Bruising After Botox - What does it take so long to heal?

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.

To minimize swelling or bruising, apply a cool compress. You may also want to consider stopping any medications that thin the blood to minimize bruising. These medications include aspirin, ibuprofen and St. John's Wort.

no one is immune from getting a bruise from Botox. The most experienced and gentle-handed doctors have seen bruises develop after botox. Any injection in the skin, regardless of how small the needle, can cause a bruise as the doctor can not see the small vessels that are hiding underneath the skin's surface.  Avoiding blood thinners such as aspirin and nonsteroidal antiinflammatory agents such as Ibuprofen (Advil, Motrin) Alleve, fish oil, vitamin E, ginko, ginseng, ginger and garlic supplements may help lessen a bruise should a bruise start to occur. Most bruises are gone by three weeks.