Is Swelling And Lumpiness 1 Day After Botox In Chin Normal?

It is unusual to have that much swelling after an injection.  I recommend contacting your physician.  Icing is an appropriate intervention, but Ibuprofen should be avoided to prevent further bleeding/bruising.  It is most likely nothing at all, but anytime there is a concern it should be addressed.

It is impossible to tell what is the cause of your situation but  you should see your doctor for an examination.  It is unusual to swell after Botox to that extent.  Possibly there is a small hematoma from bleeding or some unusual compensatory muscle contraction adjacent to the area treated.

Hello,

Dr. Green is correct.  Depending on the dilution of botox used, there won't be much swelling left after one day.  Ibuprofen can increase the chances of bleeding and bruising after botox and injectibles.  Icing alone should be sufficient to control the swelling.

Good luck,

Dr. Shah

There is very little volume injected with Botox. Any swelling is most likely related to bleeding and will resolve with time. Ibuprofen may increase bleeding though. Botox for the chin is an unusual use of Botox. I too use botox in other than the standard areas, and it can be very useful.

Some bruising may occur but if you are taking a NSAID this may promote more bleeding and bruising in the injection sites. It is also I portent to ask whether your physician has used a small gauge needle. It takes more finesse and time but is well worth the effort.

While there is a small chance of having a bruise or swelling from injection, I wonder if what you are seeing at this point is an initial uneven uptake of the botox in the chin area.  It takes several days for the Botox to take - and occasionally in the chin area one can see a little bumpiness with certain facial expressions as the chin muscles begin to become effected.  I would give it a few more days to see what happens.  Occasionally one needs to add a little more Botox to smooth things out if this happens.  However, if you develop pain, tenderness or redness in the area I would see your doctor immediately. 

Swelling one day after Botox injection is probably due to bleeding into the tissue from the trauma of the needle. Even though I use very small needles (31 gauge are very tiny), I see bruising in the very delicate eye area from time to time, and only very rarely in the chin area. If there is a "lump" that can be felt and seen, it's best to alert your doctor and be seen for confirmation of what's going on.

Ways to prevent bruising before any injectable include:


stop aspirin at least 10 days prior

stop ibuprofen, naproxen and other nonsteroidal anti-inflammatory drugs one week prior

stop Vitamin E and fish oil, flaxseed oil and other omega-3 supplements

stop herbal supplements

Botox is injected in very small volumes, so there should not be much lumpiness few after Botox is injected. What you be experiencing may be some bruising that might have occurred because of Botox. Dr Ben Behnam 

Dear SF_Dancer

Swelling after an injection of anything can last more than  for 2-3 days, so even if  the smallest needle is used, 

you may need to wait a few days for the skin to return to normal.  If it is red or warm, call your doctor.


On another note, are there other factors that led you to have Botox in your chin?  Chin implant?  Make sure you discuss these with your surgeon because the muscle of the chin (mentalis) can have lumps after an implant and there are a few treatment options. 


Best Wishes

Swelling after Botox can happen but usually subsides after a few minutes to hours.  Itf it is still apparent a day or two later, it could be a small hematoma fromt he injection.