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Accidental Bump of Botoxed Eye Area

I had Botox injections for my crow feet around my eyes. Accidently, my youngest child bumped the corner of my left eye with the corner of his book. I have a bump the size of a pea. I iced the area, but its still swollen. Should I be concerned?

Asked 40 months ago by MJL in Birmingham, MI U.S

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Bump after Botox

You should not be that concerned with the issue. It will not affect your Botox and does not seem related to the treatment. A small bump like this after the trauma from the book is likely a broken blood vessel and will resolve shortly. Ice the area and if it does not go away after a week or two, consult your physician.

Doctor's Website

Harold J. Kaplan, MD

Los Angeles Facial Plastic Surgeon

Bruises or hematoma after trauma

In the situation you describe, where you experienced trauma after botox injection, the symptoms you're experiencing are not likely related to the botox and are most likely represent a small hematoma (collection of blood). Massage should help. Watch the area closely. If it appears not to be resolving after a few days or is enlarging or if you have any visual changes you should see a physician for evaluation. I hope this helps.

Steven H. Williams, MD

San Francisco Plastic Surgeon

ASPS

Not likely related to Botox; Probably a bruise

This is most unlikely related to the botox. The eyelid area has deleicated little blood vessels that are easily ruptured when injured and can cause small little hematoma's swellings that will disappear over time with little side effects. You did the best by immediately applying ice and pressure. Avoid aspirin and motrin like products. Some people feel arnica montana creams/ointments expidite the disappearance of the bruise. This may take 7-10 days to disappear. In the meantime you can use... more

Otto Joseph Placik, MD

Chicago Plastic Surgeon

ASAPS ASPS

It sounds fairly minor and should respond with usual conservative measures and time.

As you described your injury, it sounds fairly minor and should respond with usual conservative measures of icing and gentle massage. The lump is probably a small amount of blood which should absorb over the next two-three weeks. Arnica Montana is a natural herb that is useful for hastening the absorption. If no improvement is seen, it is always prudent to be evaluated by your treating physician. Thanks for your question.

Stephen A. Goldstein, MD

Denver Plastic Surgeon

ASAPS ASPS

Nope, But It Reminds Me of a Joke

Hi MJL, Nothing to worry about, just watch out for "Good Night Moon". So what do you tell a Botox patient with two black eyes?.....Nothing that they haven't heard two times before. A little humor, very little. Be well. Dr. P

Michael A. Persky, MD

Los Angeles Facial Plastic Surgeon

Try not to worry

It sounds like the bump you are describing is from the book hitting your skin and this should go away with a little time. It is doubtful that it will have any effect on the Botox. Botox usually takes about 5 days to take full effect. The best way to tell is to look in the mirror after the bump goes away and try to squint your eyes. You should see that it is harder to do than before, although there will still be some movement in this area. both eyes should respond the same when you... more

Edgar Franklin Fincher, MD, PhD

Beverly Hills Dermatologic Surgeon

You should be fine

MJL, Your timeline is unclear in your question. However, I assume that you had Botox earlier in the day and later in the day is when the corner of your eye was bumped. The bump is likely swelling or a hematoma (small collection of blood) under the skin which is unrelated to the Botox. You did the right thing by placing ice over the area. It may take a few days for the swelling to go down. The Botox, most likely, should be fine. In any case, you will just have to wait and see. It will... more

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David Shafer, MD

New York Plastic Surgeon

ASPS

Hitting Face After Botox

You should not worry about the area hit by your child's book. The little bump is probably a small bruise that will look a little purple in a few days, then go away on its own. Occasionally, we see similar pea-sized bumps develop from the injection of Botox itself!

Randy J. Buckspan, MD

Austin Plastic Surgeon

ASPS

Botox near the eye followed by trauma will heal.

The small bump you got from your child in the Botoxed area should heal fine. It will not affect your Botox results, but if you did get a significant amount of Botox in the area, the periorbital muscle that goes around the eye to squeeze it shut tight can be weakened, which actually may allow swelling to remain in the area longer than it otherwise would. This muscle is what makes our eye puffiness go away after we wake up in the morning. This is not dangerous, but it is good to be aware of.... more

Doctor's Website

Jessica J. Krant, MD, MPH

Manhattan Dermatologic Surgeon

How to treat a small bump after Botox

It sounds like you may develop a small bump or bruise after your child bumped in the area that had been treated with Botox. This should not affect your results. The best thing to do is to place cold compresses on to this area and wait for the swelling and bruising to go away on their own. For more information on Botox or to schedule an iConsult, please visit us online at:

B. Pat Pazmino, MD

Miami Plastic Surgeon

ASAPS ASPS

Do not be concerned about bump after Botox.

Hi. It just sounds like you got a liitle hematoma (collection of blood) near your Botox injections. The bump will go away, and should not affect your Botox treatment.

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Small hematoma after Botox

Massage, icing and time will help resolve the small blood clot that you had due to the trauma. Botox injection can lead to a hematoma but it will occur immediately after injection.Your surgeon will probably take care of this immediately by compression and icing. In any case, it will go away.

Hisham Seify, MD, PhD

Los Angeles Plastic Surgeon

ASPS

Probably no concern

Probably no concern after bumping your head on a book. Steven Wallach, MD

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

No medical reason that it should have any effect. Botox "fixes" to the muscle within about 5 mins

Bumping an area of previous Botox injection should have no real effect after just a few minutes.

Michael Clinton, MD

Birmingham Plastic Surgeon

ASPS

Swelling from the injury won't hurt your Botox result

Don't fret. The swelling from the book whack will not affect the Botox result unless it occured just minutes after the Botox and the Botox diffused into an unwanted area. Botox diffusion could result in double vision in this area, but the injury would have had to occur literally at the doctor visit just after injection. Even then, I think the risk is slight. The swelling from the skin trauma will go down and you did the right thing icing at once.

Mary Lupo, MD

New Orleans Dermatologist

Timeline is important

It is likely that the bump that you describe is from your book injury and not related to your Botox. If you had the Botox more than 24 hours before your injury there is very little chance of any change in the result. Even if it is less than 24 hours, there is still very little chance of any change in your result. If you are concerned though and the bump does not resolve in a couple of days, I would suggest visiting the physician who injected the Botox.

D.J. Verret, MD

Dallas Facial Plastic Surgeon

Time will tell, but you are probably fine

Most likely, the small hematoma you describe is from the book injury rather than from the Botox although the timeline isn't clear here. Either way, all you can do is use ice, keep your head above your heart for 3 days, avoid strenuous activities for a week and watch and wait.