Is It Normal for the Area to Be Lumpy After Botox Injection?

Off-label use of Botox injections around the lips to decrease pursing lines use one or two units maximum per site and maybe four insertions on the upper and lower lips each. if the Botox is diluted to 1 unit per 0.01 ccs it should leave a very tiny fluid swelling that goes away in minutes to a couple of hours.

I also recommend small amounts of BOTOX around the mouth often in combination with other treatments for wrinkles around the mouth.  Yes, small bumps occur right after the procedure but give it some time girl!  If you are going to an injector that you trust then you should feel comfortable checking in with them for any lingering concerns.  Good luck!

Botox is not normally injected into the lips. I have injected into the muscle of the upper lip to help decrease smoker's lines or perioral wrinkles.

Initially, botox injections cause a fullness or "edema" as there is a certain about of saline solution injected with the botox. This resolves over 24 hours. One can have bruising and swelling of the lips after injections but this too should resolve.

I would be patient with it and check back with your doctor. You probably had Juvederm or another facial filler placed which could still be massaged for a smoother result.

Leo Lapuerta Jr. MD