Is it normal to have bumps on forehead 3 weeks after Belotero filler has been injected? (photos)

Using fillers in the forehead and lines around the brow can be very tricky to do properly.  Botox really is the best answer for the problem in this situation, so smart and precise use of Botox should be maximized first.Based on your photos it does seem that there is an obvious ridge or line where the filler was placed.  Thin fillers like Restylane Silk and Belotero diffuse into the surrounding skin very well, but since this has persisted 3 weeks in your case I would most likely suggest that you consider hyaluronidase injections to dissolve the filler then reassess after a week or two to see if you feel that trying filler once again in that same spot would be worth it.

Massage may help decrease the size of the bumps, but if you are unhappy reverse with hyaluronidase. Best, Dr. Emer

GlasgowAt 3 weeks there should not be lines from the injection of a soft product like Belotero. Return to the physician who injected for dissolution with hyaluronidase. BestH Karamanoukian MD FACS

Hello, and thanks for your question and photos. Sorry to hear you did not get a result you were pleased with. It looks to me as though too much Belotero was injection, and/or it was not properly massaged into place. It is possible that these lines can be improved with massage, but if not I recommend having the product dissolved by injection of a medication called Hylenex. Best of luck, Dr. Frucht.   

Belotero is a very light hyaluronic based filler. It is placed very superficially in fine lines.  Usually it will smooth out on its own.  In your case, it did not smooth out. Your physician can massage it and often smooth the lumps and bumps away.  If that does not work, it can be dissolved with hyaluronidase of hylenex.

Dear Suz1422,If in fact it has been 3 weeks since your belotero injection, it's unlikely that the bumps are from swollen tissue.  Most likely it's the filler that's visible. Belotero is a hyaluronic acid based product and can easily be reversed or at least decreased in volume by using a reversal enzyme called hyaluronidase (Hylenex).  Best, Dr. Soleiman.

Having bumps persist for 3 weeks after injection means that too much product injected and not smoothed.  It is possible that a physician could smooth it down at this stage with vigorous massage.  If not, however, it should be diluted with hyaluronidase.

It appears that the lumps are from the Belotero and I would suggest you have it dissolved with Vitrase.  Please consult an expert since more Botox would probably have been better for you. Best, Dr. Green

Thank you for sharing your photos and your question.  From the photos, it appears the Belotero was injected superficially.  This particular hyaluronic acid product integrates into the surrounding skin quite well.  One option for your injector is to firmly massage the area and it should settle flat.  If it does not do so, the product may have been injected too superficially.  Luckily, there is a magic eraser called hyaluronidase that can be injected to dissolve any Belotero that is too superficial.Please make sure you are seeing an expert injector for treatment in this area.  The anatomy is more complex with numerous blood vessels which can be affected with improper injections.Best of luck,Suneel Chilukuri, M.D.Houston, Texas#forehead, #foreheadlines, #browlift, #facelift, #filler, #hyaluronicacid, #HA, #Belotero, #Xeomin, #Merz, #Vobella, #Volift, #Voluma, #Juvederm, #Botox, #Allergan, #Restylane, #Dysport, #Galderma, #hyaluronidase, #Vitrase, #Hylanex, #Wydase, #botched, #cosmetics, #aesthetics, #plasticsurgery, #dermatology, #Houston, #Texas, #RefreshDermatology, #Chilukuri

You can massage the area (use some lotion for glide). It should gradually go down. I'd give it another couple of weeks to settle in.Best, Lisa Vuich, MD