Botox Bruising

Botox bruising appears on the face when a blood vessel damages due to injection of Botox in facial skin. Mostly it looks reddish or purple. This Bleeding in the surrounding area beneath the upper skin causes bruising. The dermatologist uses Botox or other dermal fillers to remove facial wrinkles and reduce sagging of the skin. This non-surgical process has aesthetic benefits of anti-aging but some bruising risks too. Botox Bruising is the side effect and post-reaction of this injectable cosmetic procedure, only for sensitive people. This bruising appears on the skin within one or two days. After Botox Treatment, Icing the face can reduce the chances of bruising. Along with that, there are several other methods to overcome Botox bruising.

What is Botox bruising?

Botox is made up of a particular type of bacteria named Clostridium botulinum. It is a dermal filler. It stops specific muscle’s contraction and keeps them relaxed. Aestheticians inject it during "Invasive Cosmetic Procedure to remove and treat facial wrinkles. Botox helps in eliminating facial creases around the mouth, between eyebrows, and smile lines. It only takes few minutes for Botox treatment; however, the result appears within two weeks on the face. Botox filling may result in bruising, even if the person has never bruised, but the possibility still lives. This injection can cause an under-dermal blood vessel puncture. Bruising happens only in the places which are under skin treatment.

Here is a complete guide about Botox bruising

When was Botox first used cosmetically?

Botox has a unique background that tells how a bacteria-based medicine came up for aesthetic treatment. For the very first time, Belgian scientist Emile Pierre Van Ermengem discovered Clostridium botulinumF. However, in the 1920s, scientists at the University of California became successful in isolating Botulinum.

A couple in which wife was an Ophthalmologist and Husband was a Dermatologist used Botox first in the 1980s. The name of the Ophthalmologist was Jean Carruthers, While her husband was Alastair Carruthers. Food and Drug Association (FDA) approved Botox for skin treatment on April 15, 2002, for severe cases. It has now become a common source of skin treatment for anti-aging looks. Botox is also helpful in lipfilling but a risk of lipfiller bruising is also there.

How Botox Works?

For Botox Aesthetic Procedure, the liquid used is called Clostridium botulinum. The function of Botox is quite simple. It works as a blocker of neurotic signals from nerves. The muscles do not receive any signal; therefore, they remain relaxed. Due to this action, the targeted area remains relaxed. Hence, it gives the impression of no lines; the skin looks fresh and reduced age. The dermatologist injects Botox in different parts of the face, e.g., forehead, crow’s feet, in between eyebrows, nasalis lines, etc. The skin doesn’t go down, or it doesn’t slump when the signal of nerves is stopped. Due to this feature, Botox is also valuable for treating sweating underarms and Migraines.

What are the types of Botox Injection?

The four types of Botox Injections are:

Botox, Dysport, Xeomin & Myobloc. All of them are made up of botulinum toxin type ALip Flip Before and After except Myobloc. Myobloc is composed of botulinum toxin type B.

How many Botox units will I need?

The Botox Aesthetic treatment of the face needs different units for different parts of the face. This table shows the detail about botox face units.

Treatment Area Botox Units Range
Eyebrow lift 2-5 Units
Crow’s feet 5-15 Units per side
Bunny or Nasalis lines 5-10 Units Per side
Dimpled Chin 2-6 Units
Forehead Lines 10-30 Units
Frown or Lines between eyebrows 10-25 Units
Smile Lift 3-6 Units

Botox cost in different Countries

The demand of a product determines its cost value. Botox Cost varies around the globe. It is the safest non-surgical treatment that millions of people choose. Overall, this treatment is not cheap in rates. It is expensive due to its demand and complicated method of use by dermatologists, with many precautions. The price range varies due to the use of the units and the area of treatment. For example, it costs less in Wrinkle removing while it costs more in calf treatment.

In 2019, according to the American Society of Plastic Surgeons (ASPS), the average price of Botox Injection was around $400.

However, the average cost range of Botox can be between 150 t0 2500.

Country Average Botox Cost
Botox Cost in USA $150 - $2500
Botox Cost in U.K. $150 - $800
Botox Cost in Australia $150 - $1000
Botox Cost in Japan $110 - $550
Botox Cost in China $590 - $12000
Botox Cost in UAE $120 - $500

What are other Medical Uses of Botox?

Other than cosmetic procedures, Botox also has the importance of treating various medical cases too. FDA duly approves it for some medical problems because of its characteristics of muscle relaxation. It is very much helpful in different medical conditions, which include:

  1. Treatment of Chronic Migraines – Severe Headaches
  2. spasmodic torticollis – Cervical Dystonia: Involuntary neck Muscles Contractions
  3. Hyperhidrosis – Excessive Sweating
  4. BEB- Benign Essential Blepharospasm: Eye Twitching
  5. Bladder Problem
  6. Lazy Eyes
  7. Muscle Contractions

Side Effects of Botox

Botox is used for the beautification of the skin. It is used for skin enhancement, but it has other medical uses like migraine treatment, stopping sweating. Invasion of Botox can result in different side effects varying from person to person. A botox after care is necessary after getting injections. Common side effects are the same for every person. Some common side effects are as under:

  • Subcutaneous Bruising: Damaging of blood vessels under the skin
  • Redness: Appearance of red color in the skin
  • Bleeding: Blood may come out
  • Pain: Soreness of Muscles
  • Infection: Damage caused by bacteria
  • Swelling: Inflammation due to infection
  • Drooling: Saliva coming out of mouth due to uncontrolled facial muscular activity.
  • Muscular Paralysis: In the view of FDA Advice and Research in the field of medical sciences, It is told that If Botox is injected over and over in the same area, it may result in decreased activity of muscles, resulting in loss of muscular control and muscular weakness.
  • Complication due to Botox treatment in the forehead brings Botox forehead side effects near eyes may include headache or flu symptoms.
  • Crooked Smile
  • Watery Eyes: Excessive tearing
  • Respiratory Infections: Flu
  • Nausea: Feeling like vomiting
  • Fever, Chills
  • Vision Problems
  • Heart Issues
  • Problem in talking or during swallowing

What are the signs of Botox Bruising?

If the skin color starts disappearing, then it means that a bruise is going to develop. A bruise color changes as the days pass. Colors and signs of a bruise are:

  1. Red: Initial stage of a fresh bruise.
  2. Black or Purple: Infection in progress
  3. Yellow or green: Sign of healing

Recommended Tips to prevent Botox bruising

Here are some certified and recommended tips that guarantee that they will stop and reduce the risk of Botox bruising.

1. Avoid Blood Thinning Medicines

Anticoagulant and blood-thinning medicines decrease the number of platelets in the blood. Platelets Cells are bleeding controllers and bruising stoppers in case of injury. Some blood-thinning medicines are as under, which need to be discontinued:

  • Apixaban (Eliquis)
  • Dabigatran etexilate (Pradaxa)
  • Edoxaban (Lixiana)
  • Rivaroxaban (Xarelto)
  • Warfarin

Stop using the following NSAIDs two weeks before the Botox Treatment procedure:

  • Aspirin
  • Ibuprofen
  • naproxen
  • diclofenac
  • celecoxib
  • mefenamic acid
  • etoricoxib
  • indomethacin

Some Supplements have side effects on the skin. Therefore, try to avoid them before Botox Cosmetic Procedure. Detail is as under:

  • Vitamin-E: It has specific side effects on the skin, which include burning, stinging, redness, and irritation
  • Garlic: It increases bleeding.
  • Chia Seeds: It has the side effect of Swelling and Itching. It can cause bruising on the skin.
  • Ginkgo Biloba: It brings Allergic skin reaction and bleeding disorders
  • Turmeric: It can cause itching, redness, and swelling on the skin.

2. Stop Alcohol usage in pre and post-treatment

Alcohol has the specialty of dilating blood vessels. It helps them to stay relaxed and remain open. This vasodilating effect can cause bruising right after the Dermal filling of Botox. Therefore, Stop using Alcohol before one day and after one day of treatment. Slight traces of Alcohol are risky, even if they are present in any other drink.

3. Use of Arnica to stop bruising

Arnica is an herb. It grows in Siberia, Central Europe, and North America. It has flowers and grows in sunny areas with higher elevations from sea level. It helps in treating bruising and swelling. Use of Arnica is a Homeopathic remedy for bruises, sprains, arthritic, and muscle pain. It has anti-inflammatory properties. Arnica cream or Arnica gel is also used to treat bruising. Arnica brings good results if used 5 Days before and after cosmetic treatment. It also removes the puffiness of the skin.

4. Use of Ice bag to restrict Bruising from Botox

Using ice on the places where dermatologist injects Botox is a good choice. Because ice slows the blood supply in vessel damage, it prevents blood from spreading in the skin. In this way, bruising stops. Using ice bags before treatment also helps in reducing the pain of needle insertion. The reason is that It numbs the targeted area. Pre and Post Skin treatment with cold compression is standard, affordable, and easy to adopt.

5. Cease Exercise to avoid Botox bruising

Exercise increases blood flow in all vessels and increases heartbeat. An increase in blood flow becomes the reason for bruising. Keeping a low blood level and avoiding exercise reduces the chances of Botox bruising. After treatment, three-day rest and reduced activity level benefit skin because damaged or leaked facial blood vessels recover faster.

6. Eating fresh Pine-Apple to prevent Bruising.

Pine-apple fruit contains Bromelain. This Bromelain is a protein-digesting enzyme. People of Central and South America use it as a remedy for pain and bruising. Bromelain is a supplement of diet. It is recommended to treat inflammation and works as a pain killer.

7. Use Vitamin – C to avoid bruising.

Vitamin C has significance in avoiding Botox bruising. It decreases blood pressure because it removes excess fluid from the body. It acts as a diuretic.

8. Elevated Sleeping

Keeping the head elevated will also reduce the flow of blood toward the face which results a bruise on face. So, a suitable pillow that supports the head higher while sleeping can be beneficial. It will work as a milestone towards getting rid of Botox bruising.


1. How Long for Botox Bruise to go away?

Bruising due to Botox remains for 3 to 5 days usually. However, the health recovery time can vary from person to person. Maximum it takes 7 or 10 days to disappear. Blood vessels repair and the body absorbs the leaked blood. Bruise’s appearance changes after some time.

  1. Red: Initial stage of a fresh bruise.
  2. Black or Purple: Infection in progress
  3. Yellow or green: Sign of healing

2. Does Botox cause bruising?

Yes, bruising can happen after Botox Invasive Treatment. There are chances that It may not occur if the patient follows precautions and use the cold compression method. Even that bruising can occur through treatment from the best dermatologist. When a needle pricks a blood vessel, bleeding beneath the skin starts, resulting in a bruise.

3. How to get rid of a bruise from Botox or how to prevent bruising?

By following these instructions can help in getting rid of a bruise:

  • Avoid blood-thinning tablets for treatment of Botox before and after.
  • Leave Alcohol for few days after treatment
  • Use Arnica Gel or cream for bruises after treatment
  • Eat Pine-apple after treatment
  • Stop Exercising after treatment
  • Keep your head elevated after treatment
  • Take Vitamin-C after treatment

4. Is bruising normal after Botox?

Yes, it is pretty normal because it happens due to the needle invasion in blood vessels, which leak and blood spread under the skin. Bruising can occur due to Botox treatment even from an experienced and good physician. It looks reddish at the start, and later on, it heals for one or two weeks.

5. What are the four common side effects of Botox injection?

Common side effects of Botox are as under:

Side Effects Reason
Bruising Due to perforation in blood vessels
Skin Colour Change Due to bruising
Pain Due to needles insertion
Infection & Swelling Due to Bacteria insertion

6. Does insurance cover Botox treatment?

Botox treatment is FDA approved, but it doesn’t cover aesthetic treatment of patients with commercial insurance. The reason is that it is a matter of choice for people to undergo a cosmetic procedure. To some extent, other people may avail the facility of Botox treatment under insurance. Insurance may also cover other medical therapies like Cervical Dystonia, Migraines, etc., treated by Botox.

7. How many people got Cosmetic procedures in different countries?

People want to boost up their looks through non-surgical methods. In 2019, the People of the USA had the highest ratio of these cosmetic procedures, which ranged to 3.9 million. It is the most significant number of Aesthetic treatments in the world in 2019. Brazil was the second country in the world whose people got 2.5 Million treatments in 12 months.

8. What are Botox other medical uses?

Apart from the cosmetic use of Botox, It is beneficial in treating specific medical complications like Treatment of Chronic Migraines, Cervical Dystonia which means Involuntary neck Muscles Contraction, Excessive Sweating, Eye twitching, lazy eyes, bladder problems.

9. What should not do after Botox?

After Botox injections, one should not use blood-thinning medicines, avoid exercising, leave Alcohol for few days and stop lowering the head while sleeping.

10. Can you take Arnica for Botox Bruising?

Arnica Montana is a natural remedy for Botox bruising. Arnica has been used for centuries to treat specific issues like Swelling, bruising. However, oral intake of Arnica is prohibited by FDA. Arnica Gel and Arnica cream are suitable for applying on the skin to prevent pain and bruising after Botox.


Botox Bruising is an imminent threat right after Botox Treatment. This bruising is a common side effect that is easy to avoid by taking various measures. The progress in the field of facial beauty is due to Botox. Botox has helped humankind in getting anti-aging effects out of pictures in real life. Although Botox has the main side effect of bruising and is quite expensive, it is trendy. The USA has the most significant number of people to get Botox Cosmetic Non-surgical Treatment globally because the FDA approved it in 2002.

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