Is blanching of the area of botox injection normal after 10 days and after a run? (photo)

Question

I had botox injections 10 days ago. I just went for a run and this white patch appeared on one of the areas of injection? You can also still see the bruise from the injection as well. Is this something to be concerned about?

Shaun Patel, MD · Answer

It's hard to tell without evaluating you in person. It does appear that you have some minimal bruising around the eyes related to the Botox injection. I would followup with your injector with any concerns.

Evan Sorokin, MD · Answer

Without an exam it is difficult to tell however it appears that you may have been slightly bruised during the injection (which unfortunately happens especially in the Crow's feet area) and so when you are running blood flow in that area is slightly altered compared to other areas.  It is also possible that the botox itself may cause some decreased blood flow in the muscles compared to surrounding areas.  Regardless as long as it resolves after the workout in an hour or two nothing to be worried about.  Otherwise seek consultation with your injector.  Good luck!

Sean W. Delaney, MD · Answer

Thank you for your question. Your picture suggests a resolving bruise from your Botox injection around the eye. This can occur because of the many small blood vessels in the region. The bruising usually goes away in 1-2 weeks and can be seen as a violaceous, green or yellow hue as the blood product goes through the different phases of being broken down and reabsorbed by the body. Botox should not cause blanching, or decreased bloodflow, 10 days after injection.

Victor M. Perez, MD, FACS · Answer

It appears from looking at your picture, that you have a small bruise in the lateral aspect of your eye. This is a common occurrence after Botox injection, you need to ask your injector, only an in a person examination can this be assessed.

Leonard Grossman, MD · Answer

I don't think that the red patch is related to Botox only because Botox is not injected into the lower eyelid. I think you should be speaking to your treating physician and look for answers there. Good luck from New York City

Christopher R. Macdonald, FRCS(Plast) · Answer

Thanks for the question. This is slightly unusual as BOTOX is more likely to cause vasodilation and redness than blanching. However, it is certainly nothing to worry about as long as you are happy with the rest of your result.
Dr Chris Macdonald

Kristine Brecht, MD (license suspended) · Answer

If you have bruising in the area of injection you may see different coloration in the skin until it’s healed, typically 1-2wks.
Best. Dr Brecht
Seattle, Wa

Is blanching of the area of botox injection normal after 10 days and after a run? (photo)

Answers (7)

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