Bruising under eye after Botox and should ice be used before and after injecting Botox?
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Doctor Answers 15
Bruising under eye
Sometimes bruises appear after the injector injects, which he/she may not be able to see at the time of treatment. If a bruise occurs, it should resolve over the next 5-7 days. Bruises and swelling can be helped with ice, however I would not suggest pressing hard on the area as you do not want to move the Botox product. Botox is not recommended directly under the eye, however dermal fillers can help to treat under-eye “bags” or appearance of tiredness.
Bruising with Botox
Bruising with Botox injection can usually (but not always) be avoided by slow and careful injection technique by an experienced injector using a tiny (31 G or smaller) needle. A small dose of Botox (usually 1 unit per eye) can be injected under the eyes to help improve lines associated with contraction of the inferior orbicularis muscle. In this case it will also subtly open up the eyes. This should only be done in patients with a strong orbicarulis muscle (usually determined by a snap test). Any bruising from the injection will usually resolve on its own but its resolution can be expedited using a vascular laser and possibly arnica.
Bruising can occur after BOTOX(R) or other injections around the eyes
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We do have patients put ice on the area to be injected followed by immediate pressure for 5 minutes around the eye area. If you already have a bruise you can apply iced compresses to the are for 20min/h for the first 48h. I like arnica cream applied to the area of bruising also. People who tend to bruise can take arnica orally a few days before the injections also.
Brushing after botox
Thank you for your question.
I am sorry you have bruising with your procedure. This can happen regardless of the experience of your injector but would be more common with the less experienced. The bruising should start to fade soon but for the color to totally resolve may take up to 2 weeks. Some folks advocate laser or arnica.
I would not expect there to be much affect using ice this long after your injection. I personnaly like ice during and immediately after injection as the cold will constrict blood vessels and theoretically decrease the chance for injuring a blood vessel (which causes a bruise). Botox can be used with care under the eye for the purpose you stated. Fillers are used commonly as well but for volume restoration and blending the lid cheek junction.
Bruising after Botox?
Thanks for your question. I agree with the other physicians here in that bruising is a risk of any facial injections. To minimize bruising, I like to make sure patients aren't taking any medicines that increase their chance of bruising: NSAID's, Motrin, Advil, ibuprofen, aspirin, green tea supplements and/or fish oil. It is best to stop these prior to any treatments. I do advocate for icing PRIOR to and AFTER treatment to minimize bruising. Unfortunately, the area around the eyes has the highest chance of bruising. Once there is a bruise, I recommend: Arnica gel, V Beam treatments and patience...To answer the question of filler or Botox for under the eye--that depends on the patient. Patients with hollow under eyes require filler for volume and wrinkled skin requires Botox. I hope this helps and I wish you the best.
Botox around the eyes
From your description of the events, it seems that you were treated by a Nurse Injector. In any event, bruising could occur under the eye or anywhere on the face where a needle is inserted. Ice and or local firm pressure can help at the time of the injection, if the person injecting recognises that they have burst a blood vessel in the first place. For now, rest head up for a few days, get 15 minutes of sun a day and you can try some Arnica tablets to reduce the bruise. It may last up to two weeks. Fillers and or Botox are both used around the eyes depending on the indication. Do not massage around the eye area for the next 72 hours. It may be more useful to see a specialist facial plastic surgeon for your next treatment. Hope this is helpful.
Bruising after botox
thank you for the question. I like to apply ice before injecting botox for a few reasons: to help numb the area and to constrict blood vessels, thereby decreasing the risk of bruising. fortunately, the bruising you are experiencing should resolve in a few days/week. icing after a procedure is most helpful to combat swelling. i generally do not like injecting botox under the eyes. fillers are great, however, for addressing tear troughs (so called "lunchtime blepharoplasty"). prior to any intervention, I recommend you visit a board certified facial plastic surgeon. hope this information helps!
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.