Can Botox cause dents in the skin?

Dr. Irwin, I have had Botox for years now without any problems given by the same nurse. What has happened after this time on Nov 8th is I have indentation all over my forehead. I went to one doctor that couldn't explain it and told me he has never seen this happen and to come back in a month, another told me that that maybe they did a bad job injecting and some muscles were injected but the Botox maybe didn't distribute. (Which wouldn't make sense to me to cause a collapse look) Have you heard of this, could she shot it into a vein and it has caused a collapse of other veins through out. II don't know what to do or what to think

In twenty years, I’ve never seen this either so…………..I’m wondering if perhaps the Botox vial was accidently mixed up by the nurse with something else????  For example with Kenalog or even hyaluronidase (the enzyme that breaks up filler bumps).

Please go back to the nurse who injected the Botox and make sure she’s seen the problem.  In most states, an R.N. must be legally supervised by a doctor so please make sure her supervising doctor has seen the problem also.   

Also, each Botox vial has an identification number on it, which we write on every chart note.  The nurse should be able to track the vial and report it to the company which makes Botox (Allergan), and find out whether any other problems like this have been reported to the company.

I hope this helps,   Dr. I

Dr. Brandith Irwin, MD

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