Personally, my problem area of injection is the periorbital region as soft tissues are easily contused and produce marked inflammatory responses to trauma.. Any advice on minimizing bruising in this area?

I use intra-dermal injections in this area, 100unit in 1ml dilution, this way you seem to stay above the vessels, although it is slightly more uncomfortable for the patient. You end up with little skin blebs that disappear in an hour or two.

I agree with L. Kidd. I use a 1ml dilution for that area and try not to go deep. I also like to place my facial lamp on patients when injecting in this area so I can visualize any superficial vessels. Icing beforehand helps too.

I use Emla before the procedure and I use cosmetic lamp for the periorbital region wich has lupe in the middle.. I use a 2,5 ml dilution and 3,3,2 Unit..

I have used Xylocaine in the solution itself, with the bacteriostatic saline, and the epinephrine constricts the blood vessles in the area and prevents both bleeding (more for fillers) and bruising (for both Bot and Fillers). Just .1 ml mixed with .9ml saline is a good mix. The instant numbing effect leaves the client feeling like they can 'feel the botox working'. I know this sounds silly to us, but it is a bell and whistle that really makes people happy with the work.

I certainly agree with icing beforehand - really helps. There are superficial veins in the periorbital region. I also gently massage a bit of arnica gel over the areas I've treated, and that seems to help. And then all the usual things - I advise avoiding alcohol for 24 hours pre or post. I use the tiniest needles available (I only use 30g), and I am extra cautious with people taking NSAIDs and other anticoagulants, as well as the herbal ones (ginseng, vitamin E, ginkgo etc). If you use topical anaesthetic cream, then Ametop causes a bit of vasoconstriction which can help. But no matter what precautions you take, if you put a needle through enough peoples' skin, some will bruise!

Nothing fancy - just stay very superficial and let the drug seep. Also, stretch the skin first. apply pressure at the first sign of hitting a vein - when you see blood seeping out.