Delayed Bruising After Botox?

Yes, it is common for bruising and swelling to appear a couple of days after your treatment. It can take up to 2 weeks for this to go away. You should talk to your injector if it lasts longer than this. 

Swelling, redness, discomfort and bruising are common and settles down within 3 days or so. This sounds like what happened to you. Rest assured, the bruising will subside over the next week or so. Follow your injector's post-care instructions to facilitate healing.

Bruising can occur after cosmetic Botox injections around the eyes. The onset can be immediate or delayed. I usually prescribe an over the counter Arnica based medicine such as Bruise Stick, Bruise Pak, or a Boiron Arnica supplement.

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.

Hi Waschke,
Sometimes patients have delayed bruising after facial injections.  I find that many of these patients either work out vigorously (in the gym or bedroom), or party with alcohol.  Just a couple of factors to consider.  Good luck and be well.
Dr. P

Most bruising from botox seems to appear almost immediatelty after botox injections and can be limited by ice and pressure. Very rarely if an injection is performed at a very deep level, the bruise may “rise” to the surface and appear a few days after the injections.

Yes this is completely normal. It takes up to 2 weeks for your botox to take full effect, so it will take up to 2 weeks for swelling/bruising to subside. 

Bruising after Botox is not common.If it does occur, it can occur immediately or a few days after the injection.It should disappear in a few days. The next time try taking some Arnica Tablets before your Botox Injections. Avoid taking health supplements such as fish oil, krill oil or flax seed oil a week prior to your injections. And stop all prescription and OTC drugs that increase your risk of bleeding.

Bruising after Botox may occur and it can appear a dya or two or even three after the procedure.  It will get better with time.