I and 53, got disport in crows feet, 3 injections each lateral eye, I am very bruised, a lot of purpura in the entire lower orbital region, and tear troughs? Gees, didn't even get injection these areas, will the blood pool under the eye after injections for crows feet?? Is that what I am experiencing...... I Have been getting botox for yrs, but not in the crows feet...new for this area? Any insite.....ugh....
Answer
The crow's feet area does not commonly bruise unless the injections are placed too deep into the surrounding vessels. Compared to other treatment areas, the likelihood of bruising is greatest in this area because the tissue around the eyes is so thin. An experienced injector should reliably avoid those tiny blood vessels, preventing bleeding around or below the eye. An arnica based bruising cream applied to the affected area may shorten the duration of bruising.
Dr. Peter N. Butler, MD, FACS
Board Certified Plastic Surgeon
Answer
Thanks so much for this question. I suspect this has to do more with your injector/injector technique as opposed to whether it's Dysport vs Botox. You need to follow up with your injector and let them examine you so they understand and help you with your bruising. Best wishes, Dr. ALDO
Dr. Aldo Guerra, MD
Board Certified Plastic Surgeon
Answer
Bruising does not always occur with an injection of Dysport to crow's feet, but of all the areas that are treated, the eye area is the most likely to bruise because of the thin skin there. When bruising does occur in the eye area, it normally will gradually move downward to underneath the eye and then gradually resolve.
Dr. Michael I. Echavez, MD
Board Certified Plastic Surgeon
Answer
Crow's feet is an excellent location for treatment with Dysport. I'm sorry to hear about your experience as this is unusual to see. It sounds like one or more of the blood vessels around your eye was nicked with the needle upon insertion. Not to worry, the bruising should heal up just fine with no complications. In the future it is best to avoid anything that thins the blood prior to procedure, and always consult with your experienced injector if you have any questions!
Answer
It is unusual to bruise with Dysport, but can be more common in patients who are taking anticoagulant medications such as aspirin, or who are prone to bleeding. If the bruise is severe, it can collect in the infraorbital area. Time will heal the bruise, and Arnica may help as well.
