Why do I have the lump of skin in between my eyes after botox to glabellar? (Photo)

Question

i had botox in the forehead and glabellar in november 2016, i am still suffering badly with heaviness but what has upset most is the lump of skin that has formed inbetween my eyes, i cannot lift my brows still at all and am scared that this will never go away as it has been over four months now and as yet no improvement. I have actually been given a permanent frown which is the exact opposite of what i paid for. Please anyone, could you tell me what has caused this and if it will go away

Lorrie Klein, MD · Answer

When Botox is used to treat between the eyebrows (the glabellar area) and not enough is injected into the central muscle in this area (the procerus muscle), it can lead to over-activity of that muscle.  Luckily it is temporary but can also be easily fixed by having a bit more Botox injected into it.  In my Orange County office, we customize all of our Botox treatments and I always tell new patients that they should return after 2 weeks for a touch-up if it isn't perfect.  That way I can touch them up if needed and the next go-around we will know to inject more in any area that needed touching up.

Michael I. Echavez, MD · Answer

I have seen the effect of Botox last as long as 6 months in some people, so since your treatment was 4 months ago I would say that everything should return back to how it was in the next month or so.  I think the lump you see between your eyes after the treatment is due to the fact that you have a deep furrow on either side of it.  A filler could be used to treat the furrows and help to smooth out the appearance in that area.  In some cases, Botox plus a filler gives the best result to the frown area.

Michael H. Gold, MD · Answer

Thanks for the question and the photo and we always recommend that you have a consultation with a board certified dermatologist or plastic surgeon to learn what is going on with your case.  It appears that either some of the muscles are beginning to return – the procerus – and that you may need more toxin or you may need a small amount of HA filler here – this can be determined at the time of the consultation.

Melvin Elson, MD · Answer

Some people get longer results from the injections but all will return to baseline eventually, the lump in the middle is your procerus muscle that has returned before the other areas that were injected

Dinesh Maini, MBChB · Answer

Dear MillyThank you for your question and picture. This can happen due to the distribution of your muscles. An experienced injector will fix it without any issues.I am not sure that fillers are the best plan personally as there is a danger that you will perceive the area as being fuller instead of tighter.Go back to your practitioner, they should be able to sort this very quickly.Kind RegardsDr Dinesh MainiZenith Cosmetic Clinics

Why do I have the lump of skin in between my eyes after botox to glabellar? (Photo)

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Answer: Botox after 4 months

Answer: Botox after 4 months

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Why do I have the lump of skin in between my eyes after botox to glabellar? (Photo)

Answers (5)

Answer: Botox after 4 months

Answer: Botox after 4 months

Answer: Botox

Answer: Botox

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Everything you need to know about Botox

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