How do I know if my Botox was injected too far to the surface? Something isn't right!

Question

Last week, I got my botox. I used to go to someone else, but I recently moved. I always get 20 units in my forehead and I am always happy with it. This time, I had an RN injector, which was fine! We decided to do 24 units just to give it a little extra tightening. But after being injected, every injection site on my forehead looked like HUGE BEE STINGS. Normally, i have little red dots, occasionally a tiny bruise. Now, 7 days later, there is no change in my skin, when it usually sets in 3 days.

Brock Ridenour, MD · Answer

Superficial injection in the forehead while creating small wheals at the surface is just as effective as injecting Botox deeper into the muscle. In addition, this technique may very well reduce the risk of bleeding and deep bruising in the forehead. Both the technique you describe and the reported dosage seems not to be an issue. I agree with others that you should wait a full two weeks before passing final judgement. Unfortunately, you always have to consider the possibility that an unscrupulous provider would profit from injecting less Botox than stated, akin to watering down drinks at a bar. I choose to remain optimistic and I hope that you will see noticeable improvement in the next few days. If not, I recommend that you  bring your concerns to the attention of your provider. My very best wishes.

Nelson Castillo, MD · Answer

Thank you for sharing your question and I am sorry to hear of your injection issues. Though swelling is not uncommon following botox administration, it should resolve in a matter of hours after treatment.  Persistent swelling may indicate a deep bruise or small hematoma has formed, or a possible allergic reaction.  I would revisit your injector to see what may be taking place.

Shaun Patel, MD · Answer

It seems like a reasonable dose was used. I would give the Botox up to 14 days to see the full result. At that point, I would followup with your injector if you remain unhappy with your results.

Michele S. Green, MD · Answer

The Botox pattern that you described should still be effective.  However, it will take two full weeks to see the results.  If after two weeks you don't have an effective result you should return to your treating injector.  Best, Dr. Green

Steven F. Weiner, MD · Answer

There have been studies showing the superficial injection of Botox in the forehead, as you describe, is just as effective than deeper injections. There is less bruising with this technique. I don't know why you are not reacting to the Botox and you should discuss with the injector. 24 units is more than adequate to place in the forehead. My usual dose is 8-10 in females. The bee sting look is superficially placed Botox in the upper dermis and the swelling should go away in about 20 minutes. It leads to less bruising.

How do I know if my Botox was injected too far to the surface? Something isn't right!

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How do I know if my Botox was injected too far to the surface? Something isn't right!

Answers (10)

Answer: Botox and results

Answer: Botox and results

Answer: Botox depth of injection - Is Bee Sting look right?

Answer: Botox depth of injection - Is Bee Sting look right?

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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.