What should I do with Nodules/ Cysts after Dysport on forehead? Massage them? (photos)

Question

Hello, I did Dysport for the fist time and everywhere that i got injections it did a red bump right after the procedure and that became a cyst or nodule. Six on my forehead plus one between my eyebrows plus one on each side of my eyes. I went to see a dermatologist two weeks after who injected steroid in each nodules. It did look a little better. Now it's been a month since Dysport and the bumps are still there. Some people tell me to massage them and push them in, but it hurt so much.

Kenneth D. Steinsapir, MD · Answer

Generally, the most insidious bacteria are atypical mycobacterium.  Usually these appear weeks after a treatment.  While uncommon, factors that are associated with them is the use of contaminated ice or tap water in association with the treatment.  The recommendation of having one biopsied and cultured is a good one.  You may need to find a different dermatologist to get the care you need.

Alim R. Devani, MD, FRCPC · Answer

Thanks for your question. This is a question that we
get asked often by our patients. The most common SIDE-EFFECTS of toxin
injections include: Swelling, Redness, and Bruising at the site of
injection. Complications are rare and only temporary, but may include
paralysis of other nearby muscles, temporary eyelid ptosis (dropping of
eyelids, 2% risk, lasts 2-3 weeks), temporary brow ptosis (dropping of
eyebrows, 2% risk, lasts 2-3 weeks), cross-eyes, ectropion or edema of the
lower eyelid, dry eyes, double vision, transient headaches (10%), local
numbness (lasting 2-3 weeks), flu-like symptoms, rash at the injection site,
pain at the injection site, infections, and bruising (need to avoid blood
thinning medications). Cold compresses may be used immediately after
treatment to reduce swelling only if needed. This may be applied for 3 minutes,
3 times per day, for up to 3 days. This is best done with a bag of peas in a
zip lock bag. Only apply light pressure to the area. Only take Tylenol if you
get a headache or migraine.

Steven Swengel, MD · Answer

These are not typical bruises that one occasionally sees after a neurotoxin injection.  I would be concerned about the possibility of the product being contaminated with some type of bacteria.  This reaction should be reported to the manufacturer and needs closer inspection and assessment of potential underlying causes.  A very small piece of tissue might need to be removed to look at the skin under a microscope and possibly be cultured for various bacterial and fungal infections.

Steven F. Weiner, MD · Answer

This is highly unusual. Either the Dysport was contaminated with bacteria or it wasn't Dysport. If possible I would try draining one and sending a culture. If nothing to culture, start empiric antibiotics. I've never seen this.

What should I do with Nodules/ Cysts after Dysport on forehead? Massage them? (photos)

Answers (4)

Answer: Persistent nodules after Dysport

Answer: Persistent nodules after Dysport

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What should I do with Nodules/ Cysts after Dysport on forehead? Massage them? (photos)

Answers (4)

Answer: Persistent nodules after Dysport

Answer: Persistent nodules after Dysport

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Recommended reading

Everything you need to know about Dysport

Our mission is to create a world where every investment in modern beauty is Worth It.