Strange Painful Tingling After Botox on Forehead

Question

After having Botox injected in my forehead, I have a strange painful sensation in my skin for one week following the injections. It's not bruised or feels like a bruise, but more like a nerve tingling when I run my fingers over my forehead. Sometime, I do note a "crackling " sound while the doctor is injecting my forehead. Could this be related?

Michael A. Persky, MD · Answer

Hi Eus,
The crackling or crunching sound during Botox injections is due to the needle penetrating the galea (an anatomic tissue layer of the scalp).  The crackling is not related to your symptoms of tingling.
Most likely, a nerve was hit by the needle during the Botox injection.  The tingling, strange painful feeling should subside within a week or so.  If you are able to take an anti-inflammatory (Advil, Motrin), the medication should help you feel better.
Good luck and be well.
Dr. P

Eric M. Joseph, MD · Answer

I think the funny sensation on your forehead will subside quickly. If it's not gone in a week, certainly bring this to the attention of your doctor.
Crackling during a forehead injection (sometimes described as crunching) is common, and not likely related to the tingling.
I hope this helps, and best regards.

Tanveer Janjua, MD · Answer

Tingling could be early sign of Herpes Zoster in the forehead. It is mostly in the middle, right between the eyebrows. If it gests worst or you break out in some vesicles (tiny boils) you must bring it to your doctor's attention and start an antiviral medicine.
Regards

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Strange Painful Tingling After Botox on Forehead

Answers (3)

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