Bumps after Botox and lost eyebrow arch. Are the bumps normal? And will my lovely brow arch come back?

Question

Hello! I had my first Botox treatment 2 weeks ago. I have two lumps above me eyebrows. I also notice my brows are straight. I used to have a beautiful arch. Are the bumps normal? Will my brow arch come back?

Nelson Castillo, MD · Answer

Thank you for sharing your question and I am sorry that your results were not what you anticipated.  The good news is that once the Botox wears off your eyebrow arch should return without issue.  This can occur if Botox is used so close as to remove the normal resting tone of the eyebrow.  After two weeks you should not have any bumps present and depending on where they are it may be the result of incomplete muscle paralysis.  Revisit your injector to voice your concerns.

Steven Wallach, MD · Answer

Normally botox does not cause bumps unless you had a small bruise.  The loss of the arch may be related to the technique of injection. Hard to say without comparison photos.

Melvin Elson, MD · Answer

It is difficult to say exactly what is going on without seeing you or a photo but everything that is a result of Botox is temporary so your arch will come back. Not sure what you were injected for but it sounds lijke the injection was too close to the eyebrow. Be sure to see a board certified dermatologist

Hardik Doshi, MD, FACS · Answer

Laurenliz,
Sorry to hear about the bumps and loss of arch. The loss of arch is due to the Botox relaxing portions of the muscle that pull up on the brow. This occurs depending on the location of were the Botox was placed (usually forehead or dissemination of Botox into the lateral brow.) The arch will return once the muscle starts to regain activity. Bumps after Botox placement could be due to a variety of things such as inflammatory changes from the injection, small resolving hematoma, and muscle contraction, to name a few. It is hard to say what the cause is without a picture; therefore, an evaluation by your injector is recommended.
Hope this helps!Dr DoshiNew York City

Leonard Grossman, MD · Answer

I hope your treatment with botox was received from someone like a plastic surgeon or a dermatologist and if that is the case I would definitely recommend that you give them a follow-up visit. A good set of photographs would have been much more helpful. Most likely the bumps that you see in the forehead are from  the muscles contraction where no Botox was injected. The good news from all of this is that your arch will come back, but it may take a few months until the muscle strength returns to your forehead completely. Good luck from New York City

Larry Lickstein, MD · Answer

Sorry to hear that you have these concerns.  Bumps at the injection sites are usually due to local trauma or swelling and should resolve over time.  Consider some cool compresses and massage.  As for your brow position, it is possible that a revision may be able to improve the condition.  Your brow position is determined by your anatomy, but is influenced by muscles that elevate the brow and opposing muscles that can depress the brow.  Your injections have influenced that balance.  It is sometimes possible to use additional selective injections to restore that balance.  Make certain to see you provider in follow up.  Rest assured that over time the effect will soften.

Justin Harper, MD - Account Suspended · Answer

Hi laurenliz, Bumps can be caused by a small hematoma or periosteal swelling.upon injection. This is temporary and should go away within a few days. I'm sorry about your arch but I assure you it will return to its lovely state within 3-4 months.However, you can go back to your provider and request for a touch-up All the best,Justin Harper, M.D.

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