Could a bump and indentation after Botox be leftover Voluma? Looking for second opinions. (photos)

Question

One year ago, I had Botox injected into my forehead (upper + lower), plus a small injection of Voluma into a scar. A year later, I had Botox injected again—just in the upper forehead. A week later (3 weeks ago), I developed strange indentations. I went back to the doctor who treated me; she said it was most likely muscular, but I’m wondering if the residual Voluma from a year ago got pushed up from the Botox since the protrusion is in the same location. What can I do now? My forehead looks crazy

Camille Cash, MD · Answer

The raised area you mentioned is more likely to be muscle than previously injected Voluma.  A year after treatment the Voluma would not have moved.  I suggest meeting with your injector to discuss your concerns.

Ron Shelton, MD · Answer

Botox relaxes muscle motion. It is mixed with saline and is very thin compared to the substance of Voluma which is viscous/thick and won't be pushed by the thin Botox liquid.The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph.  If the bump was not present before this second round of Botox it is unlikely to be the Voluma and is more likely incomplete muscle paralysis after not receiving it in your lower forehead.  Hope this helps.

Could a bump and indentation after Botox be leftover Voluma? Looking for second opinions. (photos)

Answers (3)