Post-Tox Bruising: Is it Normal?
Written by Jamie Becker, Nurse Injector
If you’ve ever looked in the mirror after a tox appointment and noticed a small bruise, you’re not alone! Bruising can occur with any type of injection, and tox (Botox, Dysport, Jeuveau, Daxxify, Xeomin, etc.) is no exception. Even though a very fine needle is used, the skin is still being punctured, and occasionally a small blood vessel may be affected. It just happens!
The good news is that most bruises are minimal and pinpoint in size, typically resolving quickly. In some cases, however, a more noticeable bruise can develop and may take a week or two to fully fade. Let’s dive into understanding why bruising happens and how to minimize it, so you can feel more confident, informed, and prepared for your appointment at Sweet Tox.
Why Does Bruising Happen After Tox?
Tox is administered using very fine needles and injected just beneath the skin into targeted muscles. Even with precise technique, tiny blood vessels (called capillaries) can occasionally be nicked during the injection process. When this happens, a small amount of blood leaks under the skin, creating a bruise.
Certain areas of the face particularly around the eyes are more vascular and therefore slightly more prone to bruising. It’s important to know that bruising is not a sign of poor technique and can occur even in the most skilled hands.
Is Bruising After Tox Normal?
Yes, absolutely! Mild bruising, small purple or blue spots, or slight discoloration at an injection site are all considered normal side effects for some patients. Most bruises fade within 3 to 7 days, though occasionally they can last a bit longer depending on your skin type and healing response.
But don’t worry- bruising definitely doesn’t affect your final results. The tox will still work as intended.
Who Is More Likely to Bruise?
Some individuals are naturally more prone to bruising than others. Factors that can increase the likelihood include:
Thin or fair skin individuals
A personal history of easy bruising
Certain medications, such as aspirin or blood thinners
Supplements like fish oil, vitamin E, or ginkgo
Alcohol consumption before or after treatment
Hormonal fluctuations or menstrual cycle timing
Just being aware of these factors allows you and your provider to plan accordingly!
How to Reduce Bruising Before Your Appointment
There are a few simple steps you can take prior to your visit to help minimize bruising:
Avoid alcohol for at least 24–48 hours before treatment
Discontinue blood-thinning supplements if medically safe (always check with your provider)
Stay well hydrated
Schedule your appointment at least one to two weeks before any major events, just in case
What to Do After Tox to Minimize Bruising
After your appointment, a little extra care can go a long way:
Apply gentle ice intermittently during the first 24 hours
Avoid strenuous exercise for 24 hours
Skip saunas, hot yoga, or excessive heat exposure
Do not rub or massage the treated areas
Some patients find arnica or bromelain helpful, if recommended by their provider
Can Bruising Be Covered?
Yes! Makeup can typically be applied within 24 hours unless otherwise advised. Color-correcting concealers especially those with peach or yellow tones can effectively neutralize the appearance of bruises. In most cases, bruising is easy to camouflage and continues to fade each day.
When Should You Contact Your Provider?
While bruising is usually nothing to worry about, you should reach out to your provider if you experience:
Bruising that significantly worsens after several days
Increasing pain, warmth, or swelling
Spreading redness or any signs of infection
Any concerns that don’t feel normal to you
We’re always here morning, noon and night to answer any and all questions our patients may have. Open communication is encouraged!
Final Thoughts
Bruising after tox can happen, but it’s typically mild, temporary, and does not impact your results. Knowing what to expect and how to reduce your risk can make your experience smoother and more reassuring. A skilled provider will always prioritize safety, education, and realistic expectations so you feel confident every step of the way.
If you have questions about tox or want to learn more about what to expect from treatment, we’re always happy to help!