I have 8-9 hard raised nodules on forehead a year after Botox injection. Semi pus filled. Is this normal?

Is this a normal outcome? What are options to remove blemish?

Doctor Answers 6

Thank you for your question

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Thank you for your question. That is an abnormal response to Botox. You may want to return to your injecting physician to have an in person assessment. 

Toronto Plastic Surgeon
4.9 out of 5 stars 518 reviews

Botox and pus

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Botox will not cause pus filled nodules a year after injection.  Please consult a board certified dermatologist to examine your skin.  It sounds like you may have acne or a skin infection of some kind.

Spots On Face After Botox

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I agree, I have never seen this type of reaction after Botox injections after 8 years of use.  Sounds more like staph colonization or acne, please see a dermatologist for evaluation.  Best, Dr. Emer. 

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 reviews


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I have never seen this before with botox injections. I have been using botox for over 16 years and never had an injection site infection. Sounds like plmples. Consult a good dermatologist.

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon

Nodules on the forehead after Botox

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Some close-up photos would be helpful. There is no way Botox would do this, it is not related. How do you know it is "semi pus filled?"

Peter T. Truong, MD
Fresno Oculoplastic Surgeon
4.9 out of 5 stars 42 reviews

Should have nothing to do with the botox injections one year ago

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if you suffer from blemishes, see your dermatologist and have them treated...but the good news is that they're not related to the botox...an injection of a dilute cortisone solution may help speed the bumps on their way to oblivion in the immediate future...

Ken Landow, MD
Las Vegas Dermatologist

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.