Bruising After Botox

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Bruising After Botox

Although not common, bruising can occur after BOTOX® injections.

Bruising occurs when a Botox needle ruptures a blood vessel.

Blood vessels are difficult to see and everyone’s anatomy is different. Good Botox Injectors use a very fine needle and special techniques to minimize the risk of bruising. However if a blood vessel is ruptured, blood leaks into the surrounding tissue underneath the skin.

The blood has no where to go – and a red or purple mark is left behind. This is what we know as a ‘bruise’. The bruise slowly turns to yellow and green and other shades of color as the body heals itself.

Eventually, the body completely re-absorbs the blood and the skin returns to it’s normal color.

Follow the 24-day timeline below of ACTIONABLE TIPS to:

1) Minimize your chance of bruising
2) Heal faster after a bruise from Botox
Individual results may vary

Bruising After Botox

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Planning Botox for an Event

If you’re planning your Botox for a specific event, we recommend being treated about 4 weeks prior. Botox can take up to 2 weeks to reach full effects and if any touch ups are needed, you will have plenty of time to get those done too. You’ll see optimal results of your treatment and any bruising will have subsided. Individual results may vary.

Infographic Transcript


10-12 Days Prior: Avoid*:

  • Aspirin
  • St. John’s wort
  • Omega 3 or fish oil supplements
  • High doses of vitamin E
  • Anti-inflammatories e.g. Ibuprofen, Excedrin, Aleve, Advil, Motrin
  • Ginkgo Biloba
  • Ginseng

*If you take aspirin, or pain medication for medical purposes, you should continue use.

7-10 Days Prior: Start:

  • Arnica Montana orally in tablet form. Available at most supermarkets, natural grocers and drug stores.
  • Eating pineapple to help minimize bruising. Pineapple naturally contains the supplement bromelain, which enables the body to clear metabolic waste and heal itself faster.

2-3 Days Prior: Avoid:

  • Alcohol


Bruising can start to appear 0-4 hours after treatment.


  1. Apply a cold compress to the bruised areas, on and off for the first 24 hours
  2. Continue taking Arnica Montana orally in tablet form for 7-10 days
  3. Continue eating pineapple
  4. Apply Arnica Montana cream topically to the bruised areas for 7-10 days
  5. As necessary, cover up bruises with a high quality concealer and apply powder with a small brush.

If you plan well for bruising and follow good post-care, there will be very little downtime.

Individual results may vary.


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