Recovery from Injectables Like Wrinkle Filler or Botox?

Before getting an injection like Botox or a wrinkle filler I wanted to know:  what will it take to recover from the injection?

Doctor Answers 10

Recovery after Botox or injectable fillers

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Botox and Dysport injections for wrinkles and Restylane, Radiesse, Juvederm and Sculptra injections for filling and volume are very popular and commonly performed to improve facial attractiveness. Since we use needles, since there are small vessels under the skin, and since there is inevitable movement after a session, what is the best advice?       (1)  Immediately before and immediately after we inject, we cool the skin with cold compresses. (2) While there is usually minimal bruising after Botox or Dysport, nevertheless it is important that this drug not move around ("squeegee effect") for several hours afterwards. We recommend generally "quieter" behavior for several hours (no massage, no exercise, etc).        (3) The fillers sometimes are associated with bruising, especially around the chin or eyelid areas. Again, we recommend trying to keep one's pulse and blood pressure normal for the remainder of the day (no exercise, etc).   (4) Patients are advised to discontinue aspirin and similar blood thinners prior to injections whenever possible.    The good news is that there really is minimal downtime following most injectables, and this makes them even more attractive.    DRC

Louisville Facial Plastic Surgeon
5.0 out of 5 stars 74 reviews

Unfortunately every person is different. Generally,...

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Unfortunately every person is different. Generally, bruising, swelling, and redness at the incision site are most common after injections. If they occur, these will generally resolve in a couple of days.

Some patients do not experience any of these problems but the occurence is variable. The physician will generally point out guidelines to abide by the day of your procedure, but usually these are minimal.

D.J. Verret, MD
Dallas Facial Plastic Surgeon
3.9 out of 5 stars 14 reviews

BOTOX Cosmetic injections create only minimal and...

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
  • BOTOX® Cosmetic injections create only minimal and temporary discomfort, which is greatly reduced by the use of a topical numbing cream.
  • The procedure takes 5 minutes, and you can return to work or daily activities immediately.
  • Your doctor may ask you to squeeze and relax the muscles that were injected several times during the first day to help disperse the BOTOX.
  • Some people experience a slight twitching of the muscles as the BOTOX begins to do its work relaxing those muscles.
  • Occasionally, some patients experience a mild headache for the first few days also.
  • Some may notice drooping of their upper eyelid(s). This is due to BOTOX affecting the muscle that opens the eyelid. If this happens, your doctor can prescribe an eyedrop that will help open your eyelid until that effect wears off. With an experienced injector, you should not have this happen.
  • Results of BOTOX® Cosmetic injections are noticeable in a few days, and last for several months.

Jonathan Hoenig, MD
Beverly Hills Oculoplastic Surgeon

You might also like...

Make certain you have soft, flexible, cool compresses...

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
  • Make certain you have soft, flexible, cool compresses available for the first 24 hours after treatment.
  • It is important that you not exert yourself with exercise or any activity that can increase your blood pressure in the first 24 hours after treatment. This can increase the potential for swelling and bruising.
  • Have a good, rub-proof, sweat-proof non-irritating concealer or camouflage make-up available to touch up any discoloration after treatment.
  • Needle sticks may bleed a bit after treatment. You may apply an antibiotic ointment to the treated region.

Botox & Injectable Filler Recovery

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Botox injections do not require any downtime with the exception of limiting vigorous exercise for 24 hours. In our hands bruising is rare and if it does occur it is usually limited to a small spot that is easily covered with makeup. We primarily use hyaluronic acid fillers, however in specific cases we do use Sculptra or Radiesse. The types of injections vary widely depending on the specific goals that we want to achieve. Fillers are used in our hands to sculpt the face and they can be used to deeply volumize, superficially fill depressions that cause shadows or to fill wrinkles superficially. Depending on the type of injection, the recovery may be different. Generally there is no downtime but bruising may occur at the site of injection and may require makeup for 7 to 10 days. After the filler is placed the area may slightly swell or may be mildly tender to touch and this generally lasts for up to one week. This is rarely of any significance to require any analgesics such as Tylenol or Ibuprofen but this can be taken if needed.

Bryan W. Rubach, MD
Naperville Facial Plastic Surgeon
4.8 out of 5 stars 7 reviews

Recovery After Botox & Filler Injections

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Recovery is usually quick and easy.  I encourage my patients to avoid intense exercise for the first 24 hours after injections, intermittent compression with ice for swelling and bruising and follow up with me in 2 weeks.  Hope this information helps. All the best.

Recovery after injectables

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
I usually ask patients to wait about 2 weeks for the majority of swelling and bruising to subside. During that time, you shouldn’t touch the area treated too much. For the first day or two after the treatment, avoid vigorous physical activity. You’ll receive a complete list of post-care instructions that you should follow.

Minimal downtime with injectables!

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
The vast majority of patients note minimal swelling at the injection site when either injectable fillers or Botox are utilized. This swelling usually resolves rapidly and in most cases is gone within hours. Rarely, it may persist for up to 24 hours following treatment. Swelling can be minimized by utilizing ice in the pre and post-operative periods.
In some cases, bleeding and bruising may occur following these injections. This is an extremely rare complication and is more common following the use of aspirin and ibuprofen.For this reason, these drugs are usually stopped prior to the use of Botox and injectable fillers.
When utilizing Botox, we recommend staying in the upright position for at least four hours to avoid migration.In addition we avoid rigorous exercise and massage of the area for at least 24 hours following the procedure.

Recovery from fillers is dependant on which filler and the technique used.

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

We teach filler techniques and have found that recovery is based on several key elements:

  • substances which create bleeding should be stopped in advance of injections (this can be aspirin; fish oils, etc. and even dark chocolates. (we give our patients a long list)
  • The patient should be positioned with the head upright and against a firm surface so there is no motion during the injection which might increase needle motion
  • Each area is treated with an "ice finger" before the injection so the blood vessels are constricted and there is little or no discomfort from the injection
  • As few punctures as possible are made so there are fewer skin injuries.
  • The smallest size needle possible is used depending on the material to be injected.
  • On completion of the injections an Ice Pack is applied

With this routine recovery is virtually immediate unless we still get some unusual bruising.

Dr. Mayl

Fort Lauderdale

Nathan Mayl, MD (retired)
Fort Lauderdale Plastic Surgeon

Many factors that may affect Botox or dermal fillers recovery

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

There are many factors that will determine and affect your recovery from dermal fillers or botox.

Generally, botox is much less involved and typically you will have small mosquitoe bites for about an hour. Bruising is less common with botox as opposed to dermal fillers. Dermal fillers require even distribution for even, smooth results. And if you are to do that you need to layer the filler every where in the area that you are augmenting many times. This usually means that you need to go in and out with the needle multiple times.

Each time you do this you increase your chance of disrupting a blood vessel. Bruising in my experience is more common in the eye region. This is because of the thin skin in this area and the greater vascularity that is located here. Avoiding blood thinners is really important and icing can really help.

Your age and genetics play a factor as well. As you age, your blood vessels are more fragile and your clotting can also be less robust. Genetically, you might be more prone to bleeding as well. Ice and local anesthesia are things that can help along with judicious use of pressure in certain areas.

Philip Young, MD
Bellevue Facial Plastic Surgeon

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.