I have a bump/massive swelling and indent in forehead 3 months after Botox. What was the cause?
Doctor Answers 4
Swelling and redness after Botox
Swelling after Botox
Thank you for your clinical post. I’m sorry to hear this unusual but certainly physiological possible reaction following Botox injection. The Botox itself is a neuromodulator that affects muscle contraction. The fluid itself, however, can obstruct the excess egress of certain glands that secrete oil onto your skin and this can affect the pilosebaceous units near the brow as well as the apocrine and eccrine glands that secrete sweat. If these glands become blocked then an inflammatory papule or red “zit” or “pimple” like process can ensue. This may take many weeks to resolve and when it does there may be some post-inflammatory depression or indent as you pointed out. At this point in time, strategic use of soft tissue fillers and fractional laser devices to achieve smooth contour should be your focus and a follow-up with your certified physician injector should ensue. If your injector is not experienced in managing these types of skin techniques then seeking out a certified plastic surgeon or dermatologist that is an expert in these matters will help you restore normal contour and shape. Because this occurred with one Botox injection does not mean other Botox injections should go uneventfully and provide the kind of improvement you’re looking for.
I hope this information is of some assistance and best of luck.
To find out more, please visit the link below. There will be other sections on the website that can be helpful such as laser resurfacing and soft tissue fillers.
R. Stephen Mulholland, M.D.
Certified Plastic Surgeon
Huge bump after Botox
"This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."