Can Botox cause painful lumps even after two weeks? (photos)

Question

I got 16 units of Botox between my eyebrows and forehead exactly two weeks ago. I noticed some swelling at first but now they just look like lumps and it hurts when touched. This was my first time and I don't even think it did anything to the wrinkles. It gave me headaches and you can see the red dots where she injected. She also did this immediately after a micro pen service....

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. Botox is very effective in diminishing the appearance of frown lines, forehead furrows and crow's feet. The results last about three to six weeks, but typically take two to five days to show their effect. While each patient has a different healing process and timing for healing, I suggest that you discuss your results with your board certified facial plastic surgeon. It would be helpful to see before photos as well.
Best wishes,

Monika Soni, MD · Answer

Thank you for your question. Swelling can occur for 1-2 hours after Botox injection. However, this may be due to your microneedling treatment. I recommend following up with your injector for an evaluation and possible treatment. Best of Luck!

Melvin Elson, MD · Answer

Botox should not leave lumps at any time. some swelling may occur immediately afterwards but that is about it. See a board certified dermatologist to see what is going on and make sure in the future you are seeing a board certified dermatologist or plastic surgeon

Hardik Soni, MD · Answer

Thank you for your question. Swelling can occur for 1-2 hours after Botox injection. However, this may be due to your microneedling treatment. I recommend following up with your injector for an evaluation and possible treatment. Best of Luck!

Steven F. Weiner, MD · Answer

Having bumps this far out from treatment is not normal. I would be concerned about an infection. Your provider needs to see you. Also, I would never do the procedure after microneedling. There is a risk of the Botox spreading due to edema of the area. I would wait a few days after microneeding for the swelling to go down to get Botox in general. I think the problem is related to the microneedling and not the Botox.

Can Botox cause painful lumps even after two weeks? (photos)

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Answer: Bumps 2 weeks after Botox and microneedling treatment.

Answer: Bumps 2 weeks after Botox and microneedling treatment.

Answer: Bumps 2 weeks after Botox and microneedling treatment.

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Can Botox cause painful lumps even after two weeks? (photos)

Answers (8)

Answer: Bumps 2 weeks after Botox and microneedling treatment.

Answer: Bumps 2 weeks after Botox and microneedling treatment.

Answer: Bumps 2 weeks after Botox and microneedling treatment.

Answer: Bumps 2 weeks after Botox and microneedling treatment.

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Recommended reading

Everything you need to know about Botox

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