Why do I have a spasm/lump in my forehead 1 month post Botox? (photos)

Question

I had some Botox placed in between my eyebrows for a “brow lift.” This was done a month ago. I’ve begun to feel tingling/tightness in between my eyebrows lasting 5-10 minutes. I looked in the mirror and it’s causing a visible distortion as well. It appears as a lump on my forehead and my eyes in an angry face, however I don’t have control to relax my face while it’s happening. It almost seems like some kind of spasm, but the muscles should be relaxed if I’m correct? Is this normal?

Monica Boen, MD · Answer

Thank you for your question. I encourage you to schedule a follow-up with your injector so that you can be evaluated in person. Make sure you are working with a board-certified dermatologist who is also an expert Botox injector so your procedure is both safe and successful. Good luck to you!

Nirmal Nathan, MD · Answer

Dear Rubberducky5609,Thank you for your question. No one can truly determine whether you have spasms based on photos alone. You need an in person exam. It would be extremely atypical and rare for Botox to cause a spasm, even at low doses. The Botox tends to diffuse and it should not selectively affect some parts of the muscle and not others. If Botox is the cause of what your are seeing, it should resolved by 3-4 months.Good luck,Nirmal R. Nathan, M.D.Certified, American Board of Plastic SurgeryMember, American Society of Plastic Surgeons

Alain Michon, MD · Answer

Thank you for your question and pictures. It does look like it is a muscle spasm. Additional units of Botox will resolve this issue. All the best, Dr Michon

Why do I have a spasm/lump in my forehead 1 month post Botox? (photos)

Answers (3)