1 day post op Botox on the chin, I noticed a bulge when I try to move my chin muscle. Is this normal? (photos)

Yesterday I had Botox on my chin and woke up today noticing a bulge when I try to move my chin muscles. What caused this and is there anything I can do to help get rid of this bulge?

Doctor Answers 7

Bump in chin one day after Botox

Most likely you have a hematoma, a small collection of blood from the injection. It should resolve without problems but please consult your physician.

New York Dermatologist
5.0 out of 5 stars 8 reviews

Botox takes 2 weeks to see the full results.

Thank you for your question. Botox takes 2 weeks to see the full results. Ensure you wait 2 weeks and if you are still experiencing this schedule a follow up with your injector.


Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 469 reviews

Botox injection into the chin

You should follow up with your physician to address specific concerns.

It typically takes several days to see the full effects of botox.  Therefore, the results at one day do not represent the final outcome.

Best wishes.

Timothy Connall, MD
Portland Plastic Surgeon
4.8 out of 5 stars 37 reviews

Botox in Chin and Asymmetry

I have seen this a few times with Botox and Dysport injections.  Typically not at 1 day, but 3-4 days after treatment.  The muscle around the area injected is becoming hyperactive and contracting abnormally.  This will all settle in 2 weeks.  If there is pain, redness, swelling or skin color change I would agree with the others; however, I do not see that, and do not think this is a hematoma.  This can be fixed at 2 weeks if it still persists with a little more toxin into the muscle at the appropriate areas.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 196 reviews

Chin bump after Botox

This is not a typical result 1 day after Botox in the chin. There may have been a vessel that was injured during the injection resulting in bleeding under the skin which created the bump, called a hematoma. I would advise you to return to your injector for evaluation. 

Kristin Baird, MD
Longmont Dermatologic Surgeon
5.0 out of 5 stars 10 reviews


You should see your injector about this.  This is unusual and either an infection or a hematoma are possible here.  This shouldn't be from the Botox itself.

Asif Pirani, MD, FRCS(C)
Toronto Plastic Surgeon
5.0 out of 5 stars 35 reviews

Complication from botox

A bulge in the skin is not typical one day after Botox.  This is not the action of the neurotoxin  which takes a few days to set in.  Also, there is no  volume enhancement with Botox which is  suspended in saline, and this dissipates within an hour. If no additional filler was injected, it could be a hematoma, which if firm and is associated with some bruising.  Infection could be a possibility, and so I would have your be evaluated promptly by your injector.

Arthur N. Falk, MD
Albany Facial Plastic Surgeon
4.6 out of 5 stars 10 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.