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.

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

Botox can be injected around the mouth to help with lines; the injection can cause some minor swelling for a day and if you get a bruise, this can persist for 3-7 days on average.  Other than that, it should not cause lumpiness.

Right after treatment with Botox Cosmetic there are usually small bumps right at the injections sites.  These bumps tend to disappear within a few minutes.  I do agree with one of the other surgeons above that Botox Cosmetic is not the ideal treatment of wrinkle lines involving the lips.  Treatment with a dermal filler, such as Juvederm Ultra, tends to be much more successful at effacing small lines, adding volume, and adding definition the the vermillion border.

You will benefit by a little lip edge volume with filler.  Botox is not the optimal means of helping the lips.  The bumps are an immediate post treatment effect.  However the objective here is lip improvement and there is better help out there.

Since you didn't mention that you had dermal filler (ex:  Restylane, Juvederm etc) for mouth augmentation, we are assuming that the bumps you are referring to are related to Botox injections to help soften the lines around the mouth area.  Generally, these types of bumps are very short-lived and are related to small areas of inflammation from where the injections sites are.  It is not product as may be the case with fillers.

If this condition doesn't resolve within a day or two, it would be beneficial to have your injector evaluate you for further feedback.

 

From your photo, it appears as though they may have used a filler substance such as Juvederm or Restylane.  When injected around the mouth, it can lead to some temporary swelling that should resolve in a couple of days.  Ice usualy helps.  Best to you

Botox only causes little mosquito bite like bumps due to fluid which resolve in a matter of minutes to hours.  If you got a bruise from Botox, a bump may last longer.   Are you sure you had Botox around your mouth and not a filler?

Bumps just after Botox injection if superifical may be a simple skin reaction to the needle.  If deeper, it could be bruisiing.

Botox is injected in a small amount of liquid (saline or salt water) and the fluid volume dissapates quickly...within hours. If the needle hits a vein (rarely) it can cause some blood to leak out and this can cause a lump (hematoma) but these are typically small and melt away within a week or two. Botox itself will not cause a lump.