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Discoloration of Skin in Area of Injections - Botox & Juvederm Combination

asked 6 months ago by metalmaiden
Latest answer by Ronald Shelton, MD
Question viewed 330 times
Tags: discoloration, 2 months post-op, normal, permanent

8 weeks ago I had my 1st treatment.Botox with a tiny bit of Juvederm for the "11s" between my brows.Also fillers at the corners of my mouth, chin fold and a touch in my lower lip to lift some moderate lines and sinking with a touch of Botox at the corners of my mouth. I bruised heavily! Bruising cleared in 2 weeks.Now I am left with the whole treated areas being slightly darker & a bit red compared to the rest of my face and complexion. Is this normal&how long til it goes away?Safe to do again?

13 answers to Discoloration of Skin in Area of Injections - Botox & Juvederm Combination

Bruising/Discoloration after Botox & Juvederm

Hi MM. Sorry to hear about this negative experience. If the bruising has left a darker colored area and you are also olive skin tone or darker, it could be related to a condition called hemosiderin staining. This condition happens more frequently with sclerotherapy (vein injections) but we have seen it in the face before as well. The profound bruising causes some more permanent brownish discoloration. We have treated this condition successfully with... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Dark areas will resolve

This is not typical but all injectors have seen this. Some people bruise more easily and some areas are more prone to bruising. Be sure to use ice and pressure with all future injections. The dark areas will probably slowly resolve but it may take 6 months or more.

Richard Galitz, MD
Miami Facial Plastic Surgeon

Discoloration of Skin in Area of Injections - Botox & Juvederm Combination

From what you are describing, you are going through the normal post bruise phases. The skin discoloration is related to hemosiderin pigment that's contained within the red blood cells. These RBC's are deposited into the tissues when bleeding occurs. Once ruptured, the pigment is released and can remain for weeks, months or in very rare instances permanently within the skin creating a dark discoloration. Bruisin and swelling can occur with any... more

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

Fillers and Botox and bruising

Bruising is not uncommon after some fillers and less so with Botox. Bruises tend to fade in two to three weeks but post inflammatory hyperpigmentation may take months or more to fade. Some people's skin shows a sensitivity that heals with fine capillary blood vessels and this redness can take a long time to go away. keep out of the sun! V-beam laser can minimize the redness quickly if it is a persistent problem.

Ronald Shelton, MD
Manhattan Dermatologist

Preventing Bruising from Botox and Juvederm Injections

I always apply a topical anesthetic cream (which includes a medication that causes blood vessels to constrict) before injecting "fillers" such as Juvederm and Restylane). The skin is numbed for the injection and is also much less likely to bruise. Bruising is usually minimal to nonexistent. I usually do not use anesthetic cream prior to Botox injections; the key to preventing bruising is for the physician to immediately apply pressure to the injection site if any bleeding is... more

Robert C. Langdon, MD
Guilford Dermatologic Surgeon

Discoloration after botox and juvederm combinaton

It does sound unusual, but it can happen to have prolonged bruising and subsequent prolonged discoloration. The only thing I would add to the excellent advice given by the above experts is to get a clotting panel test (Platelet count, Prothrombin time and PartialThromboplastin.) I assume that you feed yourself properly and eat some fresh fruit, fresh tomatoes, etc (No Vitamin C deficiency). Always make sure that you are being treated by an experienced, Board Certified... more

Eugene Mandrea, MD
Chicago Dermatologist

Discoloration of Skin in Area of Injections - Botox & Juvederm Combination

If you bruised so badly than this COULD be a stain deposit of the blood. Best to be seen by the injecting doc to discuss and treat.

Darryl J. Blinski, MD
Miami Plastic Surgeon

You may have too many herbal products in your diet!

Certain things in our diet predispose us to bruise. Virtually any herbal product out there seems to increase the risk of bruising. Of course taking drugs like aspirin and motrin also inhibit platelets and increases the risk of bruising in association with any treatment that must be injected with needles. The heavy bruising you are describing does not clear in a week. No it takes up to a month and rarely longer for all of this to clear. I suspect that if you give... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Discoloration after injections.

Generally after injections you may have some redness which resolves after 24 hours or so. Continued discoloration is unusual. You really need to post a picture or be seen in person for more specific advice. Good Luck.

David Shafer, MD
New York Plastic Surgeon

www.ShaferPlasticSurgery.com

Discoloration of skin after juvederm

At 8 weeks bruising should generally be gone unless you are taking aspirin or plavix. There is a phenomenon called the Tindal effect which occurs when hyaluronic acid fillers are to superficial and a bluish color is seen in the area of injection.

Michael L. Schwartz, MD
West Palm Beach Plastic Surgeon

Redness and discoloration after filler and botox

There can be traces of left-over bruising after any injection therapy. Sometimes this takes a surprising amount of time to clear, or rarely, doesn't completely clear. Laser treatments can promote complete clearing. In other instances, there is a mild inflammatory reaction to the injection or the filler. This can cause mild redness or tenderness that can last for a number of weeks. Usually this is self-limited and will clear on its own. If it is... more

Lawrence Bass, MD
Manhattan Plastic Surgeon

Brusing and discoloration after botox and fillers

It is possible to get bruising swelling after treatments that may last a few weeks. If it is severe enough you may have discoloration that may last for a while or be permanent (although that is extremely rare). You need to give it time up to six months or even a year! Most important is to avoid sun exposure to the areas with the discoloration!!!! If no improvement is seen IPL or bleaching creams maybe used! Good luck!

Tal T. Roudner, MD
Coral Gables Plastic Surgeon

Bruising after Botox and Juvederm

Without a photograph, I can speak only in generalities but, if you had deep bruising from the filler and Botox, the swelling may not be completely resolved. I hope that you saw an experienced injector who is a board certified plastic surgeon or dermatologist!