Is it normal to have swelling after Botox?

I have seen occasional cases of incomplete muscle paralysis of the injected muscles, leading to an irregular contour upon frowning or raising ones eyebrows. This is either due to inadequate dosing of the Botox, or incomplete area of the muscle injected. Occasionally, patients may develop a small hematoma... more

If the muscle has been weakened in an unusual pattern, it maybe that you are experiencing visibility of contracting muscle segments between the weakened segments but my guess is that this is highly unlikely. Within all likelihood this will resolve on its own with no intervention or side effects but I would... more

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... more

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... more

Bruising or lumps the first  few days after Botox is not uncommon. But, it usually goes away within a couple of days.  If it persists, you should probably go see your doctor.

Having swelling 4 days after BOTOX is extremely unusual. First of all, I would not recommend a GP to inject BOTOX. There is a reason there are medical specialities because one cannot be an expert at everything. If I had a kidney infection I wouldn't see a cardiologist. You deserve the highest level of care for... more

Bumps after Botox can be the result of swelling, hematoma or muscle recruitment. Swelling can be the result of localized trauma and will go away shortly. Hematoma is the result of the needle injuring a small blood vessel and will also resolve within 1-2 weeks. More likely is the recruitment of muscle that was... more

You should see a plastic surgeon and not a GP because a plastic surgeon is more experienced and knows what they are doing. It may simply be a little bruise under the skin that is causing the lump.

Hi Claudia, I agree with Dr. Lupo.  I have never seen what you are describing in thousands of injections.  I have seen very small hematomas (bruises) that may form a small lump for a few days, but not everywhere as you state. Your statement that "the Dr. that did it this time is qualified, but... more

The situation you are describing is very unusual. I have been doing Botox injections for 12 years and have never seen what you are describing. I'd give the treating physician the benefit of the doubt and see if he/she can fix this. In general, I always recommend board certified dermatologists and plastic... more