Botox 101: How to Prevent Bruising

When it comes to anti-aging tools, few beat BOTOX® for its effectiveness and ease of use. And millions of people can attest to this fact as BOTOX has continued the hold the number one spot for nonsurgical cosmetic procedures since its FDA approval in 2002. While BOTOX takes mere minutes to administer, we do it using a needle, which can cause some mild bruising afterward. To ensure that your results aren’t offset by bruising from the injections, there are some steps you can take before and after your visit with us.

Here at our practice, Dr. Omar Aref and our team are invested in your results, which is why we’ve pulled together the following tips for preventing bruising. We want you, and all of our Plant City, Florida, clients to enjoy your BOTOX results right from the start.

While many of our patients don’t experience any bruising at all, if you have sensitive skin or you’re prone to bruising, these steps will keep you in good stead.

Mind your medications and supplements

If you regularly take medications like aspirin or nonsteroidal anti-inflammatories (Advil®, Motrin®, Aleve®), these drugs thin your blood, which makes you more vulnerable to bruising. We recommend that you discontinue use of these medications for about a week before your appointment with us and for at least a day afterward, just to be on the safe side.

In addition to these medications, some supplements can have the same blood-thinning effect, such as high-dose vitamin E, ginkgo biloba, and garlic. We recommend that you follow the same instructions to avoid bruising.

If you’re on blood thinners like warfarin for cardiovascular issues, please let us know. You should continue to take these medications per your doctor’s instructions, but understand that you may be more susceptible to bruising after your injections. Rest assured, the bruising does go away.

Avoid alcohol

Alcohol can influence your platelet activity, so we suggest that you don’t drink for the 24 hours preceding your visit with us. You might also skip the alcohol for the next 24 hours after your appointment just to make sure that your platelets are behaving normally.

Keep it cool

Immediately after your BOTOX injections, we suggest you ice the area, which can go a long way toward preventing bruising by constricting your blood vessels. And the icing does double duty by numbing any discomfort you may be feeling at the injection sites. You should apply cold compresses for the rest of the day after your appointment with us for the best results (just for a few minutes every hour or so).

Head high

Following your appointment, be mindful of avoiding any activity that might force blood into the areas where we’ve administered the injections. For example, you may want to skip your yoga class and the downward-facing dog and headstands for 24 hours following your injections.


Arnica, available as oral tablets and a topical ointment, is derived from the arnica herb, and it’s been used for centuries as a natural pain reliever that also helps with bruising. You can find arnica in most pharmacies or natural supplements stores, and you simply apply the ointment per the instructions.

As we pointed out in the beginning, bruising isn’t a side effect that occurs in everyone. Many patients have nothing to show for their cosmetic injections — except younger-looking, smoother skin. But if you have sensitive skin, or it’s your first time, these small preventive steps can go a long way in preventing bruising.

If you have any questions about bruising after BOTOX, please don’t hesitate to give us a call. Or you can use the online scheduling tool to set up an appointment.

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