Is this normal? What should I do?

Thank you for your question.  It appears that what you are experiencing is a result of the needle from the Botox.  You should also go to the doctor to be seen as there are no pictures.All the best,Dr. ResultsMiami, FL

Thank you for your question. Injections of any substance into the skin can give bruising. Other than unpleasant visually, there is nothing to be concerned about. It usually resolved in 1-2 weeks. The "blisters" are unusual. You should see a board certified oculoplastic surgeon to evaluate your problem. Good luck. 

Dear jaraba1,The discomfort you are feeling is normal. It may take up 2-4 weeks to the swelling you have experienced to subside. I suggest making an appointment with the doctor for a month after surgery so that you can discuss your concerns and track your progress at this point. Remember to consult a board certified facial plastic surgeon to ensure you receive some of the highest-quality care. Sincerely,Ross A. Clevens, MD, FACSClevens Face and Body Specialists

Bruising is quite uncommon with Botox injections. If a bruise starts spreading after a few daysAnd is accompanied by blisters and there is a risk of having shingles.  This needs to be examined by a physician to determine if the patient needs to go on antiviral medication.  There is also risk of bacterial infection which would require antibiotics.  Treatment should not be delayed as shingles can leave behind permanent scarring and certain areas.RegardsDr. J

Thanks for your question. This is a question that we
get asked often by our patients. The most common SIDE-EFFECTS of toxin
injections include: Swelling, Redness, and Bruising at the site of
injection. Complications are rare and only temporary, but may include
paralysis of other nearby muscles, temporary eyelid ptosis (dropping of
eyelids, 2% risk, lasts 2-3 weeks), temporary brow ptosis (dropping of
eyebrows, 2% risk, lasts 2-3 weeks), cross-eyes, ectropion or edema of the
lower eyelid, dry eyes, double vision, transient headaches (10%), local
numbness (lasting 2-3 weeks), flu-like symptoms, rash at the injection site,
pain at the injection site, infections, and bruising (need to avoid blood
thinning medications). Cold compresses may be used immediately after
treatment to reduce swelling only if needed. This may be applied for 3 minutes,
3 times per day, for up to 3 days. This is best done with a bag of peas in a
zip lock bag. Only apply light pressure to the area. Only take Tylenol if you
get a headache or migraine.

Hello Jaraba1,It is not uncommon to have bruising after any injectable treatment.  Usually they are small but if a larger vessel was incidentally pierced with the needle then a larger bruise can form.  There are several larger blood vessels in the forehead area.  If noticed at the time of injection then good steady pressure can help minimize any significant bruising.  The concern I have is the blisters.  This is not a normal response.  This may represent an infection such as herpes or a complication from pressure as a result of the injection.  I would recommend you follow up with your physician ASAP to minimize any long term issues.  He or she may simply provide reassurance but blistering can be the sign of something more serious.  I hope this helps and good luck. 

Bruising can sometimes happen after any injection. It can take a few days or even a week to clear. I wills ay that blistering is not normal and you should be evaluated in person.

Bruising certainly can occur with Botox and 5 days would not be unusual; however, with the area becoming larger and there are blisters present this appears to be more than just bruising.  See your injector or a board certified dermatologist for a definitive diagnosis and treatment

Some bruising happens from time to time after Botox injections.There are several things that can be done to avoid this. These include careful visual inspections to avoid damaging blood vessels, using a topical anesthetic with vasoconstrictive medications in it and knowing facial anatomy. One reason patients may develop severe bruising in the forehead is because of accidental injury to the supratrochlear arteries. This can happen when frown lines are treated. Knowledge of the exact location of these blood vessels is helpful to minimize the chance of this. More commonly, one of the veins in the forehead is accidentally damaged, causing some bleeding underneath the skin. The most common area to see bruising after Botox treatments is around the sides of the eyes after crow's feet treatments.The length of time to resolve the bruising depends on how much bleeding there was underneath the skin. Bruising typically is resolved in five to seven days. If it's really bad, it could take two to three weeks. The blister you describe is not typical and should be assessed sooner rather than later. Complications and side effects of Botox treatments almost always clear up completely. Hopefully this will clear up within a short period of time.Best of luck,Mats Hagstrom, M.D.

Can you post some photos? Bruising can sometimes occur with Botox, as there can be bruising any time an injection is done because the skin is punctured. And with bruises they tend to look worse before they look better. But I'm slightly concerned by the blisters....? "This
answer has been solicited without seeing this patient and cannot be
held as true medical advice, but only opinion. Seek in-person treatment
with a trained medical professional for appropriate care."