Bruising and Swelling After Minimal Amount of Botox?

asked 3 years ago by Waschke in Germany
Latest answer by Steven Wallach, MD
Question viewed 3,211 times

Hi. I had Botox 5 days ago and after the 3rd day, I appear to have dark circles, swelling and have acquired some bruising. Is this normal and will it go away or will I have to wait for the Botox to wear off?

The doctor said he used the very minimal amount for me as this was my first time. He said if it doesn't take effect then I should return and he will give me a top up for free. At this moment, I feel I do not want to use Botox again.

6 answers to Bruising and Swelling After Minimal Amount of Botox?

Bruising and Swelling After Botox?

The reaction you are describing is very rare. While bruising is a somewhat common side effect for many different types of injections, swelling and dark circles are not a normal reaction to Botox. Rarely there are patients that are allergic to some of the preservatives in Botox and this may cause a reaction like you are describing, but that reaction is rare. Our advice would be to go see your injector. Whether or not you opt for more Botox is not the question... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Bruising not related to botox dose

Your bruising should go away in a matter of days. It is usually caused by the needle hitting some of the very fine capillaries, which are impossible to avoid all of the time. It is not related to the dose of the botox and shouldn't affect how long the Botox lasts. It is always a good idea to follow-up with your doctor though.

Richard Baxter, MD
Seattle Plastic Surgeon

Bruising and swelling after Botox

Botox on occasion can cause some bruising. It can also cause some swelling. Both of which will go away usually withina few days.

Steven Wallach, MD
Manhattan Plastic Surgeon

Bruising can happen with any type of injection

Your doctor sounds like he is very diligent and caring. so why not go back and see him in a week, so you can be reassured this first time you tried Botox that all is well? You probably won't get a bruise every time Botox is injected, but it does happen occasionally and really can't be avoided with certainty. Very few people are not extremely happy with what Botox does.

Bruce K. Barach, MD
Schenectady Plastic Surgeon

Delayed bruising can occur with any injection

Dear Waschke, Whenever an injections is administered, bruising can occur. The bruise results from the needle causing a small opening in a blood vessel and some blood leaks out staining the tissues. The bruise usually lasts about a week to 10 days. During treatment, some bleeding may be noticed after an injection. Pressure can be applied immediately to decrease the amount of blood that leaks from the blood vessel. This can reduce the amount of bruising. Generally, the risk of bruising is... more

A. Peter Salas, MD
Manhattan Plastic Surgeon

It is not the amount, it is the injection

The amount of Botox isn't the issue. In fact, it could be argued that larger volumes could decrease bruising as it causes increased pressure at the injection site, making blood leakage less likely. The needle hit a small capillary most likely. It was deep, and takes ~3 days to surface. The bruise should fad over the next week, and you will be fine. sek

Scott E. Kasden, MD
Dallas Plastic Surgeon

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