How Long Does Bruising Last After Botox?

I look like I have a black eye.

Doctor Answers 21


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Depending on the size of bruise, can take 1-2 weeks to resolve.  Consider arnica gel can minimize swelling and help resolve bruising.  

Botox and bruising

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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.

2 weeks

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It can take up to 2 weeks for bruising to go away. You should talk to your injector if it lasts longer than this. 

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Bruising After Botox

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Swelling, redness, discomfort and possibly bruising during the first few days following the injection is common. Most of this settles down within 3 days. Occasionally, the swelling can last up to one week, as well as bruising.

Botox and bruising

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Bruising occasionally does happen after Botox or Dyport treatments. It most commonly occurs around the eyes since the skin is so thin in that area.

Try to avoid aspirin, anti-inflamatories (Aleve, Motrin), vitamin E, flax seed and fish oil for 2 weeks prior because they cause bruising. The good news the bruises usually disappear in 1 week.


Esta Kronberg, MD
Houston Dermatologic Surgeon
4.9 out of 5 stars 28 reviews

Bruising After Botox

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Nicking a vessel under the eye while injecting a substance is unfortunately, quite easy to do. The area is filled with vasculature, and there is no way to predict where the vessels are while inserting a needle. You can however hold off on alcohol and NSAIDs, and use ice and an herbal substance called Arnica Montana to speed up the recovery process. At the very latest, your bruise could take a few weeks to resolve. However, the small needle used to inject Botox usually results in very minimal bruises that resolve quickly. 

Cameron Rokhsar, MD, FAAD
New York Dermatologic Surgeon

With any needle injection a bruise can occur

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With any needle injection a bruise can occur. But it is rare to get bruising after BOTOX. Usually any bruising at the injection site is very minor and lasts only a couple of days up to a week.

Joseph A. Eviatar, MD, FACS
New York Oculoplastic Surgeon
4.7 out of 5 stars 68 reviews

Bruising From Botox

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Bruising from Botox can last approximately 1-2 weeks.  In some cases shorter, and in others a little longer. 

There are lasers that can be used to help clear up a bruise faster if necessary.

Regardless, the body will heal itself and the bruise will resolve.

Joshua Zeichner, MD
Manhattan Dermatologist

Bruising from Botox is Rare

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Hi Deb,

Most patients do not bruise at all after Botox injections.  Patients are told to have their injections at least one week before an affair or important photo occaision in the rare event of a bruise.  If there is a bruise, it usually resolves within 5 to 7 days.

Good luck and be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 39 reviews

Bruising after Botox

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In most cases, you should not have any bruising after Botox injections.  However, if about 5% of patients, there may be some minimal bruising.  If you are on Aspirin other other blood thinner, then your chance of bruising increases.  If you do have bruising, then it generally takes about 5 to 7 days for the bruise to completely resolve.  Some studies suggest that taking Arnica Montana before and after any procedures decreases the risk of bruising.  Good luck.

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.