up with the treating physician.

Thanks for your question.

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