My Botox or Filler Looks Wrong — What Do I Do?

In the first few days, some swelling, mild bruising, and tenderness are completely normal and settle on their own. Give it time before you judge the result — early is not final.

What is NOT a wait-and-see situation: severe or increasing pain, skin that turns white, dusky, or blotchy, or any vision changes after filler. Those can be signs of a blocked blood vessel, which is a medical emergency. If you have those signs, get emergency medical care immediately — do not wait for the spa to call you back.

Good news on the chemistry: most fillers can be dissolved with an enzyme called hyaluronidase, and Botox is temporary — it wears off on its own over about three to four months. So very little of this is permanent.

Go to a qualified, licensed injector or a physician — ideally not the place that did it, if you've lost trust. And don't let anyone talk you out of a second opinion. A good provider will look at it honestly and tell you the real options, even if the answer is "let it settle" or "let's dissolve it."

Don't let embarrassment or loyalty to the original spa keep you from getting help. You're allowed to seek a second set of eyes, and the right provider will be glad you did.