Indentations in forehead after Botox. Could it be a collapsed vein? (Photo)

Question

with in the next week after having Botox indentations and a look of spreading with darker color in spots taking place.I went back to the spa where the doctors aren't sure. same nurse I've used for yrs. My fear is the nurse hit a large vein and it spread and collapsed veins through out? I know that most will say this is highly unlikely, I know but is it possible and what will be in the coming months if there is clotting forming or circulation from these paralyzed veins. Any help or guidance

Martin Jugenburg, MD · Answer

Thank you for your question. A before photo, in person examination and full medical history is required to assess your forehead. Consider returning to your injector and family doctor to discuss your concerns. Best,

Jason Emer, MD · Answer

This looks like normal veins in the forehead, I don't think botox had anything to do this with.  If you are concerned, see a vascular doctor for an evaluation of the blood supply on the forehead.  I wish you the best, Dr. Emer.

Joshua L. Fox, MD · Answer

Thank
you for your question and the photographs. That is a very interesting observation. It must be noted that medicine is not a field
that lends itself to absolute statements like never or always. However, in the
strictest sense regarding your concern, I would say that no, a collapsed vein
is not the result of Botox. Veins by
their physiologic nature are collapsible vessels already. And biochemically the
action of Botox would not necessarily be to further collapse them. That said, Botox to the area and its effect
on the surrounding tissue might have rendered the vein in question more visible.
Hope this helps.

Michael T. Somenek, MD · Answer

It is unlikely that the botox led to a new crease on the forehead. A collapsed vein would be very unusual and is not a complication of botox. Without seeing your pre-botox photos, it is difficult to say if the crease was present beforehand but was masked by the forehead lines that you had from facial expression. I would recommend that you followup with the physician that administered the botox.

Darryl J. Blinski, MD · Answer

Great posted photos but still ONLY in person examination would allow a diagnosis. Best to return to injecting doc...

Indentations in forehead after Botox. Could it be a collapsed vein? (Photo)

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Answer: Indentations in forehead after Botox. Could it be a collapsed vein?

Answer: Indentations in forehead after Botox. Could it be a collapsed vein?

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Indentations in forehead after Botox. Could it be a collapsed vein? (Photo)

Answers (5)

Answer: Indentation on forehead after botox

Answer: Indentation on forehead after botox

Answer: Indentations in forehead after Botox. Could it be a collapsed vein?

Answer: Indentations in forehead after Botox. Could it be a collapsed vein?

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