A bump under my skin, near my eye, forms when I smile. What is it, and can Botox fix it? (Photo)

Question

I am 27 years old. This bump started occurring about a year ago. It happens under one eye only. I am not sure if it is a muscle or a nerve. Sometimes it is less noticeable than other times, but most of the time, it is like in the photo. I appreciate your time. Thank you.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Nima Shemirani, MD · Answer

Hi @bumpundereye! I would recommend a formal evaluation with a facial plastic surgeon or dermatologist. This bump appears to be a cyst. Unfortunately, Botox will not resolve this. Best of luck to you!

David M. Kowalczyk, MD, MBA, FACS · Answer

Hello! Thanks for the question. This could be a cyst or benign lesion. It could also be an aspect of fat which prolapses when you smile. I don't believe that Botox will fix this. It may be worth a small incision to remove the area if it bothers you. Hope this helps!

Darryl J. Blinski, MD · Answer

Photos demonstrate this medal lower eyelid "bump". First obtain sub dermal ultrasound examination to determine if a cyst or solid mass. Then best to have surgically removed by a boarded PSs.

Camille Cash, MD · Answer

An in person evaluation is needed to know for sure but the bump may be a small cyst.  Botox will not address it.  See a board certified dermatologist or plastic surgeon near you to learn about having it removed.

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A bump under my skin, near my eye, forms when I smile. What is it, and can Botox fix it? (Photo)

Answers (5)

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