Delayed Bruising After Botox?

Hi Waschke,
Unfortunately you can have delayed bruising with Botox. The bulk of the trauma in a Botox injection occurs at the point where the needle enters the muscle. Because the muscle lies under the skin, it can sometimes take a few days for the bruising from the injection to become apparent.
The good news is that this bruising should resolve soon. If it is problematic for you or if you would like faster resolution, consider finding a local practitioner that uses pulsed dye lasers as these can be used to cut down the bruising duration to as little as 48 hours with a quick treatment on this laser. Good luck.

Dear Waschke
Any time you get poked with a needle, you can bruise. Often these bruise are immediately evident. When your treating doctor starts mushes their thumb down on your face, you can be sure they have spotted a little bleeding that they are looking to stop before it becomes a bruise. In West Los Angeles, bruises are a big cause for concern. I am not sure if it is because we need to look or best or we are concerned that someone will think our spouse hit us (or our spouse might learn that we are getting service).
I encourage patients to avoid things that increase the possibility of bruising. Most offices maintain a long list of these products. These including things like aspirin, advil, but also include virtually anything herbal thought to be healthful. Many of these products thin the blood in some way. If you are a product for medical reasons at the instruction of your physician, please seek their advice before going off these products.
Delayed bruising can come about when bruising occured at a deeper tissue level and had to work its way to the skin surface before becoming visible. It is also possible to disturb the treated area and this can cause a delayed bruise. I tell my patients not to work out after treatment for 24 hours. One of the worst bruised I've seen was from a patient who did a spin class a few hours after an uneventful BOTOX treatment.
So bruising delayed or otherwise is a risk of having these wonderful treatments.