Tox injections are the most popular minimally-invasive cosmetic procedure, with millions of treatments performed annually.
One of the top reasons people seek out Tox injections is for reducing wrinkles and fine lines on the face caused by repetitive muscle movements. Tox relaxes the facial muscles and smooths out wrinkles, resulting in a more youthful appearance. Tox is popular because it provides dramatic anti-aging results without extensive surgery or downtime. Beyond cosmetic uses, Tox can also treat excessive sweating, migraines, and muscle spasms. Many patients see Tox as a preventative measure to slow signs of aging before they become severely set in. When performed correctly, Tox offers an effective and minimally invasive way to soften facial wrinkles and look more refreshed.
While Tox is generally considered safe with minimal downtime, many patients do experience temporary bruising, swelling, and tenderness after injections. Following proper preparation and aftercare steps can help reduce bruising and minimize recovery time.
What Causes Bruising with Tox Injections?
Bruising after Tox injections occurs when the needle penetrates blood vessels under the skin, causing a leakage of blood near the injection site. Bleeding is more likely to occur if the injections are done too deeply or if blood thinner medications are being taken. Certain supplement and herbal remedies like fish oil, ginger, ginkgo, and garlic can also increase bleeding risk.
The face has a dense network of capillaries close to the surface, making bruises more noticeable on facial areas like the forehead, crow’s feet, and chin. Bruising may be more pronounced in patients over age 65 as skin becomes thinner with age.
Preparation Techniques to Reduce Bruising
Careful preparation and planning can help reduce the chances of bruising and swelling after Tox. Here are some tips:
Avoid Blood Thinners
Patients should avoid over-the-counter pain medications that act as blood thinners for 1-2 weeks prior to injections. These include aspirin, ibuprofen (Advil, Motrin), and naproxen (Aleve). Certain supplements like vitamin E, fish oil, ginseng, and ginger should also be discontinued.
Stay Hydrated
Drinking plenty of water leading up to the appointment helps minimize bleeding risk. Dehydration can make blood vessels more prone to trauma and leakage.
Apply Ice Before and After
Applying an ice pack to the treatment areas for 5-10 minutes before can help constrict blood vessels and limit potential bleeding. Continue icing after for 15 minute intervals to reduce swelling.
Use Arnica Gel or Cream
Natural topical products containing arnica can help reduce bruising when applied before and after injections. Arnica has anti-inflammatory properties that speed up healing.
Avoid Alcohol and Caffeine
Alcohol and caffeine thin the blood, increasing the chances of bruising. Avoid drinking alcohol or caffeinated beverages at least one day before and after treatment.
Proper Technique During Injections
The skill and technique of the clinician performing the Tox injections also plays a big role. An experienced injector from Rally Me IV will use the following methods to reduce bruising:
- Use the smallest needle possible for the injection sites
- Inject slowly and steadily, avoiding quick jabbing motions
- Gently stretch the skin taut before inserting the needle
- Apply pressure with gauze after withdrawing the needle
- Avoid areas with more visible veins like the forehead and temples
What to Expect During Recovery
While bruising is mostly minimal and temporary, there is often some residual swelling and tenderness. Here’s what to expect while recovering:
Bruising Peaks in 3 Days
Any pinpoint bleeding or bruising usually peeks in severity 2-3 days after the injections. It then gradually lightens and disappears over 7-10 days. Avoiding blood thinners will help bruises resolve faster.
Swelling is Temporary
It’s normal to have some mild swelling and redness around injection sites that can last 2-3 days. Swelling is the body’s natural inflammatory response. Applying ice helps minimize it.
Effects Take 2 Weeks
It takes about 14 days for Tox to take full effect. Discomfort, swelling, and bruising should subside within the first week, but the results won’t be visible right away. Be patient through the recovery process.
Use OTC Pain Relievers
Over-the-counter pain medications like acetaminophen (Tylenol) or naproxen (Aleve) can provide relief if tenderness or headaches occur. Avoid aspirin for 1 week after injections.
Call Your Doctor if You Have Severe Effects
Severe bruising that spreads, excessive swelling, numbness, rash, or extreme headaches should prompt a call to your clinician to evaluate potential complications.
Apply Makeup Cautiously
Cosmetics can be worn over bruises to camouflage them but avoid applying pressure and rubbing the area. Use a gentle touch and non-irritating makeup.
While bruising and discomfort are common with Tox, taking preventative steps and properly caring for skin afterwards can minimize these effects and speed up recovery. Within 1-2 weeks, you can enjoy smooth, wrinkle-free skin.