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Why Do I Still Have Red Dots and Can See Exactly Where Botox Was Injected Near Crows Feet? In This Permanent?

Some of 4 out of the 6 injection sites are still visible after 24 hrs. All the literature states they should resolve in redness after a few hrs. Is this permanent damage? Am I still in the normal time frame? Even if they hit a blood vessel , will this resolve on it's own?

Doctor Answers 11

Botox dots at injection sites

Most likely petechiae, or fine bruising.  It will resolve in a few days.  Not to worry.  In the future be sure to be off of those medications that make you prone to bleeding, such as aspirin, ibuprofen or other anti-inflammatory agents for 7-10 days, unless you are taking these agents for a potential life-threatening condition, such as heart disease or stroke prevention.  It is probably best to take your chances with bruising.

Las Vegas Dermatologist
5.0 out of 5 stars 3 reviews

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Bruising after Botox injection

You are probably describing a bruise from the injections and should resolve over the next week. To avoid the bruising in the future avoid any NSAIDS, alcohol and other factors that may reduce the ability of the body to creat a blood clot. Also icing the area before maybe helpful.


Good luck!

Tiny red dots after Botox injections will resolve completely in a few days.

Tiny red dots after Botox injections will resolve completely in a few days. They may happen occasionally after the injection. They represent very small points of entry into the skin of the tiny needles used for Botox injections. They are not permanent and will disappear completely.

Injection sites from Botox

Sometimes the sites where the needles went in for the Botox injections can stay for a few days. This usually resolves.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

Visible injection sites after Botox one day ago

These will resolve.  There may have been a few red blood cells that spilled out when you had your injections.  They take about a week to go away.  Botox injections are done through tiny needles that do not leave scars.

Emily Altman, MD
Short Hills Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Red dots after Botox

You will be OK. These are small bruises that can occur after an injection. They will go away after a few days at worse. Try to avoid anti-inflammatories such as Aspirin and Ibuprophen, Vitamin E,ginko, fish oil and flax seed for 10 days prior to a procedure. the products can increase your bruising tendancy.

Esta Kronberg, MD
Houston Dermatologic Surgeon
5.0 out of 5 stars 22 reviews

There's no problem...just a tiny bruise in your skin...

doesn't sound like it has anything to do with aspirin, alcohol, etc...just a tiny bruise that will disappear within several days to a happens when you're poked with a matter how careful your doctor tries to be...just sensitive skin...

Ken Landow, MD
Las Vegas Dermatologist
4.5 out of 5 stars 9 reviews

Red dots from Botox injection

There should be no reason to be concerned that any mark from a tiny Botox needle on the face would leave a permanent mark. There might have been a very tiny dried drop of blood at each insertion site, especially if you had any aspirin in the week prior to the Botox, or Ibuprofen  (Advil /  Motrin)  Alleve two days prior to the injections. Regardless of the cause, the tiny dots should be gone before long. Ask your doctor to see you in a week if there still there for an evaluation.

Ronald Shelton, MD
Manhattan Dermatologist
5.0 out of 5 stars 33 reviews

Botox for crow's feet.

There are several tiny blood vessels around the eyes and the red dots you see are tiny bruises caused by the injections and they will fade within a few days.  In the future, avoid substances that cause bruising such as alcohol, green tea, vitamin E, fish oils, garlic and anti-inflammatory agents such as Aspirin and Advil for 1 week before your Botox treatment.  The application of ice pre-treatment may also prevent bruising.  You may apply foundation to hide the bruises.

Martie Gidon, MD, FRCPC
Toronto Dermatologist
5.0 out of 5 stars 19 reviews

Injection site bruising will settle in a few days.

This is not permanent damage. The spots should fade away in a few days. You may try considering Arnica, the next time around. However, if the spots persist, or if there is swelling or pain at the injection sites, do go back to your doctor. 

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.