Botox in my crows feet - does this look like something to be concerned about? (Photo)

Small hematomas/ bruises after injection of filler or Botox are relatively frequent. Areas of the face are very well vascularized with abundance of small blood vessels under surface of skin; it is possible to damage these invisible structures with needle during injection of any kind. Swelling and color will disappear within days. Make up will help. Applying the ice compresses before and immediately after Botox injections will reduce swelling and bruising.

It's not uncommon to experience some swelling, bruising, or puffiness after receiving Botox injections, especially if you've had them around the eyes (crows feet area). However, it's important to differentiate between typical post-procedure effects and signs of more serious complications.

Here are some things to consider:

Typical Post-Procedure Effects:
- Mild Swelling: Some puffiness or swelling is common and usually resolves within a few days.
- Bruising: Bruising can occur at the injection sites and may take a week or more to fade.
- Tenderness: The area might feel tender or slightly sore.

Signs of Complications:
-Severe Pain: Intense pain that doesn't improve with time could be concerning.
-Discoloration: If the area becomes significantly discolored (beyond normal bruising), especially if it turns white or dark blue, this could be a sign of vascular occlusion.
-Persistent Puffiness: Swelling that doesn't subside or gets worse over time.
-Vision Changes: Any changes in vision or severe headaches should be addressed immediately.
-Necrosis: Skin that appears to be breaking down or developing ulcers is an emergency.

Vascular Occlusion:
Vascular occlusion is a rare but serious complication where blood flow is blocked by the injected material, potentially leading to tissue damage. Symptoms can include severe pain, skin discoloration, and signs of skin necrosis.

Next Steps:
1. Monitor the Area: Keep an eye on the swelling and any other symptoms. If you notice any severe pain, significant discoloration, or other concerning signs, seek medical attention immediately.
2. Contact Your Provider: Reach out to the healthcare provider who administered the Botox. They are best equipped to assess your situation and provide specific advice.
3. Consider a Specialist: If you are worried about vascular occlusion or other complications, seeing a dermatologist or a specialist in cosmetic procedures can be helpful. They can provide a thorough evaluation and appropriate interventions if needed.

Using Arnica:
Arnica is often used to reduce bruising and swelling. While it can be helpful, it is not a substitute for professional medical evaluation if you suspect a complication.

Conclusion:
While mild swelling and bruising are common, significant pain, unusual discoloration, or persistent puffiness should be evaluated by a medical professional. If in doubt, it's always better to err on the side of caution and seek a professional opinion.

Remember, this advice is general, and it's important to consult directly with your healthcare provider for specific concerns.