Lump Above Eyebrow After Botox in Forehead

Question

After having botox in upper forehead five days later I have developed a lump above my eyebrow and feel a lot of heavy pressure above my eyebrows, is this normal, I also have a constant headache. I feel a lot of pressure in-between my eyes and feel as if there is an indentation there. I just wish this would go away. Please help. Thank you

Mike Majmundar, MD · Answer

Botox injected into the forehead can lead to a bump if a vessel was inadvertently punctured. The forehead has several veins and sometimes can be injured during botox injection, though rare. If this happens, you can get a bump from a small collection of blood under the skin. This will resolve over 7-10 days but can put pressure on surrounding nerves that can cause a pressure sensation. Some patients describe a headache they get for the first week after receiving botox; this may be a possibility as well.

Anil R. Shah, MD · Answer

Lumps after botox are not common but can occur.  There are several causes of bumps include:-bruise when blood vessel is hit-allergic reaction to saline component which can occur in some patients-swelling of the periosteum (lining of the skull) if injection was too deep.Thankfully, bumps typically resolve in a few days so consult with your injecting physician.

Ron Shelton, MD · Answer

You should see your doctor to evaluate your condition in person. Your doctor might say that you have a localized swelling or you might have a hematoma, which is a collection of blood. This may along with the symptoms, go away. You should make sure your doctor sees it.

Ritu Chopra, MD · Answer

I have patients all the time that think getting Botox is a non-even. But it is a needle, and even thought it's very small a hematoma (bleeding into your tissue) can result. To help avoid it, use ice both before and after getting Botox. No matter who is doing it or how careful they are, it can happen.

Kenneth D. Steinsapir, MD · Answer

Headaches are common following BOTOX treatment but this is still a small percentage of treatments. The issues you are describing may be related to bruising. Bruises will be associated with a certain amount of tenderness. These issues should settle down over the next week following treatment. It is unusual for headaches to persist more than a few days.

Monika Soni, MD · Answer

Thank you for your question. Lumps after botox are not common but can occur.  There are several causes of bumps include: -bruise when blood vessel is hit, -allergic reaction to saline component which can occur in some patients. Swelling can occur for 1-2 hours after Botox injection. However, this may be due to your microneedling treatment. I recommend following up with your injector for an evaluation and possible treatment. Best of Luck!

Glenn Vallecillos, MD, FACS · Answer

Hello and thank you for the question.

	The lump you are describing above your brow is very likely a hematoma or small blood collection. This is self-limiting and will reside within a few days in all likelihood. Dull headaches are a commonly described sequelae of Botox Cosmetic Treatments. They too should reside within a weeks time. If you are experiencing long-standing headaches or new onset unusual headaches, this may be a more serious condition and you should follow-up with your physician for evaluation.

	Kindest Regards,

	Glenn Vallecillos, M.D., F.A.C.S.

Victoria W. Serralta, MD · Answer

I've actually experienced this myself- and didn't like it any more than you do! It is surprisingly upseting to have something like this happen, especially if you've done botox before. The good news, as you've already read, is that it is most likely temporary. Another thing to remember is that it's never as noticeable to others as it is to you. If you can find other things to occupy your attention for a bit, you'll look in the mirror soon and be happy at how "quickly" it went away.

Gary Goldenberg, MD · Answer

It sounds like you may have a hematoma (small bruise). I recommend waiting a couple more days. If it doesn't resolve, see your doctor. Vitmain K cream may help bruising go away more quickly. Another trick, especially if you have redness over the lump, is green tinted make up.

Steven Wallach, MD · Answer

A lump above your eyebrow may represent a small bruise that you developed during injection. This can happen in some individuals and is almost impossible to completely eliminate the risk. It should get better with time, but if you are concerned, you can check with your doctor.

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