Botox Q&A

64%

WORTH IT RATING

854 Reviews

Ask a Question

View Before and Afters

Average Botox Cost: $425

Learn about Botox

3,016 people and 923 doctors are talking about Botox

Get Free Email Updates

Is Swelling And Lumpiness 1 Day After Botox In Chin Normal?

asked 8 months ago by SF_Dancer in Alameda, CA
Latest answer by Ronald Shelton, MD
Question viewed 541 times
Tags: 1 day post-op, lumps, normal, swelling

I had Botox injections in my chin yesterday to smooth out the muscle (by a board certified cosmetic surgeon). Today, the muscle that was injected is swollen and lumpy - very elevated compared to the surrounding area. It is spongy to the touch and flattens out if I stretch the skin. It doesn't hurt at all. Is this a common side effect? Is it likely to resolve soon/completely? I've been taking ibuprofin and applying ice to the area to reduce swelling.

16 answers to Is Swelling And Lumpiness 1 Day After Botox In Chin Normal?

Botox injections in the chin

It is unusual to have that much swelling after an injection. I recommend contacting your physician. Icing is an appropriate intervention, but Ibuprofen should be avoided to prevent further bleeding/bruising. It is most likely nothing at all, but anytime there is a concern it should be addressed.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Botox in the Chin Causing Bumps

While there is a small chance of having a bruise or swelling from injection, I wonder if what you are seeing at this point is an initial uneven uptake of the botox in the chin area. It takes several days for the Botox to take - and occasionally in the chin area one can see a little bumpiness with certain facial expressions as the chin muscles begin to become effected. I would give it a few more days to see what happens. Occasionally one needs to add a little more Botox to... more

Karyn Grossman, MD
Santa Monica Dermatologic Surgeon

Is it usual to have swelling 1 day after Botox injection?

Swelling one day after Botox injection is probably due to bleeding into the tissue from the trauma of the needle. Even though I use very small needles (31 gauge are very tiny), I see bruising in the very delicate eye area from time to time, and only very rarely in the chin area. If there is a "lump" that can be felt and seen, it's best to alert your doctor and be seen for confirmation of what's going on. Ways to prevent bruising before any injectable... more

Kimberly Finder, MD
San Antonio Dermatologic Surgeon

www.theliposurgeryclinic.com

Is Swelling And Lumpiness 1 Day After Botox In Chin Normal?

Give it a few days to see if the swelling decrease after the Botox injections. After that, you should go back to the plastic and cosmetic surgeon that did the Botox.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Chin lumps and swelling after Botox

Botox is not expected to cause swelling and/or lumpiness. I would advise you to call the doctor who did your treatment, and ask to be evaluated. If you were my patient I would ask you to come in that day. Probably I would find nothing serious, but it would reassure you I cared and was looking out for your interests. Yoash Enzer, MD

Yoash R. Enzer, MD
Providence Oculoplastic Surgeon

www.doctorenzer.com

Lumpiness after Botox

Botox is injected in very small volumes, so there should not be much lumpiness few after Botox is injected. What you be experiencing may be some bruising that might have occurred because of Botox. Dr Ben Behnam

Ben Behnam, MD
Santa Monica Dermatologic Surgeon

Swelling around injection sites can vary

Dear SF_Dancer Swelling after an injection of anything can last more than for 2-3 days, so even if the smallest needle is used, you may need to wait a few days for the skin to return to normal. If it is red or warm, call your doctor. On another note, are there other factors that led you to have Botox in your chin? Chin implant? Make sure you discuss these with your surgeon because the muscle of the chin (mentalis) can have lumps... more

Travis T. Tollefson, MD, MPH
Sacramento Facial Plastic Surgeon

Swelling after botox

Swelling after Botox can happen but usually subsides after a few minutes to hours. Itf it is still apparent a day or two later, it could be a small hematoma fromt he injection.

Steven Wallach, MD
Manhattan Plastic Surgeon

Botox in the chin

Swelling and lumpiness one day after Botox injection would typically not be a result of the action of Botox as it usually does not work that fast. Most likely related to trauma of injection to soft tissue or vasculature.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon

www.palmbeachdermasurgery.com

Botox can help smooth the skin on the chin

Bruising can happen after Botox injections, can last a few days to a week, and usually there is also some pain or discomfort to the touch associated with it. Pure swelling and "lumpiness" is not typical one day after Botox injections in that area because so little volume is used and it is absorbed relatively quickly. It's always a good idea to call the injecting doctor since they know exactly what they injected and how and can best guide you as to what's normal in terms of... more

Doris Day, MD
New York Dermatologic Surgeon

Yes it can happen.

Hello, Dr. Green is correct. Depending on the dilution of botox used, there won't be much swelling left after one day. Ibuprofen can increase the chances of bleeding and bruising after botox and injectibles. Icing alone should be sufficient to control the swelling. Good luck, Dr. Shah

Manish H. Shah, MD
Denver Plastic Surgeon

Chin Swelling

This is not an effect of the Botox per se, but of tissue injury from the injections. Botox takes at least a couple of days to achieve an effect. This is probably from vascular injury and should resolve in a day or so. I would continue cool packs as you are doing. Instead of Ibuprofen, which enhances bleeding, I would recommend Now Foods Quercetin with Bromelain and Arnica Montana instead. If this area becomes tender or swells further, please contact your surgeon. more

Arnold R. Oppenheim, MD
Virginia Beach Dermatologist

May be a bruise or hematoma

There is very little volume injected with Botox. Any swelling is most likely related to bleeding and will resolve with time. Ibuprofen may increase bleeding though. Botox for the chin is an unusual use of Botox. I too use botox in other than the standard areas, and it can be very useful.

Rodney A. Green, MD
Cleveland Plastic Surgeon

Fort Lauderdale Chin & Botox

That's a little unusual unless there was a substantial hematoma. Continue as you are with cool compresses & notify your provider should it worsen.

Will Richardson, MD
Fort Lauderdale Dermatologic Surgeon

Swelling in chin after botox

It is impossible to tell what is the cause of your situation but you should see your doctor for an examination. It is unusual to swell after Botox to that extent. Possibly there is a small hematoma from bleeding or some unusual compensatory muscle contraction adjacent to the area treated. see video

Ronald Shelton, MD
Manhattan Dermatologist

Bruising after botox

Some bruising may occur but if you are taking a NSAID this may promote more bleeding and bruising in the injection sites. It is also I portent to ask whether your physician has used a small gauge needle. It takes more finesse and time but is well worth the effort.