How Much Swelling is Caused by Botox or Juvederm?

I know that everyone is different but can you give me an "average" of how much swelling I should expect from my Juvederm and Botox injections? Will I be able to return to work the following day without looking odd to the general public? Will I be able to apply makeup as normal the next morning?

Doctor Answers 17

Botox bruising, Juvederm swelling are not uncommon

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I agree that the amount of swelling and bruising is difficult to predict. There is minimal swelling with Botox but it is not unusual to get a small bruise when the region around the eye is treated.

Juvederm and Restylane are hyaluronic acid fillers so they draw in water to the area treated and produce swelling. Benadryl at night orally helps the swelling as does ice.

Try to avoid taking gingko, vitamin E, aspirin and all non-steroidals such as ibuprofen and Aleve for 7-10 days prior to treatment.

A good concealer will help bruising but not cover it completely. Give yourself an opportunity to stay home the first time you get your treatment.

Fairfax Dermatologic Surgeon

Depends on How Good Your Sense of Humor Is, and On How Odd You Look to Begin With

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Hi Chole,

The majority of patients that I treat are able to return to work the same or next day with a little strategically applied make up. There shouldn't be any swelling from Botox injections unless there is excessive bleeding and a hematoma forms. This can be avoided if your physician uses pressure over any bleeding immediately.

You can definitely apply make up soon after the treatments.

Only your physician or injector can comment on how odd you may look to the general public (and don't we all see some very odd appearing filler and Botox patients scaring small children and animals on our streets,; at least I do in Beverly Hills and Newport Beach. But that has more to do with whom you choose to have perform your there any sense of aesthetics, any cosmetic training other than a weekend course and a few Botox parties, are they board certified in one of the cosmetic specialties such as plastic surgery, facial plastic surgery, ENT, dermatology, or oculoplastic surgery?)

When performed properly, most swelling from Juviderm should be gone, and you should be "presentable" within 24 to 48 hours. Choose your physician carefully.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

Swelling and Bruising after Botox or Juvederm

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Anytime you have an injection, ie a needle is inserted into your skin, there is the potential for bruising and swelling. Botox, however, swelling is rare and if it occurs is temporary, bruising is slightly more common with botox but typically is mild and limited to the injection sites. The bruising with botox is easily hidden with make up.

Juvederm would have the potential to cause more swelling than Botox. Often times swelling is a function of both tecnique and the patient's reaction to the injection. Most of the time, swelling is less severe with Juvederm than with Restylane (but both can cause it).

Most patients can return to work the next day without any problems after Botox or Juvederm or restylane.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon

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Swelling and bruising are unpredictable

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Swelling from Botox only lasts a few hours. If you develop a hematoma or bruising, this may take several days to resolve.

With Juvederm and all the other dermal fillers, swelling can last a few days. Bruising, however, is variable and might be difficult to cover with makeup for the first few days. In my experience, a new collagen product called Evolence has the least bruising and the least swelling.

My suggestion would be to have the injections on a Friday, lay low for the weekend, and you should be okay to return to work on Monday.

It is important to avoid Aspirin and Motrin for at least 10 days prior to te injection. Use ice compress after the injection help control swelling.

Good Luck.

Swelling and Bruising after Botox or Juvederm

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Thank you for your question. Yes, you are correct that the amount of swelling and bruising is difficult to predict. However, there is minimal swelling with Botox and it is not unusual to have a small bruise. Juvederm is a hyaluronic acid filler and attracts water in the treated are and produces swelling. You can take Benadryl and ice the treated area to help reduce swelling. Also, you should avoid taking blood thinner medicines and ibuprofen for 7 days before treatment to help reduce the risk of bruising. You can use concealer to help cover up any bruising. I hope this helps. 

Hardik Soni, MD
Summit Emergency Medicine Physician
5.0 out of 5 stars 47 reviews

Swelling with Botox / Juvederm

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Thank you for your question. Swelling is possible everytime a needle penetrates the skin. Having said that, I typically find that the degree of swelling varies based on the treatment and location. For example, swelling after Botox is usually minimal (unless you bruise). Juvederm in the nasolabial folds also has minimal swelling. Juvderm in the lips, however, can result in a lot of swelling. It's a good treatment to do on Friday so the swelling can be reduced by Monday.

Swelling after Botox or Juvederm

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Swelling can last up to two weeks, but for most it generally subsides within a few days following your injection. To minimize swelling or bruising, apply a cool compress. You may also want to consider stopping any medications that thin the blood for about a week before your treatment to minimize bruising. These medications include aspirin, ibuprofen and St. John’s Wort. You can apply makeup the day after your injection. This is to minimize the risk of infection.

Swelling Usually Resolves 4-6 Hours Following Injections

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                  In the vast majority of patients who undergo botox and juvéderm injections, the resultant swelling would be considered minimal. This is especially true when botox is injected. Obviously there's trauma from the needle stick and volume from the botox injection itself. Most of this swelling resolves in 4 to 6 hours and is completely gone in 24 hours in most cases.

When juvéderm is injected the swelling may be more pronounced. Juvéderm consists of hyaluronic acid, which may induce swelling. This reaction may take longer to resolve and in rare cases may last for 2 to 3 days.

Prolonged swelling can be avoided by using ice in the immediate post injection period.  In addition, it's important to avoid drugs that can cause bleeding prior to injection. These include aspirin, ibuprofen, Aleve, and Motrin.

 In the majority of patients it's reasonable to return to work the next day, although rare exceptions exist. When this scenario occurs make up can be easily worn to disguise bruising and swelling.

If you're concerned about this issue it's important to talk to your physician. Your physician should be able to discuss this issue with you and alleviate your anxiety.

How Much Swelling is Caused by Botox or Juvederm?

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Botox should not cause swelling. But Juvederm does. Ice packs overnight can help. Minimise activity for the first 48 hours

There should be very minimal swelling with Botox

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and the swelling subsides within minutes.  You should be able to go to work and can apply make-up if you wanted to immediately after.  Bruising can be minimized by not being on any aspirin and going to a careful and experienced injector.  The same is true for Juvederm - minimal swelling and can go to work immediately after. 

Felix Kuo, MD
Long Island Dermatologist

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.