black eye after botox

The secret of Botox side effects in 2024

4.8/5 – (113 votes)

 What are botox side effects?

The most common botox side effects are bruising and swelling. Bruises are mostly common around the eyes and some people are prone to them while others are not. It may take 2 days after the injection for a bruise to be shown on the skin surface.

When it is injected wrongly on the forehead or around the eyes, it can hit the nerves and travel to the adjacent areas hence causing other temporal side effects such as droopy eyelids, numbness and muscle twitching. The substance can also migrate to other areas that was not intended.

Botulinum toxin type A is a poison, so if it spreads beyond the muscle that is intended, it can cause symptoms that are typical of botulism. These side effects may include difficulty breathing, slurring your speech, swallowing difficulties and weakness in other muscles. These are serious side effects, so report them to your physician immediately.

left eye ptosis after botox injection
left eye ptosis

Side effects of botox on forehead

When the Botox injection is performed on the forehead, it may migrate to the eyebrows hence causing the drooping effects to the eyes. This effect is temporal but it may last even for a month before resuming to their normal position.

When the injection is inserted into the muscles of  forehead, it may hit a blood vessel to cause a bruise. An internal bleeding may be slow and it may take time for the bruise to be shown on the surface of  skin.

puffy upper eyelids after botox

Bulge after botox may be skin reaction to the needle and would resolve within hours by cold compress.

Eyelid edema was most likely due to impaired venous and lymphatic return caused by reduced muscle tone rather than allergic reaction or infection. We advised the patient to apply hot pads over her eyes, blink frequently, and massage the affected area in order to increase venous return. No antibiotics or antihistamines were prescribed. The patient’s eyelid edema eventually resolved 2 weeks later.

Side effects of botox around the eyes

Botox injection may cause blurred vision, double vision, and decreased eyesight, eye drooping, tearing eyes, dry eyes and swelling of the eyes after an injection or few days after later. Because it is essentially relaxing the muscles in the face, Botox can make it difficult to focus vision on near or far objects, or both. Drugs.com reports this as a temporary side effect.

Herniated fat pad under eye may get worse after botox injection. lower lid needs some tension in it to hold fat pad in place. It is relaxed by botox so the fat will prolapse more and be more visible.  When Botox effects wear off  the problem will resolve.

botox side effects
botox injection points

Long term botox side effects

Botox is safe short- and long-term. Moreover, Botox for wrinkles uses a much smaller dose than patients receive for muscle spasticity. Those patients who’ve been receiving large doses of Botox for other functional problems also have not had problems further supporting  that cosmetic Botox is safe.

Botox side effects treatment

Bruising doesn’t always occur after Botox , but any time an injection is made under the skin, bruising is possible. Black, red or purple bruises form when damaged blood vessels leak blood into the surrounding tissue. This can occur if a blood vessel is nicked by a needle, or if skin is pinched or pulled, causing capillary damage.

After your  Botox treatment consider taking Arnica  cream, a natural remedy with the power to reduce post-procedure pain and treat bruising.

black eye after botox
Bruising after botox

Who is most likely to bruise after Botox ?

Genetics play a role in likelihood of bruising. Women are more likely to bruise than men, and older people are more likely to bruise than those who are younger. In addition, the following avoidable factors may increase your risk of bruising:

  • Use of blood thinners, including aspirin and NSAIDs
  • Frequent use of alcohol, which increases blood flow
  • Exercising immediately before or after treatment
  • Systemic inflammation due to poor diet or poor health

Droopy Eyelid (Ptosis)

Blepharoptosis occurs due to weakness of the levator palpebrae superioris muscle. Mean onset is 3–14 days after injection and eventually self-resolves after the paralytic effect of BoNT-A wanes. Administration of medications, such as oxymetazoline hydrochloride or apraclonidine hydrochloride eye drops, anticholinesterase agents, or transdermal Botox injections to the pre-tarsal orbicularis, can at least partially reverse eyelid ptosis.

study shows that a supraorbital foramen may be present in some patients and constitutes a shortcut from the brow area directly into the orbital roof, following the supraorbital neurovascular pedicle.

 botox side effects
puffy eyelids after botox

long term botox side effects

Negative side-effects of prolonged over-use of Botox may include muscle weakness as the facial muscles involved with Botox application slowly lose their ability to function normally. This might be regarded as a positive if these same muscles result in the development of prominent lines and wrinkles.

Botox application
Summary
Botox side effects
Article Name
Botox side effects
Description
botox side effects may include: muscle weakness near where the medicine was injected; bruising, bleeding, pain, redness, flu symptpms
Author
Publisher Name
Niayesh Beauty Clinic
Publisher Logo

Comments

37 responses to “The secret of Botox side effects in 2024”

  1. Hello. I had Botox applied to my forehead and around my eyes 2 weeks ago. 3 days after I had it done, I had edema in my right eye. After 3 or 4 days, it swelled again in the same way. What can I do to make it pass?

    View Comment
    1. Thank you for your question
      It is possible that you are allergic to botox or its preservative solvent. These reaction are atypical and would resolve on its own, however antihistamine pills plus corticosteroid drops may help faster recovery.
      Having said that,if edema persist I recommend to visit your injector.
      Best of lucks

      View Comment
  2. Tricia G Avatar
    Tricia G

    Hello,
    I am a migraine sufferer and have gotten Botox from my neurologist for a few yrs. What causes the red needle marks at every injection site in my forehead to never clear up or go away? It is always red and extremely visible. I am scared for life. I would appreciate any insight that you may have. Thank you!

    View Comment
    1. Thank you for your question
      It is not typical to have red needle marks for a long period of time after Botox injection. Red needle marks usually disapear after several hours with ice pack and rest. However, prolonged redness indicate chronic inflammation and allergic reaction to a numbing agent ,the solvent that is mixed with the Botox powder or the albumin component of the toxin.
      Having said that,you could consider having an allergy test and if the test was positive, you may be able to tolerate Dysport which are the same serotype of botulinum toxin as is Botox but has less immunologic properties.
      Best of luck

      View Comment
  3. qudsia ahmad Avatar
    qudsia ahmad

    I had Botox on my forehead a week ago. I’ve noticed after a week that my right eye dropped down. Is there any solution?

    View Comment
    1. Thank you for your question
      Botox may causes eyelid ptosis by migrating into one of the muscles that holds up the eyelid (levator palpebrae superioris). The good news is this muscle tends not to be affected by Botox for as long as the typical muscles Botox targets which is generally three to four months.
      If your provider determines you are a good candidate, apraclonidine eyedrops may be added to speed up recovery time and stimulate the muscle in the eyelid itself (superior tarsal muscle) causing it to contract and raise the eyelid. Adding this treatment may allow for the eyelid to return to its normal position in a few weeks.
      For expertise on injections and management of complications visit the office of a Board-Certified Plastic Surgeon.
      Best of luck

      View Comment
  4. R Easthope Avatar
    R Easthope

    I had Botox 5 days ago in forehead and globella, on day 3 I have noticed that my upper eye lids and between my eye brows are very swollen, as if I’ve been hit. I contacted my injector and she it can’t be Botox it must be hayfever although I know it is not that. I was really strict with after care . What could this be and when will it go down? I am extremely worried and really regret having Botox in the first place

    View Comment
    1. Thank you for your question
      Hay fever symptoms consist of frequent sneezing , runny nose, itchy throat and red conjunctiva.
      On the other hand, upper eyelid edema after botolinum toxin administration might be an allergic reaction to diluent(preserved saline) or the skin prep before the injection that would resolve with antihistamines and steroid drops, however I would suggest to see your family physician for close examination.
      Best of luck

      View Comment
      1. R Easthope Avatar
        R Easthope

        Many thanks,
        I am 99.8% sure it is not hayfever. Could it be the muscle from my globella has relaxed so much it has drooped my eye brow / eye lid or is that impossible? With regards to antihistamines and NSAIDs, how long will it take to go down ?

        View Comment
        1. In my experience eyelid ptosis or eyebrow drooping after botox usually are unilateral but in your case with bilateral edema an allergic reaction might be the culprit.
          Having said that, antihistamine pills with corticosteroid eye drops would resolve the problem in a week or so.
          Best of luck

          View Comment
  5. hey…I got my nose botox 10days ago..& after that I realized I’m suffering with itchiness on my nose surface…& the 10th day I’ve pain in my left eye…

    View Comment
    1. Thank you dear Alyana for your question
      Dermal fillers in the nose have serious complications in the nose as well as the eyes. However Botox may have minor side effects in this sensitive anatomical region.
      If you have never had itchiness after a Botox treatment before,It may be an allergic reaction to the prep used for disinfection prior to the injection. I would recommend to see your Doctor for better evaluation.
      Best of luck

      View Comment
  6. hallo.., sy melakukan botox wajah & dahi 1 hari yg lalu ,malam harinya timbul bentol di bekas suntikan lalu bentol membesar dan agak bengkak di seluruh bekas suntikan,di sertai meriang dan tdk enak badan wajah jd penuh jendolan ,apakah ini hanya sementara ?
    apakah ini bisa sembuh dan kulit wajah sy normal kembali?

    View Comment
    1. Translation of your question to English
      hello… I did Botox on my face & forehead 1 day ago, in the evening a bump appeared at the injection site and then the bumps got bigger and a little swollen all over the injection site, accompanied by fever and feeling unwell, my face became full of lumps, is this only temporary?
      can this heal and my facial skin returns to normal?
      Thank you Anne for your question
      In my experience, bumps one day after Botox injection are small hematoma that would resolve on its own, however it’s wise to apply cold compress before and after procedure to prevent bruising as well as hematomas.
      Best of luck

      View Comment
  7. Rebecca Avatar
    Rebecca

    Hi I got xeomin on Feb 24th, this was my first time ever having a “botox” treatment of any sort. I got my forehead and crows feet treated. Exactly about a week later I woke up with my right eye kind of red and crusty I didn’t think much of it an except that it could be pink eye. It bothered me quite a bit and was red (but no infected discharge) I went to eye doctor he did not think it was pink eye and gave me some steroid drops for a couple days. My eyes look totally different I. Size my left eye normal wide open and my right eyelid hanging slightly lower. Now it’s been 5 days and my right eye is still very pink and irritated and that eye is def smaller. (I’ve tried the steroid drops, not much difference, I tried pink eye drops which didn’t do much, and I’ve tried artificial tears for dry-eye. Now after my nap today I feel like my left eye is a little irritated looking. Also, until I thought to Google last night correlation of this and Botox I failed to mention to my eye doctor that I got Botox for the first time. Ugh. Any initial thoughts? (Also looking back I don’t think I was careful to not bend over and I most certainly forgot to sleep in my back that night, my apt. Was 2pm…and I’m a side sleeper) I’m really upset and anxious about my situation and feel like it’s either going to get worse or im going to be suffering like these for weeks/months. What is the timeline of what you may suspect happened in my case? Is there anything that I can do to help? Anything I should tell my doctor or request? Im frustrated I debated getting Botox for years and did my research to find so wine I really liked and trusted through recommendations, just me luck I guess.
    Any thoughts as a reply would be very much appreciated! Thank you for having this platform and resource.

    View Comment
    1. Thank you for your question
      Dear Rebecca, sorry for your problem ,Botox is a toxin and poor aftercare may lead to toxin diffudion to orbicularis occuli muscle or lacrimal glands resulting eye dryness and red eye syndrome. Botox injection to the crow’s feet relaxes orbicularis occuli muscle that main function is closing the eye especially during sleep.
      On the other hand,the lacrimal glands provide wetness as tears to the front of the eye.
      In your case ptosis, eye redness and irritation indicate toxin diffusion to these important anatomic structures.
      Having said that, these complications are temporary and would resolve on their own.However, I would suggest supportive measures and care ,seeing an ophthalmologist for furthur evaluation.

      Best wishes

      View Comment
  8. Thank you for your question
    After a Botox treatment, I recommend that my patients avoid heat exposure, alcohol consumption, and strenuous exercise for 24 hours and not lie down flat for four hours. This is because all of these activities may possibly lead to the movement of the product and consequent side effects such as droopy eyelids.

    If I had a patient with the concern described here I would say not to worry about the results of the Botox and to patiently wait two weeks to assess the final results.
    Best of luck

    View Comment
  9. Hi,I had Dysport injection for forehead lines 7 days ago.A few days I noticed a bump on my forehead without any pain. I also noticed before that in this place botox worked a bit longer.Please advise on what this could be?Thanks

    View Comment
    1. Thank you Sara2290 for your question
      Some patients can develop lumps and bumps after botulinum toxins injections. Especially in those with very strong folds on the forehead.
      Usually happens in the middle of 2 weeks post treatment (between day 3-10 from my experience). Most likely due to the diluent more than the toxin Which should settled by 2 weeks.
      However, if the bump persist after several weeks I would suggest an ultrasonic investigation to rule out epidermal inclusion cyst, lipoma or an organized hematoma.
      Best wishes

      View Comment
  10. hello , I’ve been having Botox for 10 years noticed the last few times that Botox hasn’t improved my frown lines.Is it possible that Botox stops working after long term use?

    View Comment
    1. Thank you You4000 for your question
      The most common reason that Botox does not work is that not enough was administered. Another reason can be that wrinkles are too deep for Botox to work on its own.
      If you have deep lines that are present at rest when you are not using the muscles, then you may not be able to get rid of those wrinkles with Botox alone. In that case, injection of a dermal filler may be needed to provide further improvement.
      True Botox resistance is rare. A more common occurrence is that some people build tolerance to Botox after repeated use and tend to need increased doses over time. I would recommend increasing the dosage if you don’t see results from your Botox treatment.
      . If this doesn’t work, there are other products on the market like Dysport, Xeomin, or Jeuveau. They are similar to Botox except for minor differences in their formulation.
      Best wishes

      View Comment
  11. Hello,

    I Did Botox on my Forehead Last 21th December Without Realizing That I Am Pregnant Today?

    View Comment
    1. Thank you for your question
      Only a small amount of Botulinum toxin would have been used on the facial area. While it’s not ideal to receive Botox treatments while pregnant, I am sure you are fine since this is so early on. Just refrain from doing any more treatments while pregnant.
      Best wishes

      View Comment
  12. Hello, I had botox 2 days ago for the first time, I forgot and bend over, will my face look unnatural? Is it dangerous?

    View Comment
    1. Thank you for your question
      First of all don’nt worry and be relax, it’s not dangerous and it will not change your face. If you accidentaly bend over that’ll be ok.
      However, bend over repeatedly 24 hours after Botox , may shift botox to unintended areas such as orbital muscles and cause eyelid ptosis.

      Best wishes

      View Comment
  13. Hi,
    I had dysport 3 days ago, yesterday my forehead start itching then my neck and entire body was itching like crazy. I’m still itchy. Is this common? Should I be concerned?

    View Comment
    1. Thank you for your question
      In my opinion , itching is due to something other than the Dysport
      In my practice , I was applying over 10000 Dysport to my patients and never had such allergic reactions.
      Having said that I would suggest antihistamines if persist then visiting allergist speciallist.
      Best regards

      View Comment
  14. Hi, I had Botox done 2 days ago from today. Doctor did my currogator muscle and crows feet. Since then “inside of my forehead” is constantly aching. It’s tingling, sore, burning feeling.I need your advise Thank you

    View Comment
    1. So sorry for your pain.It does sound like nerve irritation due to needle injury after Botox.
      I would apply cold compresses,The cold will reduce the swelling and inflammation.I think the complication is temporary and settle soon but you may need a check up to make sure nothing else is happening.
      With best wishes

      View Comment
  15. Hi, I have frown lines in my forehead I would like treated with fillers, but everything on the internet suggests that neuromodulators are the recommended treatment for 11 lines. Some sites recommend doing a combination but pure fillers seems to be treated as a non-option for this area. I am not interested in neuromodulators because I do not want to lose dynamic expression, only to treat the static wrinkles. Is there some reason fillers would not work? Will it look unnatural?

    View Comment
    1. Thank you for your question
      Since the glabella is rich in blood vessels, that connecting Exteranal Carotid to the Internal Carotid System ,any vascular embolization with fillers may affect ophthalmic artery that causes catastrophic consequences on Vision.
      Moreover, the forehead is not the place for novice, non-physician injectors. Please note that treating the static frown lines with filler will do little to stop the activity of the underlying muscles to re-form the wrinkles
      Having said that, Deep frown lines need a combination approach with Botox, fillers, and PRP.
      Best wishes

      View Comment
  16. Hi there I had botox for the first time 2 years ago and ever since then I have been experiencing a heavy tingly burning and tight nerve pain kind of feeling around my brow/eye area. The feeling goes up my forehead and down the side of my nose. I feel like it must be some kind of nerve damage but I can’t seem to get to the bottom of it. It’s caused me nothing but distress as I think it must be permanent damage where it has not disappeared in over 2 years. I also have a bruised feeling when I press my brow. Have you come across this before, can you advise me in any way?

    View Comment
    1. Thank you for your question
      From your history , pain and burning sensations you described related to sensory nerves rather than motor nerve fibers.In other words, Botulinum toxin inhibits motor nerve endings without any effects on sensory nerves.
      Having said that, pain, bruising and sometimes mild headache may occure for several days after Botox application that related to needle injury and would subsided with an analgesic.In my opinion these symptoms two years after Botox injection are not significant and not related to the Botolinum toxin. If these symptoms persist, I would suggest a neurologist consultation.
      Have a good time

      View Comment
  17. Sanjida hossain Avatar
    Sanjida hossain

    I did Botox 17 days ago … but my one eyes is droping & weight full .. what I will do .. pls advise me .

    View Comment
    1. Hi Sanjida
      Eye ptosis is a rare complication of botolinum toxin application that would resolve on its own without any sequel, however for faster recovery I would suggest Iopidine (apraclonidine 0.5 %) eye drops. Apraclonidine is an alpha2-adrenergic agonist, which causes Muller muscles to contract quickly elevating the upper eyelid 1-3 mm.
      Best wishes

      View Comment
  18. Patricia Lopez Avatar
    Patricia Lopez

    Hello thank you for this information. I received botox under my eyes 8 months ago. It was three units from medial to lateral of each eye, plus two units at crows feet. I experienced extreme swelling. Now, the general swelling is gone but I am left with lumps all along my infraorbital rims that make it look like i have pillows along this area on both eyes. My left eye is slightly worse because this ridge or lump extends to my lateral side of the eye along the orbital rim. I hoped that these lumps were just Volbella filler that I had injected one year ago. But I think this may be herniated fat pads leftover from the botox relaxing my muscle. My question is – if it is herniated fat pads, will I ever recover? Should I give my muscle more time to gain strength before I panic? (I mean, I have been panicking for 8 months).

    View Comment
    1. Thank you for your question
      It is wise meticulous ophthalmic examination by your provider however botolinum toxin application in the lower lid may interfere with lymphatic drainage system as well as worsening previous herniated fat by relaxing orbicularis occuli muscle.
      Moreover, tear trough filler may contribute to lumpiness and contour irregularity in this sensitive anatomic area. Having said that, an ultrasonic investigation would differentiate between herniated fat and residual filler in the eyelid. If the filler exist in the region then Hyaluronidase would resolve the problem.
      Best wishes

      View Comment

Leave a Reply

Your email address will not be published. Required fields are marked *

Call Now Button