Madison Botox doctors

First, you should understand that Allergan (the company that makes the stuff) distinguishes between Botox Cosmetic, which we use for facial wrinkles, and Botox which is used for functional issues like hyperhydrosis, torticollis, headaches, cerebral palsy spasm, and a hole host of other sites.  Botox Cosmetic has not had any deaths.  I am personally aware of only three times that significant problems hit the news cycle concerning Botox Cosmetic, and in each case, the practitioner got the medication from some bogus source.  Each of those events also prompted an internal review of  Allergan and their track record, and each time they came out without involvement or product danger.   The drug continued with a clean record.

An interesting study just hit the news as well, which found that botox might exert some influence in muscles distant from the injection.  But the truth is, the study was done in lab animals and may not translate to humans at all, and was found only to change a test behavior of the distant muscle without actually influencing it's overall function.  In other words, much ado about nothing.  

Botox is as safe of a drug as you can find right now.

Both dosages are reasonable.  We know that higher doses of neurotoxins give you more effect, but also more duration.  So it may have been that the increase was coincidental, or motivated by an attempt for improved effect and/or duration.  A national consensus panel suggested 5-15 units per side a few years ago, so you are right where you are supposed to be.  But you need to be involved in such changes in treatment, so either ask your doc about why you were increased, or make sure you discuss this before your next injection.

Bruising is a known issue with botox injections, with some areas like the periorbital region more likely than others to bruise.  Although we all hate to cause them, if you do enough injections, they will occur randomly.  You can limit their potential by avoiding blood thinners for one week (aspirin, ibuprofen, high dose vit E, fish oil).  The doc can limit the potential by using finer, better quality needles.  For example, we use a 32 guage needle, which causes less bruising than some of the less expensive, TB syringes that many offices use.

The bruise will be short lived, not much you can do to speed resolution.  We often suggest some homeopathic remedies like arnica montana, but the jury is still out as to how much help they provide.