Unfortunately, any time you get injections under the...

Unfortunately, any time you get injections under the skin you have the possibility of bruising. By inserting a needle under the skin, small blood vessels can be broken, which cause bruising.

In my practice, I've taken to mixing lidocaine with epinephrine into the Juvederm and have found that this reduces the amount of bruising which occurs with patients. Applying ice before and immediately after injection and making sure patients are not taking medications (over the counter and prescription) which increase bleeding also helps.

Regardless of what is done though, there is always the chance of bruising.