After getting Botox 4 times, I've noticed a small dent where the needle injection was placed. Is this permanent damage? (photo)

Question

The dent is still there after 6 months. Could this be permanent damage? It's 2 centimeters in diameter. I'm afraid to get more botox. Is this a side effect?

Elham Jafari, MD · Answer

Hi and thank you for your question! It is difficult to tell based on the picture and specially with no baseline/before picture to compare, but some dents/depression might happen after Botox as various muscles are adjusting to the effect but they should all be temporary in nature, just as the effects of Botox is temporary. While not impossible, I doubt that this is related to Botox, given that it's lasting for so long, but you should do a follow up with your injector to have it checked and assessed. Dents such as this can generally be treated with some filler injection. I hope it helps and good luck!

John M. Hilinski, MD · Answer

It is unlikely to be from the Botox - unless your provider happened to traumatize the tissue and you had unusual bruising in the area. In some cases, patients will see a perceived 'dent' in a certain area, but it is really an area that is in between two hyperactive muscle zones.

Nelson Castillo, MD · Answer

Thank you for sharing your question.  Botox by itself should not result in an indentation but muscle atrophy may be the cause so I would contact your injector and have a thorough discussion.

After getting Botox 4 times, I've noticed a small dent where the needle injection was placed. Is this permanent damage? (photo)

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