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Is Bruising Unavoidable After Restylane Injections?

Does everyone get bruises after Restylane? If so, how long does the bruises and swelling last? I will be going on a trip four days after getting my Restylane. Is it safe? Thanks

Asked 28 months ago by summer951 in high desert

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bruising swelling

Bruising with Restylane injections - dermatology and plastic surgery

Bruising is unlikely after Restylane injections but really depends on individual factors and whether you have been taking meds or herbals that thin the blood. I would advise you to take Bruise-Stick or Bruise-Pak Arnica meds before your treatment.

Raffy Karamanoukian, MD

Los Angeles Plastic Surgeon

Pulse dye laser treatment can speed resolution from post Restylane injections

Bruising is very common with all dermal filler injections. It may not happen every time on every patient, but it is very common. Certain variables contribute to bruising, such as history of bleeding disorders, medications, and injection technique. Should bruising occur, a pulse dye laser treatment can speed its resolution.

Sue Ellen Cox, MD

Raleigh-Durham Dermatologist

Bruising with Restylane

From a statistical point of view, on average bruising happens in about 10% of the injections. This is means it is bound to happen. However, there are several things we can do to avoid bruising. First of all, the injections should be done slowing in small aliquots. The is the physician's responsibilty. Of course a steady hand is very important. Second, taking Arnika before and after injection will help. Third, if someone is taking blood thinning medication, then bruising is more likely.... more

Isabel Zhu, MD, PhD

Boulder Dermatologist

Bruising with Restylane

It is less common to bruise with Restylane than with some other injectable fillers. Restylane is injected with a 30 gauge needle which is very small. With that said, any area is susceptible to bruising after being stuck by a needle. Some ways to minimize the risk of bruising are to avoid aspirin products before and after the procedure. Also, I would recommend taking arnica at least two days prior to treatment and throughout the healing process. Pineapple is also a great anti-bruising remedy... more

Nissan Pilest, MD

Irvine Dermatologic Surgeon

The question here is whether you should do fillers prior to a big event and the answer is no

If you are planning a trip and want to look fabulous for it, fillers probably aren't a great idea. While it is likely that it won't bruise if you go to a good dermatologist or cosmetic surgeon (and there is quite a bit of variability in technique and that can lead to bruising itself), no one can guarantee it not to bruise. So, if you are planning a wedding, vacation, speech, etc and have forgotten to get your fillers in advance, don't do it. On the other hand, botox is usually very safe... more

Joel Schlessinger, MD

Omaha Dermatologist

Restylane and Bruises

Bruising is not common with Restylane dermal filler injection, but certainly may occur. The best hint as to whether you will bruise is whether you have noticed a tendency to bruise with previous injections or trauma. If you are the sort of person who bruises easily, then I wouldnt be surprised if you experienced a bit of bruising with Restylane or any other injection. As the other fine physicians have mentioned, anyone should avoid herbals and known blood thinning medications for a week... more

Sandy Martin, MD

Fort Myers Dermatologist

Bruising with filler injections

There seems to be quite a bit of variation in a person's tendency to bruise and the severity of bruising with filler injections. Avoiding blood-thinning agents (e.g. NSAIDS, aspirin, vitamin E, omega-3 fatty acids, garlic) would be a good idea 1-2 weeks prior to the procedure. Good technique with attention to minimizing tissue trauma can help. In spite of all these measures, bruising can still occur and last up to 2 weeks, sometimes even longer. Filler injections 4 days prior to an... more

Bryan K. Chen, MD

San Diego Dermatologist

Bruising after injectable fillers can occur but is less common with Restylane

Bruising after injectable fillers can occur but is less common with Restylane or Juvederm since both of these products are injected with a 30 gauge or very small needle. Any area of your body can bruise after a needle stick. Some areas like the lips and eyelid areas are more prone. The laugh lines and cheeks less commonly bruise. You can minimize the risks of bruising by not taking any aspirin products before the procedure for at least a week and try homeopathic remedies like arnaca and... more

Scott Trimas, MD

Jacksonville Facial Plastic Surgeon

Bruising and restylane

Bruising can happen with any injectable product. This can vary based upon what you have eaten, what medications you have taken, and your overall genetics. If you are anticipating haveing injetables, I would avoid any medication that can thin your blood(I.e Aspirin, or non-steroidal anti-inflammatory agents).

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Bruising is avoidable with filler injections

Bruising post filler injections is avoidable. Avoid those herbal supplements and medications that can cause bruising 10 days prior to your treatment. Select a physician that is highly skilled and experienced. Despite this, some areas of the face are more prone to bruising. Discuss with your doctor in advance. Applying ice after your treatment for the first few hours has a tremendous benefit. The risk of minimal bruising is minimal if you adhere to the above. Good luck!...

Ran Y. Rubinstein, MD

Manhattan Facial Plastic Surgeon

Bruising and Restylane

Any injection of any sort at any time has the potential for bruising. Although with Restylane injections the needles are small enough that bruising is less common. We usually see mild bruising with injections approximately 10% of the time.

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Steven Hacker, MD

West Palm Beach Dermatologic Surgeon

Bruising is always a risk with injectables

You can reduce, but not eliminate bruising, by avoidance of aspirin, vitamin E, fish oil, herbal supplements and ibuprofen for 10 days prior to injection. The pre-treatment use of Prevedem by Neocutis as well as the post-application use of Bruise Relief also may be of benefit, in my experience.

Mary Lupo, MD

New Orleans Dermatologist

Needles Cause Bruising, Not Restylane (or other injectable products)

Hi Summer, Everyone does not necessarily bruise after Restylane injections, but even the best, most experienced injectors get occasional bruising. The material injected does not cause the bruising, needles cause bruising. We are able to see superficial blood vessels and avoid them, but with deeper injections, it is a matter of the needle missing the vessel. There are measures that can be taken to minimize bruising including Arnica, ice, meticulously unrushed injections, and pressure if there... more

Michael A. Persky, MD

Los Angeles Facial Plastic Surgeon

Most patients do not bruise with Restylane

Most patients do not bruise after Restylane injections. However sometimes bruising is unavoidable. Patients are more likely to bruise when: They have taken medications that thin the blood during the prior two weeks. These include Aspirin, Advil, Motrin, Alieve, Fish Oil, Vit E. They have injections under the eyes They have injections close to the surface of the skin. This is needed when fine wrinkles are treated. The bottom line is that most patients do not bruise, however, it is wise... more

Marc Cohen, MD

Philadelphia Oculoplastic Surgeon

There are steps to take to reduce brusing after Restylane

Dear Summer Bruising is common but not inevitable. However, it is possible to have a bruise even if you follow all precautions. Therefore, it is safer to plan on having a bruise and if you don't have one, all the better. Avoiding medications and, yes, herbal, products will reduce you chance of having a bruise. This includes products like aspirin and non-steroidal antiinflammatory medications like Advil. However, a lot of over the counter remedies contain these products so read labels... more

Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon

Bruising after Restylane

Thanks for your question. In our San Francisco area practice, we find bruising to be very unusual after any injectable. Guidelines to follow include: Avoiding blood thinning medications prior to treatment (eg aspirin) Go to an experienced injector There are treatments (such as cool compresses) that can reduce the chance of bruising even further. Your injector should be able to help you with these. I hope this helps.

Steven H. Williams, MD

San Francisco Plastic Surgeon

ASPS

Bruising after injeciton

No, everyone does not get bruising after injections. Probably about 5% of patients get bruising and most get some swelling. If you tend to bruise more often than others in day to day life, then you are more likely to bruise after injections as well. We have medications that we can mix with the injections which also help reduce the incidence of bruising. Also, if you are taking medications such as Aspirin or Motrin or Celebrex then you have a greater chance of bruising as well. If you do... more

David Shafer, MD

New York Plastic Surgeon

ASPS

Avoiding bruising after Restylane injections

The single best way to avoid bruising with ANY Injectables (Restylane, Botox, Juvederm etc) is to make sure your blood clots normally even if the needle strikes a small blood vessel. If the blood has been thinned by a medication, supplement of a food you ate -- you will bleed longer before it stops and you will bruise. Things that prolong your bleeding are OTHERWISE very healthy because they lower the risk of heart attacks and strokes. Unfortunately, Aspirin, Goody's, BC powder, Ibuprofen,... more

Peter A. Aldea, MD

Memphis Plastic Surgeon

ASPS

Decrease bruising from Restylane

No, not everyone bruises after restylane. IF it does occur it depends on the severity . Typically this will last from 3-5 days. Avoiding aspirin and antiinfflammoaty nedications are usefull and some advocate the use of arnica montana

Otto Joseph Placik, MD

Chicago Plastic Surgeon

ASAPS ASPS

Bruising is NOT inevitable after Restylane

If you stop aspirin, Motrin, Advil and Vit E for 10 days before the injection of Restylane, you most likely won't have bruising. It is possible but most patients don't have bruising.