Severe Hematoma from Botox

Pulsed-dye lasers and focused IPL treatments work well to expedite the resolution of bruising.  The laser energy targets breaks up the pigment and allows your own body to reabsorb them more quickly.  It's important to seek out a physician experienced and familiar with this indication to achieve the best results.     

One not so well know solution for resolution of bruising from injection procedures is the pulsed dye laser. We use it in our own practice if a patient gets bruised and we often resolve bruises for patients like yourself that have been injected at another practice. There are options besides waiting and you should seek out a physician in your area that has a pulsed dye laser and is familiar with this type of treatment.

Thanks for the question.

As the other physicians have noted, any injection can injure an artery, which can lead to bruising and a hematoma (a collection of blood).

The anatomy of the tear trough area can make the hematoma appear worse. The skin of that area can be very thin and show uneven injections or hematomas more easily and for a longer period.

I know you've given it 8 months, but additional time is your best bet. Try gentle massage in the meantime. A good concealer can make the bruise easier to live with.

I hope this helps.