Did incorrect Botox injection cause inflammatory lymph nodes in my cheeks?

Question

Hello, I had Botox injections into my masserter last year. Id had this done many times to help with my teeth grinding. This one particular time was with a new practitioner, ever since I've had puffy/swollen pockets above the injection site. It's really bothering me as it's given my face a squishy appearance when I smile. I went back to the practitioner who seemed clueless to what it could be. I've had lymph drainage which helped a tiny bit. How would I treat this? Any advice is appreciated :)

Nelson Castillo, MD · Answer

Thank you for sharing your question and I am sorry to hear of your pockets of swelling.  Because it is difficult to offer definite advice without an in-person examination or full series of photographs I would return to your injector to diagnose the cause or seek a second opinion from a board certified plastic surgeon.  The good news is that regardless of cause once the Botox wears off, so should your symptoms.

Leonard Grossman, MD · Answer

It is virtually impossible to give you a good advice without an in-person evaluation. I would strongly recommend that you get a second opinion and see a plastic surgeon or dermatologist. Good luck from New York City

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