Fluid on Cheek Bones After Botox

Question

I have fluid on my cheek bones after botox administered 2 weeks ago. My beutician told me my lymphatic drainage is not working  because the nurse put a tiny bit of botox under my eye. How can I get this fluid to move. Would lymphatic massage help?

Kenneth D. Steinsapir, MD · Answer

Most States do not allow the independent practice of nurses performing BOTOX for very good reasons.  The presence of a so-called Medical Director in name only is not a substitute for a personal examination by a supervising physician on the premises when you are treated by a nurse.  This is what most States require.

	The area that you are describing as fluid has nothing to do with fluid so "lymphatic massage" will be of absolutely no value.  The problem you are experiencing is that the nurse treated with BOTOX too low on the cheek in the crows feet area weakening the muscle and creating a sag.  There is no fluid.  Eventually the muscle will begin working again over the next 3 to 4 months.  Next time find a real doctor to do your BOTOX and stop getting medical advise from your beautician.

Otto Joseph Placik, MD · Answer

Lymphatic massage can help. Occasionally off label use of hyaluronidase may help. However, this should not be administered by a nurse and can involve the potential for an adverse reaction. Your best bet is to allow time for the Botox effect to dissipate rather than try an intervention that could make things much worse.

Ron Shelton, MD · Answer

The explanation you were given is correct. Botox is good for lower eyelid hypertrophic muscle thickening but we tend to avoid it in those patients who are prone to having puffiness because the botox does eliminate the drainage that occurs with muscle movement. You will have to wait for many weeks before this fades. It is not permanent.

William P. Coleman III, MD · Answer

The more you know about Botox, the less you would want a non-physician treating you with this powerful material. Always ask the doctor to treat you with Botox. And be sure you see a doctor specifically trained to use this material, such as a dermatologist.

Steven Wallach, MD · Answer

The cheeks are a very funny area.  Sometimes patients have malar edema which is like having swollen legs. Perhaps the muscle animation helps minimize this in prone patients.  The botox when injected toward the cheek region may eliminate the "pump" effect.

Fluid on Cheek Bones After Botox

Answers (8)

Answer: The more you know about Botox, the less you would want a non-physician treating you

Answer: The more you know about Botox, the less you would want a non-physician treating you

Answer: Botox and swelling

Answer: Botox and swelling

Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.

Fluid on Cheek Bones After Botox

Answers (8)

Answer: The more you know about Botox, the less you would want a non-physician treating you

Answer: The more you know about Botox, the less you would want a non-physician treating you

Answer: Botox and swelling

Answer: Botox and swelling

Browse related questions

Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.