Bruising and Swelling Prevention and Fillers?

Hi Docs, should I stop taking Vitamin D 1000 mg before I have injectables into my face (Perlane, Restylane). I know not to take Vitamin E and Fish oil, how long before ?, 1 or 2 weeks ?. And when can I resume taking them ?

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10 Doctor Answers | Asked by bronzie

Doctor Answers (10)
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Preventing bruising with fillers

I advise avoiding aspirin, ibuprofen, vitamin E, fish oil, alcohol, ginseng, gingko biloba and green tea before procedures and for a few days afterwards. Vitamin D will play no role with bruising or swelling. I agree that Bromelain as found in fresh pineapples can be helpful, and Arnica may be of some benefit too. Dr. Benjamin Barankin, Toronto Dermatology Centre.

Benjamin Barankin, MD

10 reviews

Toronto Dermatologic Surgeon

Bromelain and Bruising

I recommend bromelain as it is a super anti inflammatory and also an enzyme that breaks down bruising. There is a great book published about Bromelain on Kindle Books and Nook Books - check it out.

Fillers and bruising

I agree with the previous answers but also advise you to stop drinking green tea for at least one week before your filler treatment.

Fillers and bruising

I agree with the others that say that you need to avoid the supplements that are associated with bruising /bleeding but no worries about Vitamin D. I also think that Arnica might help as well as icing before and after. I would add the possibility of fresh pineapple helping and have my patients eat one cup of fresh pineapple daily for five days prior to procedure.

Restylane and bruising

It's ok to continue your Vitamin D prior to treatment with any dermal filler, and it sounds like you're informed of discontinuing blood thinning supplements. We recommend a full week off of any blood thinner, unless your PCP has prescribed it specifically for a health condition. Not taking those supplements help minimize the incident of bruising post-treatment, however, it's never a guarantee that you won't bruise, regardless.

Sam Naficy, MD

80 reviews

Seattle Facial Plastic Surgeon

www.seattleface.com

Prevention of bruising and swelling from fillers

Many dietary supplements, medications, vitamins, and herbs are associated with excess bruising from filler injections. Those to avoid for at least 10 days prior to injection include non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Motrin, Advil) or naproxen (Aleve), aspirin, vitamin E, omega-3 fatty acids (fish oil), licorice, garlic, ginger, ginkgo, and other herbal supplements. I have not seen studies showing vitamin D has any effect on bruising. The degree of... more

Vitamin D is okay

You can continue taking your vitamin D as usual. I advise patients to stop aspirin that is not medically necessary 10 days prior to the procedure. Herbals (ginko, ginseng, garlic), vitamin E, and fish oil should be stopped 1 week prior to the procedure. You should also avoid alcohol and certain pain medications (ibuprofen, aleve, naproxen) for 2 days. While studies have not shown Arnica to prevent bruising, the product has a loyal following. Lastly, invest in a good coverup! DermaBlend... more

How can you prevent bruising and swelling from dermal fillers?

Avoiding aspirin-containing products, Ibuprofen, fish oil, Vitamin E, ginseng, ginkgo, ginger and garlic supplements will reduce the risk. Further, starting an Arnica Montana supplement prior to and generously icing the area following the treatment can reduce the risk of bruising. Most importantly, an experienced injector can minimize the risk and avoid any serious filler-related complications. I hope this information is helpful. Stephen Weber, M.D., F.A.C.S. Lone Tree Facial Plastic... more

Avoiding bruising and swelling from fillers

Some people will bruise from fillers no matter what, but there are some steps to help. To prevent as much as you can, I ask people to stop taking any non-essential vitamins and aspirin a week before injections. You can also start taking Arnica Montana which is available at Whole Foods for less than $15. Pre-procedure I recommend people take the pellet version (follow directions), and post-procedure to continue that and use a topical Arnica if they do have any bruising. Both seem to help... more

Usually stop all vitamins 2 weeks prior

I would recommend stopping anything that is not absolutely essential 2 weeks prior to any procedure. You can restart the next day post procedure. That should limit any bruising risk as much as possible. I'm not aware of Vitamin D causing major bruising problems, but you are right about Vitamin E and Fish Oil. I also have a few patients who eat garlic just before procedures and note bruising. Consider pre-treatment arnica montana and post treatment bromelain... more