How Do You Treat Same-day Mildly Swollen Bruising from BOTOX?

it's been 5 hours and i have mildly swollen bruising on my forehead and between my eyes at injection sites. is it best for skin to treat the swelling/bruising? Like applying ice, pressure or vit k/arnica? i've had same amt & location of botox before but never bruising or swelling (this is same Dr as before)

Doctor Answers 9

Botox and bruising

Bruising after Botox can occur. Most of the time it is visible the same day or the very next day. In some cases, however, it may become visible several days later. A bruise occurs when blood leaks out of a traumatized blood vessel. It could be that with strenuous activity or rubbing or due to blood thinners that an injured blood vessel dislodges a clot and causes some blood to leak into the tissue and thus cause a visible bruise (e.g. heavy exercise a few days later may results in a bruise). The bruise typically dissipates within a week or two. We often use Intense Pulse Light (IPL) to accelerate the clearance of a bruise.

Houston Plastic Surgeon
4.8 out of 5 stars 36 reviews

Bruising after Botox

You can apply a cool compress for a few minutes every hour, keep your head elevated and don't touch the area. You should also avoid vigorous physical activity and any medications that promote bruising.

Michael Constantin Gartner, DO
Paramus Plastic Surgeon
4.7 out of 5 stars 137 reviews

Bruisestick ointment and bruising.

Immediate application of Bruisestick ointment can help improve the resolution of Bruising after Botox injections. 

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

How Do You Treat Same-day Mildly Swollen Bruising from BOTOX?

 You should call and ask the MD that did your Botox injections for his/her treatment advice since youy are under their medical care.  We advise our Botox, Dysport and filler patients to use ice therapy for any mild, temporary swelling and or bruising along with oral and topica Arrnica 12C.  

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Swelling after Botox

usually the swelling after Botox injections goes down within the hour or so.  As for potential bruising, you can try cold compresses or ice compresses.  Check with your doctor.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

How to treat swelling from Botox

Swelling and/or bruising from Botox injections is quite common and is self limited. Applying ice the first day may help. Arnica (both topically and orally) has never been shown to be better than a placebo so it's just tincture of time for now.

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon
4.7 out of 5 stars 12 reviews

Minor swelling from Botox

Minor swelling and even a tiny bit of bruising can occur after a Botox treatment. It happens from the tiny injections being done, because after all, it is a bit of trauma to the skin. Do not press on it or massage it!! You can apply ice packs throughout the day, and you can take Arnica or lightly apply the Arnica gel if you wish. But do not press!

F. Victor Rueckl, MD
Las Vegas Dermatologist
4.6 out of 5 stars 17 reviews

Botox Bruising and Swelling

    It is very common and expected to have mild swelling just 5 hours after Botox injections. Bruising is a known consequence of any needle stick, and although we do not see it often, we do see it on occasion. The best way to treat the swelling is to apply gentle pressure with ice packs. The bruising is self limiting and will go away after a few days. External topicals will most likely not speed up this process. A small amount of make-up generally does the trick. Good luck.


Douglas L. Gervais, MD
Minneapolis Plastic Surgeon
4.8 out of 5 stars 175 reviews

Swelling and bruising with botox

We recommend to our patients, if they have swelling or bruising from fillers, to use ice packs, avoid bending over and exercise, use topical vitamin K such as Auriderm, and take arnica by mouth. It is rare for our patients to bruise and swell after botox but should this happen, the recommendations would be the same.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

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.