Can a Bump Emerge a Few Hours After a Botox Injection in the Crows Feet Area?

Question

I have had botox injections in the past without any problems. Today I had injections in my crows feet. About 3.5 hours after the injection I had a big coughing spell and then I noticed a big lump by the side of my right eye. I have iced it, but is still there and tender to the touch. Is this something to be concerned about? Is this a normal occurrence and should I expect it to disapate?

Ron Shelton, MD · Answer

it appears that you may have a small hematoma. A bruise of the skin with a small collection of blood cells that leaked from a capillary during the sudden intense pressure of the cough.  There are numerous capillaries and veins near the eyelid and if there was minimal perturbation of a vessel with the insertion of the tiny needle of the botox the cough could have opened a slit leaking out blood cells.  Usually it seals itself and the hematoma resorbs. Ask your doctor what they would recommend you do to expedite the resolution of this. Light compression is recommended usually for twenty minutes if this occurs, as soon as it occurs.  Some patients take blood thinners that increase the risk of this happening. It's not the botox but possibly the injection and it can happen to any patient and any physician. You should see your doctor for followup, but contact them now to discuss your current regimen.

Misbah Khan MD, FAAD, FACMS · Answer

the bumps that appear after the Botox injections are a result of minor vessel injury that can cause localized bruising. bruises are not permanent. they go away in 7-10 days. icing the areas helps. these can be covered with makeup as well.

Kenneth D. Steinsapir, MD · Answer

That is called a mouse.  You got yourself a nice little bruise there.  It will eventually go away but it takes time.

Carolyn Jacob, MD · Answer

Next time you have injections performed, make sure your board certified Dermatologist put pressure on the area to prevent bruising.  The crow's feet area has many blood vessels that are easy to nick, leading to a typical bruise that lasts 7-10 days.  There is a gel known as Auriderm Post Operative Gel which can rapidly heal the bruising.  Ask your doctor if they carry that product.  Best to you, Dr. Jacob

Steven Wallach, MD · Answer

It sounds like you developed a hematoma most likely. Of course an exam would be reasonable. Touch base with your doctor to be evaluated.

Can a Bump Emerge a Few Hours After a Botox Injection in the Crows Feet Area?

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Can a Bump Emerge a Few Hours After a Botox Injection in the Crows Feet Area?

Answers (10)

Answer: Bumps after Botox can be prevented

Answer: Bumps after Botox can be prevented

Answer: Lump after botox

Answer: Lump after botox

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Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.