Bruising may be the most common risk of Botox® injections. This can happen to anyone and is most common in the crow’s feet area because the skin is very thin and tends to show bruising more easily. The forehead and brow areas being much thicker so that a little bleeding may not result in a visible bruise.

One way to limit bruising is to use a very small (32 gauge) needle, which has a lower risk of hitting a blood vessel, and leaves a smaller hole if it does. It also helps to avoid any medication that can thin your blood such as aspirin, ibuprofen, vitamin E and fish oil for about ten days before an injection. While it is still possible to get a bruise, following these precautions can help reduce the risk and severity.

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