I decided to have my first Botox procedure done after diligent research, and I chose a Board-certified plastic surgeon to administer the Botox injection for my under eye creping. The doctor said he hit an artery/nerve, which most likely caused immediate swelling and hematoma on the area. I did everything I can--ice, elevation, topical and oral arnica, applied heat, massaged it lightly, and put vitamin gels--but 8 weeks later, the bruising and swelling are still there. Will this ever go away, and what should I do now?
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MasonGirl,
Dr. David Shafer, MD, FACS
Board Certified Plastic Surgeon
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You experienced an unfortunate situation that is rare but can happen. Continue avoiding medications that encourage bleeding, smoking and drinking alcohol. The bruising will resolve on its own, but it will probably take a few more weeks.
Dr. Michael Constantin Gartner, DO
Board Certified Plastic Surgeon
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Our office advises patients to use Bruisestick ointment right away if bruising occurs after Botox or Juvederm injections.
Dr. Raffy Karamanoukian, MD, FACS
Board Certified Plastic Surgeon
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Dr. Donald B. Yoo, MD, FACS
Board Certified Plastic Surgeon
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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.
Dr. Harold J. Kaplan, MD
Board Certified Plastic Surgeon
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Dr. Steven H. Williams, MD
Board Certified Plastic Surgeon
