Bump and Pressure on Forehead After Botox?

I got Botox for the first time about a month and a half ago. I've recently noticed that if I apply too much pressure to my forehead (resting my hand on my forehead, taking off makeup, squeezing my eyebrows together), I can see the Botox clump into a bump on my forehead.

Typically, this happens between my eyebrows. The bump will stay for about a minute, then relax and smooth out again. Also when this happens I get an intense pressure on my forehead. Is this normal? Is something wrong?

Doctor Answers 3

Botox bump is muscle spasm

The Botox injection is long gone. It is no longer present and is not causing the "bump". I have heard this complaint before and it is most likely due to muscle spasm. Sometimes, when the muscle is starting to recover from the relaxation of the Botox, intermittent muscle spasm will occur. In my experience, it is short lived, usually a week or two. I have always seen it resolve completely and it should not interfere with future Botox treatments. Good luck.

San Jose Plastic Surgeon
4.6 out of 5 stars 16 reviews

Botox does not "clump" after injected

Since Botox is liquid and injected in tiny amounts it should be disappated by now. I cannot explain the clumping you are describing but it is possible that the muscles that were relaxed by Botox are starting to contract again. 

Patricia Farris, MD
Metairie Dermatologic Surgeon

Botox Lump

This intermitent lump or swelling in the forehead is very unusual. I have injected over a a thousand patients and have never seen this problem. My best reason for this is that the initial needle stick injured a small vessel causing some scar tissue. This problem should go away over the next few months. I would suggest that you massage it daily.

Robert M. Wald, Jr., MD
Orange County Plastic Surgeon
5.0 out of 5 stars 19 reviews

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.