Bruising After Botox, Is this Normal?

I had Botox injected saturday afternoon. Sunday morning I woke up with a red dot in the middle of my forehead and a few by my hair line. I have read that brusing is normal sometimes. The first time I had this done I had nothing. Its Monday night now and the dot has not gotten any better. is this just a broken blood vessel and how long w/it last? Besides that the botox so far looks good.

Doctor Answers 21

Bruising after botox

Whenever you are doing injectables, bruising is always a possibility. I always recommend that my patients don't take advil or any blood thinners for a couple of days leading up to their appointment this way it can lessen the chances. You can also take arnica which will also help. The bruising should go away within a few days.

New York Dermatologist
4.4 out of 5 stars 5 reviews

Bruising after Botox injections...

Unfortunately, bruising is always a possibility when an injection is done.  There is no magical formula, and any physician who has injected Botox or other fillers has had bruising on occasion.  Often times there may be no bruising at all, but sometimes it happens.  Usually the physician can apply some pressure to the area when he sees that a bruise may occur to decrease the possibility of a large bruise.  If it does occur, it will usually resolve in a few days.  You may feel free to cover it up with make-up.  If you have any concerns, make an appointment with the physician who injected you so he can take a look and answer any questions you have. 

Andrew Miller, MD
Edison Facial Plastic Surgeon
4.8 out of 5 stars 204 reviews

Bruising after Botox

Brusing in a known possible side effect of Botox.  This is why sometimes ice packs are used before and after treatment.  Any procedure that involves a needle stick couild potentially result in brusing.  If one is on aspirin, NSAIDs (e.g. ibuprofen), or blood thinners the risk is even higher.  Brusing will likely resolve in 1 week.  Discuss this problem with your injector.

Dina D. Strachan, MD
New York Dermatologist
3.3 out of 5 stars 10 reviews

Bruising After Botox, Is this Normal?

Sounds very in the norm but why not call your chosen injector? They would know if you has a bleed from the needle sticks. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

What is the risk of bruising with Botox treatments?

Unfortunately with treatments that involves injections, bruising can occur.  Any needle stick can result in in a small bruise no matter the skill of the injector or if all precautions are taken (ie.  aspirin, ibuprofen or other blood thinners are avoided).  It is just the risk of the procedure but the risk is small.  Also, taking such precautions should help further minimize the risk.  If a bruise does occur, quick application of a cold pack and addition of arnica/vitamin K can lessen the bruise and expedite its resolution

Steven E. Rasmussen, MD, FAAD
Austin Dermatologist
5.0 out of 5 stars 3 reviews

Botox and bruising

Sometimes bruising can be experienced after Botox injections.  It is often worse if you have taken blood thinners like aspirin or NSAID's recently.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Bruising After Botox, Is this Normal?

  Botox, like all neurotoxin treatments (Dysport and Xeomin) is a needle based therapy.  As such, bruising can and does occur but typically is very minimal.  If you're concerned ask the MD that did your Botox treatment.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Bruising is normal after Botox but can be minimized

The vascular bed within the skin is random.  The more pokes you do, the more of a chance you have of hitting a small blood vessel and causing a bruise. Experienced physicians can become very skilled at minimizing any bruising with Botox injections.  As they say, the most important thing about any Botox treatment is not necessarily the price, but the physician doing the treatment.   There is a new program to designate physicians with solid experience injecting Botox. Look for the "Expert Injector" Certification in a physician when selecting a Botox treatment.

Charles E. Crutchfield III, MD
Minneapolis Dermatologic Surgeon
4.3 out of 5 stars 15 reviews

Botox and bruising

Bruising after Botox can occur. Most of the time it is visible the same day or the very next day. In some cases, however, it may become visible several days later. A bruise occurs when blood leaks out of a traumatized blood vessel. It could be that with strenuous activity or rubbing or due to blood thinners that an injured blood vessel dislodges a clot and causes some blood to leak into the tissue and thus cause a visible bruise (e.g. heavy exercise a few days later may results in a bruise). The bruise typically dissipates within a week or two. We often use Intense Pulse Light (IPL) to accelerate the clearance of a bruise.

Young R. Cho, MD, PhD
Houston Plastic Surgeon
4.8 out of 5 stars 37 reviews

Bruising after Botox

It is very common for some bruising to appear after an injection treatment. The bruising will gradually go away within two weeks or so. Make sure to avoid medications that encourage bleeding, like ibuprofen and aspirin.

Michael Constantin Gartner, DO
Paramus Plastic Surgeon
4.7 out of 5 stars 137 reviews

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.