What is this spot on my face after Botox? (Photo)

Question

I have a discolored area, as pictured on the left side.. a few hours after botox.. what is this? It seems to be lighter than the rest of my skin ?

Jason Emer, MD · Answer

It is nothing to worry about, wait 5-7 days. There could be some bruising or inflammation. If the problem persists I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Martin Jugenburg, MD · Answer

It is hard to tell from the photo what it is. IT can be some localized inflammation but since it is still early i would just wait it out and if it lasts longer than 5-7 days i would go back to your injector for an evaluation.

Francis Johns, MD · Answer

Thank you for your question.It may be that you got a bruise from the injection of Botox and it is making the skin around it appear lighter. The photo is not very clear, so it is hard to determine what is exactly going on. I would recommend having it evaluated in person if it does not resolve within a week of injections.

Jon Kurkjian, MD · Answer

Thank you for your question and photo.
This does not appear to be anything to worry about. Maybe a little bruising or inflammation for the injection. Give it time and it should disappear. If after 2 weeks you still have concerns, return to your injector for evaluation.

Summit Kundaria, MD · Answer

Thank you for the question and pictures.   I don't know what exactly you are pointing to in the picture, but I would give this time.  I don't think it's anything worrisome.  Good luck!

Beata Danek, MD · Answer

Botox doesn't cause hypopigmentations, it has to be something temporary. Possibly your doctor used anesthetic with epinephrine for the injection which can temporary shrink your blood vessels in this area and look lighter. I am positive it will go away by itself. Contact your doctor if you still have it after few days.

Oren Paul Mushin, MD · Answer

Thanks for your question. It's probably a bit too early to be judge this spot. Most likely it's just some bruising or inflammation after injection. I would wait at least 2 weeks before making any further assessment of the area to allow for swelling to subside. Best of luck.

Melvin Elson, MD · Answer

The photo is of no help but if something occurred withing hours after Botox and you are still at the initial time period just give it time and let it heal

John B. Harris, MD · Answer

Hi,
Thank-you for your question.
I suspect by the time you are reading this, the lighter area of discoloration has resolved. The lighter color is likely due to less blood flow in the immediate area of the needle stick. This may be due to temporary spasm or constricting of the small blood vessels in the area, or just the volume of the Botox injection causing a local tightening of the tissue that keeps the blood from flowing normally in that area. Less blood in your area of injection equates to a lighter color. All is quite normal and should resolve in hours.
This is less common if your injector uses a smaller volume of saline to reconstitute the Botox-in other words injecting less volume, or a higher concentration of Botox in the syringe. Hopefully all is well at this point.

Kristine Brecht, MD (license suspended) · Answer

Skin can temporarily change color after 
Botox, usually just due to fluid in the skin, and how your body reacts to it.
It typically normalizes out, and your just left with a wrinkle free area.
Thank you,
Dr Brecht 
Seattle, WA

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