Permanent lump after Botox 1 year ago. Does anyone know what this Dr could have done to me?

Question

One year ago I went to a Dr to have botox just around my eyes. When he injected the botox he was very rough and quick, almost like stabbed the needle in my skin and pulled out. I immediately felt something next to my right eye. There was a lump. I thought it would go away but it is still there one year later. It is sometimes painful and it makes my eye water more.

Christopher J. Davidson, MD, FACS · Answer

Thank you for your question.  Botox injections wear off in approximately 4 months are not permanent.  It is possible that the injection needle caused a bruise or hematoma under the skin.  My advice is to follow up with your injector or primary care physician.  Good luck.

Julia Ann Sullivan Miller, MD · Answer

A lump one year after injection with Botox is very unusual.  I would recommend making an appointment with your doctor so that he/she can fully evaluate the area of your concern.  Good luck

Jason Emer, MD · Answer

This is not typical with Botox and difficult to answer without an in-person evaluation. I recommend getting a formal evaluation with a cosmetic dermatologist. Lasers and microneedling/prp may give improvement. Best, Dr. Emer

Rohit Seth, MD, MRCS(Ed), PhD · Answer

Thank you for your question and sorry that you have had such a problem following your treatment. Have you been back to your Doctor to have this reviewed. It is quite unusual. 
Around the eyes there are several blood vessels and if these are inadvertantly struck by the needle, you can bruise - at the extreme develop a small haematoma. This should really resolve so I would be quite surprised that it has persisted.
My only thought here is whether he injected to deep and you have a deeper haematoma that has now granulated. Depending on where he injected, the lacrimal gland sits in the outer corner of the eye and can sometimes protrude downwards. If he was not concentrating and went to close to this area, then h could have inadvertantly struck this which cold cause some scarring also. The final thought is that he damaged a small amount of fat that is present and this fat globule died off (underwent necrosis). This could leave a lump that would eventually dissolve as the body breaks it down. Massaging will help or worst case to have it surgically removed. 
Best thing would be to go back for the doctor to see the lump 
I hope this is helpful, 
BW
Rohit Seth
Plastic. reconstructive, aesthetic and hair transplant surgery

Monika Soni, MD · Answer

Thank you for your question. It is difficult for me to give you advice without examining you in person. However, this is not typical of Botox and I recommend having a consultation with expert for and evaluation and treatment. Best of Luck!

Benjamin J. Cousins, MD · Answer

Thank you for your post. It may have been caused by a small bleeding vein/hematoma. Best to see an experienced injector for an in=person evaluation for solutions.Sincerely,Dr. Benjamin J. Cousins MD Board Certified Plastic Surgeon Miami/Miami Beach

Marek Kacki, MD · Answer

There are very few thing that could have happened in that area. The most likely event was development of small hematoma that have organized overtime leaving a small, most likely, hard nodule. There are many ways to diagnose the problem and I am sure your doctor would be more than qualified to find the solution. Good luck!

Pedram Imani, FRACS, MS, MBBS (Hons) · Answer

This is unlikely to be due to the Botox, that's is if this was what was injected. A dermal filler is more likely to cause this. It's best to see a specialist with Botox injecting experience to assess the lump as it could have many other causes. Hope this helps.

Mary P. Lupo, MD · Answer

This is most unusual. In over 22 years of injecting Botox, I have never seen this problem. It causes me to wonder if something unusual was done. I would want to have more much more information than can be provided on this platform. If the doctor who injected cannot explain/fix the problem I would go to a board certified dermatologist or plastic surgeon in your area who does a lot of injections and get a second opinion. Good luck.

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