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

I had Botox around my mouth and it is lumpy.

Doctor Answers 15

No long term lumps from Botox on lips

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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.

Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

Bumps on lips after Botox

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Your lips look full, as if they have been treated with a filler recently.

If so, the bumps can last several weeks or months, unless they are treated (in the case of Juvederm or Restylane, with Hyaluronidase ). Or, they may be granulomas, following injections with th above in which case a Kenalog Injection may be beneficial.

Lumps from Botox shouldn't last longer than 2-3 hours unless some bruising took place and then they my last from 2 days to 2 weeks.

Eugene Mandrea, MD
Chicago Dermatologist
4.6 out of 5 stars 5 reviews

Bumps immediately after Botox may be normal

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Bumps in the initial injection site are common and should dissipate quickly. If there is some bruising in the site then this may last for a few days or longer depending on the severity. I give my patients small frozen packets designed especially for post injection swelling and most of the time it is gone before they arrive home. I am not a big proponent of injecting Botox around the lips and prefer a dermal filler for this area. Best regards!

Michael Elam, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 218 reviews

Give BOTOX Some Time

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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!

Hannah Vargas, MD
Kansas City Facial Plastic Surgeon
4.8 out of 5 stars 48 reviews

Botox in the lips

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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

Leo Lapuerta, MD
Houston Plastic Surgeon
4.3 out of 5 stars 48 reviews

Lumps to mouth after Botox

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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.


Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

Botox and lumpiness

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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.

Mike Majmundar, MD
Atlanta Facial Plastic Surgeon
4.5 out of 5 stars 50 reviews

Bumpy lips after Botox Cosmetic injections

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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.

Kelly Gallego, MD, FACS
Yuba City Plastic Surgeon

Botox and Dysport lead to smooth results

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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

Carolyn Jacob, MD
Chicago Dermatologic Surgeon

Hey, don't get BOTOX in the lips!

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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.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.