How Widespread is Bruising After a Dysport Injection?

Does it just bruise around the injection site, like an IV, or will it be more significant?  

Doctor Answers 15

Bruising After Dysport

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It is not very common to bruise after Dysport or Botox. Depending on who or how the injections are administered there is always a possibility. Taking Advil or any blood thinners a few days leading up to the treatment can increase your chances of bruising. If you do bruise, it should be a small bruise right around the injection site.

New York Dermatologist
4.7 out of 5 stars 11 reviews

Bruising After Dysport Injection

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Sometimes bruising may occur with Dysport injections. Normally the bruising is small and localized to the immediate area of injection. Sometimes it can be a pinpoint bruise or a small pinpoint scab due to the needle insertion or it can be a larger area like the size of a dime at most. Every treatment can be different and you may not always bruise. To minimize the chance of bruising, you may avoid aspirin, motrin, ibuprofen, advil, aleve, fish oil, and vitamin E for 2 weeks prior to your injections. You may also take arnica a couple of days prior to your treatment as well. Arnica is an herbal supplement that is supposed to reduce bruising.

How Widespread is Bruising After a Dysport Injection?

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Generally you should have no bruising from an injection of neurotoxin with a 32 gauge needle. However, it is always a possibility. 


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The needles used for these injections are very small.  There is always a risk for bleeding and bruising with any procedure.  If there is bruising, it should only be very little. 

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 231 reviews

Bruising after Dysport

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Generally speaking, if a bruise occurs with Dysport it is fairly insignificant.  The needles used to inject Dysport are significantly smaller/finer than the ones used to draw blood or start an IV and most importantly when injecting Dysport we are not intentionally aiming for blood vessels. Any time someone is injected there is a chance of a bruise.  These bruises can range, for the most part, from a pin point to about a dime size spot.  To minimize the chance of a bruise stop or minimize use of aspirin, ibuprofen or other NSAIDS, Vitamin E, Fish Oil, Gingko or alcohol for at least 3 days prior but preferably 1 week.  Ice can be applied to the injection site before and after treatment as well. 

Good luck~

Dr. Grant Stevens 

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 152 reviews

Bruises after Dysport

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one can get a bruise anytime a needle is used to puncture the skin, but since the size needle used to inject Dysport is so small, the bruises, if they occur, are typically small and at the needle puncture site.

Julio Garcia, MD
Las Vegas Plastic Surgeon
4.8 out of 5 stars 27 reviews

Bruising following treatment of wrinkles with Dysport is actually quite uncommon, and

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most patients can attain the result they are looking for without significant or long term bruising.  We prefer to use a tiny insulin needle syringe for injections, and have our patients apply ice immediately after the injection.  With this combined approach, we rarely see bruising, and if there is any bruising it quickly dissipates.  

Michael H. Rosenberg, MD
Mount Kisco Plastic Surgeon

Dysport - How Widespread is Bruising After a Dysport Injection?

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There tends to be relatively bruising after injections of Dysport or Botox.

Of course, there is the potential for bruising and swelling with any injection, including fillers and, certainly, treatments such as these.  In general, the slight excess of bleeding that can lead to bruising can be noticed right away, and as long as the physician applies pressure immediately (and the patient does not have an increased risk of bruising from medications such as aspirin, vitamin E, etc) those effects are minimized.

From a practical standpoint, though, it is relatively rare to have more than a small amount of either, with either of these treatments.

I hope that this helps, and good luck,

Dr. E

Bruising after Dysport injections

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Bruising after Dysport or Botox injections should be uncommon and very small if they occur. In over ten years of injecting patients I have had two instances where there was actually a big bruise. Both happened when treating the crow's feet area where there can be some larger veins and where the skin is very thin. I also suggest stopping aspirin and NSAIDs for a week before treatment if conveniently possible.

Bruising after Dysport

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Fortunately, bruising is quite uncommon after Dysport injections. Most adverse side effects can be prevented with good technique and experience. Injecting slowly and steadily into the correct tissue plane, minimizing the number of skin punctures, avoiding excessive volume correction and avoiding placing the needle into obvious blood vessels will reduce the risk of complications. Firm pressure at the first sign of bleeding at the injection site can be helpful to prevent bruising.


Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon
4.4 out of 5 stars 13 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.