Bump on my forehead 4 days after Botox, is this normal?

This is difficult to answer without pictures. This may be due to swelling and/or placement. I recommend following up with your injector. It can take up to 2 weeks for your final results. Hope this helps.

Without pictures, it's difficult to determine. There may be some swelling which can last 1-2 weeks. If you remain concerned, I recommend following up with your injector. Best, Dr. Emer

Thank you for your question.
Injection site reactions immediately after injection with Botox are normal. These are often characterized by small raised bumps at the sites of the injections, and resolve within minutes to hours. However, a bump at the site of Botox injection arising days after is unusual. It would be advisable to visit with whoever injected you so that he/she may examine you.
Best wishes. 

Thank you for your question. It is obviously hard to fully evaluate your bump without examining you or at least seeing a photo of your face. In general, there are usually bumps at the Botox injection sites for a few hours after the procedure. In 15 years of injecting Botox in many locations on the body, I have never seen a bump related to Botox develop out of the blue on day 4.  I would not massage it on your own, but rather I would have you contact your injector directly and have them see you in person to better evaluate the area. If the area is red, tender or warm to touch, I would make that contact ASAP. Best of luck!

It is difficult to answer this question without pictures. You could potentially have swelling and bruising at the injection sites. It is important that you follow up with your injector to do an in person exam and discuss your concerns or options. Best wishes.

Thank you for your question and concern.  It is obviously hard to fully evaluate your bump without examining you or at least seeing a photo of your face.  In general, there are usually bumps at the Botox injection sites for a few hours after the procedure.  In 15 years of injecting Botox in many locations on the body, I have never seen a bump related to Botox develop out of the blue on day 4.  I would not massage it on your own, but rather I would have you contact your injector directly and have them see you in person to better evaluate the area. If the area is red, tender or warm to touch, I would make that contact ASAP. 

At 4 days it still could be due to some swelling from the injection and you can massage it. it should go away on its own

Thank you for your question soly19. I understand your concern. Botox is a purified protein used to address wrinkles associated with facial expression. When injected into the skin Botox will relax the muscles and smoothen out the overlying wrinkles. The most common areas of treatment are in the upper face. These include the horizontal lines seen on the upper forehead when one raises the brows, the vertical lines seen between the brows when one frowns (frown lines), and the crow's feet seen around the eyes when one smiles.It is difficult to make an assessment in the absence of consistent photographs before and after in the same lighting and angles for comparison. However, I hope the information provided here is useful.The pivotal studies used 20 units of Botox in the glabella area between the brow to address the frown lines. These studies demonstrated that the peak results are seen 14 days after the treatment and most people enjoy their results for 3-4 months. At that point, a maintenance treatment is recommended. While some people start to see results as early as the next day, it can take two weeks for full results so patience is important. We have our patients return two weeks after their treatment to assess their results via photographs. At that time additional units may be added if necessary.Immediately after a Botox treatment bumps may be seen where the product was placed. This is from the liquid and goes away after 1-2 hours. If I had a patient with a concern such as that described here I would recommend that she return to her provider for an assessment.With any injection, there are risks such as pain, bleeding, bruising, redness, swelling, tenderness, and infection. We take special precautions to minimize these risks such as using a painless technique. We also treat bruises with a laser as early as the next day. Bruises usually resolve within two weeks if untreated. After a laser treatment bruises usually resolve in 1-3 days, but may still take two weeks for full resolution. In addition to these risks, with Botox there is also a risk that the product spreads or diffuses to nearby structures. Spread to nearby muscles can lead to side effects such as the temporary appearance of droopy eyelids or a temporary asymmetric smile.After a Botox treatment, I recommend that my patients avoid heat exposure, alcohol consumption, and strenuous exercise for 24 hours and not lie down flat for four hours. This is because all of these activities may possibly lead to the movement of the product and consequent side effects such as droopy eyelids. Although there have been no definitive studies shown that these actually occur and some physicians do not provide such aftercare instructions, in the absence of data I err on the side of caution and recommend that my patients avoid such activities.Please consult with a doctor for specific recommendations. Good luck!

Its unusual to have a bump from Botox itself and difficult to assess without seeing it.  But, given the location that you were injected, there is a branch of the supraorbital artery and vein that runs in that location that could have been touched with the needle during your treatment which may cause a small hematoma.  Ask your provider to reassess this for you for the next step. 

Is your bump a bruise? This could be a possible explanation if it is right at the injection site. Is it a pimple nearby the injection site? If you are having trouble determining the bump, it wouldn't hurt to follow up with your injector. Best of luck!