I have developed hard lumps on Botox injection sites. Please help.

Question

Hello doctor,

I have been injecting Botox into my forehead for three years now and never had a reaction. Two days ago I visited a different dermatologist and right after the session, I developed hard lumps on every injection site. I returned to the same dermatologist and she told me this is nothing to be concerned with and should reside in two days. She also gave me Arnica oral tablets to use to speed up my recovery. This is my second day after the injection and there are no signs of healing. I am unable to go to work because my forehead looks like it has been attacked by a beehive. What can I do to speed up the process?

Answer 1

Hi,

Welcome to icliniq.com.

Kindly send image and revert back. Without clinical photographs, it is difficult to comment. Is there a change in color of skin?

Answer 2

Hi,

Welcome back to icliniq.com.

I have reviewed clinical photographs attached (attachment removed to protect patient identity). There is swelling at the injection site which will go away eventually, and it usually takes about a week. Hard lumps at injection site might occur when there is trauma to a small blood vessel. There is no need to worry if it is not increasing in size or associated with pain. Continue Arnica supplements it may help, and avoid smoking, drinking, strenuous exercise, massage and taking medications that encourage bleeding (like Ibuprofen and Aspirin) which you must be already aware of.

I have developed hard lumps on Botox injection sites. Please help.

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