Is it normal that doctor pressed down really hard on injection sites pretty hard after Botox (crow's feet and glabellar region)?

Yes this is a type of technique used. It has no negative effect on the result.  There are many studies that show this.  Best, Dr. Emer.

It is always possible any time a needle pierces the skin that there will be some bleeding or bruising associated with the procedure. If bleeding is noted immediately upon injection, the bleeding and bruising can be minimized by applying direct pressure to the area. This should be performed in such a manner as to avoid moving the Botox around and to avoid unnecessary pressure. Bleeding or bruising risk can be minimized by seeing an expert physician injector.

Bruising is a side effect of botox.  He may have pressed hard on the injection sites to minimize the bruising.  It is best to avoid any blood thinners like ibuprofen, alcohol and aspirin a few days prior to your treatment to minimize bruising.

Thank you for your question.  While applying pressure to Botox injection sites is not necessarily a standard procedure, my suspicion is that a vessel was inadvertently punctured while injecting the Botox.  Your injector may have been applying the pressure to avoid a bruise afterwards.  However, the pressure itself will have no untoward effects, and should not "spread" the Botox.  I would recommend you contact your injector and ask discuss this with him/her.I hope that this helps!-David Gilpin

Bruising does occur even in the most experienced hands. Protocol denotes that gentle pressure should be applied to prevent migration of products. Let things settle down for a couple of weeks hopefully you should be fine. 

Everyone has their own unique method of administering injectables, and Botox is no exception. You are right, though, that there is typically no need to be firm after injections. Gentle pressure can help with any bleeding and is usually sufficient. I recommend asking your provider what their reasoning was and look elsewhere if you think it was inappropriate. Good luck!

Thanks for your question and although we usually do not press down hard after any of us inject Botox, on occasion, if we notice that there is blood in the area, we do hold pressure in that area.  It is not common to do this everywhere and I am not sure why your injector did.  Some bruising post-Botox can occur and this will usually go away within a few days.  If it persists longer, contact your injector.  We always recommend that these injections be given in the offices of board certified dermatologists or plastic surgeons.

Thank you for your question. It is not common to apply pressure to the injection sites. However, pressure can be applied if there is suspicion that a blood vessel was punctured. This can help minimize bruising. It is not certain the needle or the pressure applied has caused your bruising. You are correct, that is possible to spread Botox with manipulation soon after injection, however if the injector knows what they doing this should not alter your results. You ice the area and take Arnica to help the bruise dissipate faster. I hope this helps!

Kristina6347,As with the other physicians that have responded, at times it is necessary to hold firm pressure on an injection site to control bleeding and minimize bruising.  A thorough understanding of the muscles and anatomy of the eye area helps your physician hold pressure to the area between the eyes to control bleeding but not compromise the result.  If you have concerns, you should go for a follow up.  Best of luck!Dr. Edween

Thanks for your question. I often press down on the injection sites when I suspect a bruise or heamtoma developing to help minimize the bruise. This could have been what your injector was doing by applying pressure as bruising or bleeding was occurring at the injection sites. Might be good to go back for a follow up.