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Botox Bruise

asked 1 year ago by Vow in Waltham, MA
Latest answer by Brooke R. Seckel, MD
Question viewed 3,045 times
Tags: under eyes, bruising

I have a huge bruise under eye after botox. It's already been for 4 days. Please let me know how I can get rid of it ASAP. I'm using arnica now. How long will it be like this? Will ultrasound or laser help at least to change a color to yellow?

22 answers to Botox Bruise

Pulsed Dye Lasers for Botox Bruise

Hi Vow. That is an extremely pronounced bruise for Botox injections. In addition, Botox is usually not injected under the eye. Was this at the outer eye for crow's feet or could it be a dermal filler for under eye circles? The latter is much more likely to cause the kind of bruising you have. In any event, this kind of bruising is resolved pretty easily if it is treated at approximately 48 hours after the injections with a pulsed dye laser (V-Beam and V-Star... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Botox Bruise Under Eye May Last Two weeks

It is uncommon to have such a bruise after Botox. The injector must have hit a small eyelid blood vessel. Unfortunately bruises after Botox have to run their course which can be two weeks. In the future the risk of a Botox Bruise can be reduced by Ice Packs or Cold Roller BEFORE and after your Botox injection. Around the eye, the Botox injector must carefully stretch the skin and look for all the small blood vessels. Once they are identified the Botox Needle can be inserted in an... more

Brooke R. Seckel, MD
Boston Plastic Surgeon

www.drseckel.com

Botox and bruise

Any needle used for a filler or Botox can cause a bruise since small veins and capillaries are not visible as they underneath the skin and it's just luck that they're not hit more often. On the other hand, botox underneath the eyelid is usually only one needle stick, superficial and this bruise in this photo seems excessive for such treatment. Some people are more prone to bruising if they have genetic problems with clotting, or take medication that can thin the blood... more

Ronald Shelton, MD
Manhattan Dermatologist

How long can a bruise last after Botox (or Restylane)?

With any injectable treatments, small to medium sized bruises are always a risk. Many treatments cause no bruising, but this is a happy result to be appreciated and not always counted on. Harmless poking of blood vessels sometimes invisible under the skin can lead to small bruises or even to collections of blood called hematomas. In most cases, this is harmless (but see your doctor as soon as possible if there is any lump or any pain). It takes regular bruises 7 to 10 days to fade from... more

Jessica J. Krant, MD, MPH
Manhattan Dermatologic Surgeon

www.ArtofDermatology.com

You can try Bromelain or pulsed dye laser (PDL)

After Arnica Montana, you could try the supplement Bromelain (which is a pinneaple extract). If your doctor happens to have a pulsed dye laser, PDL - often called a Vbeam - that would help speed up the healing tremendously. Please visit the link below to learn more about Botox and what you can take BEFORE getting injected to prevent bruising next time.

Babak Azizzadeh, MD
Beverly Hills Facial Plastic Surgeon

Botox bruising

This is extremely common, especially under the eye. I wouldn't do anything at this point. It was resolve. Vitamin K cream may help.

Gary Goldenberg, MD
New York Dermatologist

A Vbeam pulsed dye laser can help speed up healing of a bruise

A Vbeam pulsed dye laser can help speed up healing of a bruise. Look on Candela's website under Vbeam to find a doctor who has this device in your area. Some people also take Bromelain which can help speed up the healing time. Good luck!

Rebecca Fitzgerald, MD
Los Angeles Dermatologist

VBeam can speed up resolution of Botox Bruising

It's not unusual to get bruising after botox and filler injections, especially around the eyes, as this skin is thin and close to many fine blood vessels. This can happen in any physician's hand, even those who are extremely experienced. Things that can make bleeding more likely include the use of blood thinners including aspirin and ibuprofen, as well as any significant activity or exercise after the procedure. Fortunately, the VBeam laser can speed up the resolution of... more

Margaret Mann, MD
Cleveland Dermatologic Surgeon

Botox, Wrinkle Treatment, Beverly Hills Botox, Los Angeles Botox, Nasal Surgery, Beverly Hills Rhinoplasty

Bruising can always occur with any needle based therapy, including Botox and when a bruise this size does occur, it can be upsetting. Ice the area and continue the arnica orally as well as apply arnica topical gel directly to the area. You may also try eating some Papya (contains the enzyme papain) that has been suggested speeds up the time for bruising to resolve. Avoid any medication that thins the blood as well as strenuous activity until the bruise resolves. Go to... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Bruising after botox

I'm sure this bruise is extremely upsetting to you! Bruising can occur with any injectible. In your case, the bruise is pretty significant. This is probably due to the needle having hit a small vessel, and the fact that the eyelid skin is so thin. Some people (particularly those with very fair skin) are more prone to bruising than others. I always tell patients that they must be off aspirin and vitamin E for at least a week before any procedure. Once... more

B. Aviva Preminger, MD
New York Plastic Surgeon

Botox and bruising

For your next treatment, you may want to make sure that you avoid aspirin, advil and other nonsteroidal pain relievers and Vitamin E for a week, and alcohol for 2 days prior to any injection. In addition, make sure you use an ice pack in the doctor's office immediately prior to each injection. Also, find a physician that has a vascular laser (such as the Vbeam by Candela) which can be used about 2 days post injection to any bruise that forms. This makes the bruise... more

Madeline Krauss, MD
Boston Dermatologic Surgeon

What to do for bruise after Botox injection

Cold compresses, arnica montana, and vitamin K cream all help. You can also apply a yellow concealer (looks like a yellow lipstick and you can get at any drugstore--some brands are Neutrogena, Almay, Physician's Formula). This helps to hide the purple/blue so then following with makeup/foundation will look better. Helps to blot on the makeup with a cosmetic wedge sponge so you don't get the streaks from smearing it on. A laser can help--either KTP (532 nm... more

M. Christine Lee, MD
Walnut Creek Dermatologic Surgeon

Botox Bruise

It looks like the bruise is starting to resolve. Avoid strenuous activity, apply ice, and continue arnica.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Laser, vit K gel, cover up makeup for botox bruise

Time will resolve this bruise but patients are very interested in speeding up healing. Treatment with a pulsed dye laser such as the Vbeam can hasten bruise resolution as can use of a cream containing Vitamin K oxide - such as Auriderm post op gel. Yellow coverup helps conceal purple bruises and green can help cover red bruises.

Elizabeth F. Rostan, MD
Charlotte Dermatologist

Natural cure for a Botox Bruise.

Eating Pineapple for the Bromelain is a good start. The millions of people who believe in homeopathy can't all be wrong. Arinica Montana, in both under-the-tongue tablets and gel form will help it too. Keep Arnica around the house for that unanticipated bump or trauma. Take Arnica on your way to your next Botox treatment.

Ritu Chopra, MD
Beverly Hills Plastic Surgeon

What to do about a bruise after Botox injection

The good news is that the bruise has already started to resolve, judging by the yellow part on the outside. The most important thing to do immediately after a vessel is punctured is to hold firm pressure on the area for 10 minutes, so that the bruise doesn't happen in the first place. But if the bruise does happen, for the first 48 hours, Arnica and ice applications for 10 minutes every two hours help. Be careful not to cause ice burns. After the first 48 hours,... more

Emily Altman, MD
Short Hills Dermatologic Surgeon

Botox for your 11

Any needle injection or even blunt trauma can cause a bruise. The Anica will help. Also try Bromoline an enzyme found in Pineapple.

Jay H. Ross, MD
Tampa Plastic Surgeon

Bruising After Botox

Unfortunately sometimes bruising can happen. That is why, even though it is very rare, I always recommend not doing injections within a week of an important event. In any case, the bruise is now there and will slowly resolve. Most bruises take 7 to 10 days to completely resolve. With a combination of Arnica and cover makeup you should be okay. Some lasers are helpful in removing bruising, but these treatments are expensive and usually not necessary. Also,... more

David Shafer, MD
New York Plastic Surgeon

www.ShaferPlasticSurgery.com

TIme is needed for this to resolve.

Nice shiner. Is that "Vow" as in my wedding is coming up and I don't want a bruise in my wedding photos? I hope not. I agree this bruise is significant. This is a bruise that might be associated with a filler service under the eyes. It makes the point that whenever one is poked with a needle there is a risk of bruising. My crystal ball says this one takes up to two weeks to full resolve, possibly even more time. It is one of the reasons... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

A post-procedure camouflage kit will help conceal your "Botox-bruise" until it fades.

I read your concern and reviewed your photo. Thankfully your bruise will completely fade over the next 7-10 days. Lower eyelid skin is unforgiving, as you see, and a "shiner" is possible from getting your crow's feet injected with Botox. If your doctor does not have an aesthetician to help with concealing the bruise, you may want to visit a local cosmetic store for asssistance. Regards from NJ:

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

Botox and bruising

Time will be your friend on this one and in the meantime make-up should help conceal the area. Bruising usually dissipates between 3-7 days, although some individuals can have traces of bruises still visible up to 14 days.

Rafael C. Cabrera, MD
Boca Raton Plastic Surgeon

Botox Bruise

I would definitely ice the area, 5 minutes at a time few times a day. Arnica is great, you can also supplement it by taking pineapple. Hope that helps.