I got a bump after getting botox injections. Should I be worried?
- Nabi
- Jul 18
- 4 min read
Updated: Jul 26
Let's understand the symptoms after botox injections correctly for safety and to avoid over-panic when these symptoms occur.
“After getting botox injections, I have bumps on my face. Is this a problem?”
This is a common question we get from people who are new to botox injections, especially those who are having their first time or have had a bad experience elsewhere.
In this article, Pure Clinic will help you understand what symptoms are considered “normal” and what symptoms you should see a doctor for, as well as provide advice for peace of mind after injections because beauty shouldn’t come at the cost of anxiety.
What is Botox and why does it cause bumps after injection?
Botox (Botulinum Toxin) is a substance used to reduce muscle activity. Doctors inject it into specific areas of the face, such as the forehead, crow's feet, or jaw, to relax the muscles, resulting in the reduction of wrinkles and a naturally slimmer face.
However, after the injection, there may be some symptoms that shock many people, such as:
The skin in the injection area has small bumps.
Feeling tight or numb at the injection site
There are some red spots that look like mosquito bites.
All of these may be “temporary reactions” from the injection of the drug under the skin and usually resolve on their own within a few hours to 2-3 days.
Which is “normal” and which is “need to see a doctor”?
✅ Normal symptoms that you shouldn't worry about
symptom | period | Description |
Small bumps | 1-72 hours | It is caused by the drug not being fully dispersed and will gradually flatten on its own. |
Small red dots | 1-24 hours | It looks like a mosquito bite from a needle, not an inflammation. |
Muscle stiffness/heaviness | 1-5 days | Muscles respond to botox while the drug is taking effect. |
Feeling slightly numb | 2-3 days | It occurs in some cases as a temporary reaction of the neuromuscular system. |
Bruise | 7-14 days | Caused by impact on the capillaries under the skin. |
❌ Symptoms that should see a doctor
Red, swollen, hot, painful bumps with pus: May be infected.
Severe headache or constant dizziness
Drooping eyelids, inability to smile fully, uneven smile, or crooked mouth
Severe muscle pain or obvious allergic reactions, such as a rash spreading over the face.
Symptoms do not improve after 5-7 days or continue to get worse
These symptoms require immediate evaluation by a doctor only. Do not wait or buy medicine to take on your own without proper advice.
Why do bumps appear after botox injections?
Botox injections require a high level of precision. The doctor will use a very small needle to inject the substance into specific target muscles. Sometimes the amount of water mixed in the drug will cause the skin in that area to swell slightly, but will eventually subside once the drug has spread throughout the area.
In addition, each person's skin type also has an effect. For example, people with thin skin, less collagen, or sensitive skin may have more visible bumps or small spots, but these are not dangerous symptoms and usually disappear on their own.
What to do after getting botox injections to help you recover quickly and safely
To ensure the most beautiful and natural results after injection, we recommend that you strictly follow these instructions:
Do not touch or rub the injection area for at least 6 hours.
Avoid lying down or lying on your side for 4-6 hours after the injection.
Avoid sauna, laser, steam, or heavy exercise for 24-48 hours.
Drink plenty of fluids and get enough rest to help the medication spread better.
Avoid alcohol and foods high in sodium for the first 1-2 days.
Choosing a reliable clinic for botox injections is the most important thing.
Many cases where problems occur are often caused by injections by non-medical personnel or by the use of substandard drugs.
At Pure Clinic
✔️ We use genuine Botox medicine from Korea and America.
✔️ Performed by an experienced doctor who is an expert in facial contouring injections.
✔️ Injection with a special technique that helps you look naturally beautiful and reduces the chance of side effects.
✔️ We have a system to closely monitor symptoms after injection. If there are any abnormal symptoms, you can come back for a check-up immediately.
Don't let beauty become a concern
If you are thinking about getting Botox injections or have recently had it done and are unsure about your symptoms after the injection, don’t hesitate to come and talk to the doctors at Pure Clinic because we are always ready to give you advice with understanding and care.
Pure Clinic Anacade Project
📅 Open: Wednesday - Sunday | 13:00 - 20:00
📍 Sukhumvit Road, Bang Na Tai Subdistrict, Bang Na District (near BTS Bearing)
📞 Call: 099-956-4799 / 063-947-4447
📱 Line: @pureskinclinicbkk
Reference documents
Amini-Salehi, E., Eslami, N., Tamimi, A. et al. Unusual herpetic reactivation in a young female following botox injection: a case report study. BMC Infect Dis 23 , 647 (2023). https://doi.org/10.1186/s12879-023-08514-3
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