Why Do I Have Permanent Tiny Bumps at the Injection Sites for Botox?

I have been going to the same nurse 4 about 4 years now. I noticed that I had tiny bumps on my forehead abut 2 years ago but never connected it to the botox until this last time. The same little bumps in the same exact injection sites appeared and looked exactly like the old ones very nearby. They will not go away. I fear I have scars now, I am very worried about continuing with Botox if this is the result. I also notice that my eyebrows are very high, I look surprised

Doctor Answers 5

Any injection is skin trauma, even for Botox

It is rare, but not impossible, that Botox injections could cause tiny bumps that are tiny scars. Everyone's skin is different and heals differently due to trauma. You have a nurse injecting your Botox, so I am not able to speak for this nurse's training or skill level, and am not sure what type or size of needle is being used. I am also not sure of the preparation of the Botox mixture itself, and can't say whether there might not be something in it that is bothering your skin more than normal.

If you are getting tiny bumps at the site of each needle stick, and also feeling uncomfortable about the position of your eyebrows after your treatments, it might be time to seek out a board-certified dermatologist or plastic surgeon to review your treatments and make sure to minimize future problems.

New York Dermatologic Surgeon
4.7 out of 5 stars 41 reviews

There should be no long term bumps from Botox

bumps from the needle of botox injections should be temporary. If the bumps did not exist prior to the injections (some people, not necessarily you, have tiny benign bumps of which they were not aware prior to the botox injections such as sebaceous hyperplasia) there is no good explanation for this to occur. Possibly you should see a dermatologist to examine your skin's condition.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Botox bumps: not likely due to injection scar

It is highly unlikely given the small needle size that you are forming any scar tissue from the botulinum toxin injections.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

Bumps where botox was injected

I would recommend evaluation by your cosmetic physician to see if these "bumps" are from injections or from an underlying dermatologic condition.

Purvisha Patel, MD
Germantown Dermatologist
5.0 out of 5 stars 4 reviews

Botox Injection Site Bumps and Surprised Eye Brows in Cotati

Hi Salad Girl,

Time to choose a cosmetic specialty core trained physician (Facial Plastic Surgeon, Plastic Surgeon,ENT, Cosmetic Dermatologist, Opthalmoplastic Surgeon) to evaluate you and treat you.  A specialist physician knows the anatomy of the face and how to avoid that surprised eyebrow look....ouch!  The physician can correct your eyebrows with a few units of properly placed Botox.

There could be many reasons for you bumps including dull, inferior quality needles; unclean preparation of the injection (though studies have shown that there is not a difference in infection rates when the skin is cleaned with Alcohol wipes or not); and who knows what other reasons.

See the web reference below for some more reasons to choose your facial cosmetic physician most carefully.  Good luck and be well.

Dr. P



Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.