Botox bump. Will a saline injection help?

I got Botox on my forehead 2 months ago and right after I always have bumps, however in one spot above my eyebrow, the bump seemed larger and more tender. I waited a few days and called the office. They recommended massaging and icing the spot. Well after 2 months it's still there. I've been getting botox for years with no problems. But I'm afraid after 2 months that it's permanent. Will a saline injection help? I'm so very nervous that I'm going to have this bump forever:( please help

Doctor Answers 14

Bump after Botox

This is not a common issue and you must remember that the injection is almost 100% saline so it won't benefit to get saline injected/ Return to your doctor and see what is going on and how it can be treated

Nashville Dermatologist
5.0 out of 5 stars 4 reviews

Bump After Botox

this is not common and should be seen in person to determine what is best.  Lasers, RF/ultrasound, or 5fu/steroid injections may help if this is scar.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 190 reviews

Swelling After Botox

Thank you for your question and sorry that you are having some concerns about your appearance after Botox injection.  Some swelling at the site of Botox injection is normal and typically resolves within an hour or two.  Swelling at the site of Botox injection lasting 2 months is extremely rare.  It is possible that you developed a small hematoma at the site of injection.  If this is the case, it is likely to resolve completely with time.  Saline injections are unlikely to help.  I would advise you to see your injector for an in-person examination in order to best address your concerns and to determine the best course of action.  Best wishes!

Christian N. Ford, MD
Cohasset Physician
5.0 out of 5 stars 30 reviews

Bump and Botox

Without a photo it is impossible to tell what is really happening since any bump from Botox should go away in an hour. I would definitely return to my treating physician fro examination  Best, Dr. Green

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 76 reviews

Bump after Botox

You may have developed a bruise/hematoma after the botox injection.  Seek an opinion from your physician.  A saline injection is unlikely to resolve the problem

John B. Lazor, MD, MBA, FACS
Boston Facial Plastic Surgeon
5.0 out of 5 stars 1 review

Bump after Botox

Thank you for your question. It is difficult to give you advice without a photograph. However, any bump after Botox should go away in an hour. I recommend having a follow up with you injector for an examination as bump lasting 2 months is not common. Best of Luck!

Hardik Soni, MD
Summit Emergency Medicine Physician
5.0 out of 5 stars 45 reviews

Bump after Botox

Thank you for your question wendysue74. I am sorry to hear about your situation. Swelling may occur after any injection. Prolonged bumps are less common. Please follow up with your doctor for specific recommendations. Good luck!

Alex Eshaghian, MD, PhD
Encino Physician
5.0 out of 5 stars 3 reviews

Swelling after Botox is a normal side effect

Swelling at the injection site is normal directly after Botox, and could last up for a few hours following your injections. Bumps or swelling 2 months post-procedure is very unusual, and warrants in-person examination by your physician. Please schedule a follow-up.

Mitchell Chasin, MD
Livingston Physician
4.9 out of 5 stars 27 reviews


Thank you for your question in regards to Botox. Its unlikely that you would have any benefits from a saline injection. It is best to follow up with your provider and review before and after photos as well. To be sure what is best for you, see two or more board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 182 reviews

Botox bump

Thank you for your question. A bump 2 months after Botox needs to be examined further. I recommend you have an in-person exam by your injector to determine the cause.

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.