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How Can I Prevent Bruising from Restylane or Juvederm?

whats the secret to minimizing bruises from wrinkle injections like juvederm or restylane? Should I apply ice to the area of injection?

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How to Reduce Your Bruising Risk for Juvederm

To reduce the chance of bruising from Juvederm, there are a few things your doctor should advise. You should definitely steer clear of any type of blood thinners 10 days before your appointment. Advil, Motrin, Asprin and Aspirin-containing products should all be avoided, as well as some prescription drugs and herbal supplements. Also, alcohol should be avoided for a few days before treatment. Some doctors will recommend using Arnica gel on the treated area to prevent... more

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Steven Svehlak, MD

Los Angeles Plastic Surgeon

ASAPS ASPS

How to minimize brusing from Restylane and Juvederm.

With any surgery or injection using Boto, Radiesse, Juvederm, Restylane or others it's best to stop anything that thins the blood including aspirin, advil, Vit C, Vit E, fish oil, Niacin and others. You can ask your local pharmacist for a complete list. Once that's done the after the injections, we tell ourr filler and surgery patients to take Arnica 12 C to help reduce bruising and to apply ice to the are periodically for 1-2 days. Hope this helps. more

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Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon

Preventing Bruising from Restylane or Juvederm

There are a few things that you can try to help minimize bruising. First of all. I request that my patients stop all supplements that may have blood thinning properties. Also, it is important for patients to stop taking aspirin and meds that have aspirin containing qualities. Patients can also start taking Arnica and Bromelain 3-4 days prior to the injections. Ice can also be applied to the area after the treatment. All of these suggestions may help, but will probably not stop... more

David Alessi, MD

Beverly Hills Facial Plastic Surgeon

How To Minimize Bruising Following Cosmetic Injections

Unfortunately, there is no way to prevent bruising, as bruising is actually bleeding in the tissues under the skin and any time you place a needle into the skin, there is always a chance that a bruise can occur. However, with that said, there are ways to reduce the likelihood that you will bruise. First, unless you have a medical condition that would make this necessary, you should stop taking aspirin, ibuprofen or other antinflammatory medications at least 5 days prior to your procedure... more

Arnold W. Klein, MD

Beverly Hills Dermatologic Surgeon

To reduce the chance of bruising from a cosmetic...

To reduce the chance of bruising from a cosmetic injection such as BOTOX, Restylane, Radiesse, Sculptra, etcetera, steer clear of the following for 2 weeks before your treatment, and do let your injector know if you have taken any of the items below: Prescription medicines to thin the blood such as Coumadin, Heparin, and Persantine. ALWAYS ask your doctor first prior to stopping these medications as they are preventing dangerous blood clots in your body. (You will only be allowed off of... more

Jonathan Hoenig, MD

Beverly Hills Oculoplastic Surgeon

Prevent bruising

Three things 1) hold pessure on the injection site immediately for 5 minutes 2) use ice over the area for 10 minutes afterward 3) make sure the surgeon uses a 30-gauge, sharp injection needle so as to cause as little trauma to the tissues as possible

Richard Galitz, MD

Miami Facial Plastic Surgeon

Juvederm Ultra, Restylane, and bruising

Erin, Thanks for the question. While it is impossible to predict the likelihood of bruising when undergoing injectable filler procedures with products such as Juvederm Ultra or Restylane, in general, we recommend patients refrain from drinking alcohol, and abstain from medications such as NSAIDS( ibuprofen), aspirin, Vitamin E, and any other medication which predispose to "thinning" the blood, prior the procedure. Additionally, I like to ice the area of injection prior to the... more

Glenn Vallecillos, MD

Beverly Hills Plastic Surgeon

ASPS

Choose a gentle injector!

Although there are no guarantees on bruising, gentle technique goes a long way towards minimizing bruising and swelling! Other ways to prevent bruising including the following: Avoid aspirin, Advil, Motrin, or other oral medications which encourage bruising for at least 7 days before your treatment Ask your physician for Arnica Montana. This herbal homeopathic remedy is used by many injectors to reduce post-treatment bruising and has few associated... more

Gregory A. Buford, MD

Denver Plastic Surgeon

ASPS

Bruising certainly is a risk with all fillers

I have extensive experince with fillers and sometimes I get brusing and sometimes I don't. As a facial plastic surgeon I am very familiar with all the intricate facial anatomy. A few things to keep in mind are that certain areas of the face seem to be more at risk for some bruising than others. Also, the amount used as well as the type of filler may have a role. A small amount is less likely to bruise than a large amount. Avoid anything that can thin the blood prior to your... more

Robert F. Gray, MD

Bay Area Facial Plastic Surgeon

Minimize Bruising with Facial Injections

Any cosmetic surgery, procedure, or product has the potential to result in bruising, and skin discoloration. Luckily, most of this bruising is temporary and fades away in a few days or weeks. More extensive procedures may take longer to recover. What can one do to proactively minimize the bruising after cosmetic plastic surgery? To help have the best outcomes after plastic surgery, follow the basic guidelines below, whether you're having a lunchtime cosmetic Botox injection, face lift, or a... more

Houtan Chaboki, MD

Washington DC Facial Plastic Surgeon

Minimize bruising with Injectable Fillers

Minimziing bruising is no secret, however, we always recommend that our patients stay clear of Alcohol for a minimum of 48 hours prior to treatment, no NSAIDS (Aspirin, Motrin, etc), Fish Oil, Flax seed oil, Vit. E, or other vitamins/herbs that can thin your blood for 1 week prior to treatment. You can start taking Arnica Montana orally 1 day prior to treatment to minimize bruising, and continue to take it until all bruising goes away. You can ice prior to and after... more

Grant Stevens, MD

Los Angeles Plastic Surgeon

ASAPS ASPS

Avoiding Bruising with Juvederm and other Fillers

There are quite a few things that can be done to minimize bruising after fillers such as Juvederm or Restylane: avoid aspirin and non-steroidal anti-inflammatory meds such as ibuprofen, naproxen, etc for 1 week prior to injections avoid supplements that thin the blood, including Vitamin E, fish oil, garlic, ginseng, Ginkgo, glucosamine, etc. ice the area to be injected for about 5 minutes prior to the treatment. ice several times (about 10-15 minutes... more

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Mark J. Lucarelli, MD

Madison Oculoplastic Surgeon

Filler - minimizing bruising

Unfortunately bruising varies from individual to individual and also is technical. A few things you can do to decrease your chances of bruising are to avoid aspirin, alcohol, anti-inflammatories, and herbal medications that can cause increased bleeding. Avoiding exercise for about a day after your injections and icing, as well as keeping your head elevated also helps. Dr. Cat Begovic M.D.

Catherine Huang-Begovic, MD

Beverly Hills Facial Plastic Surgeon

Avoid "blood thinners" like ibuprophen before any injection or surgery

To avoid bleeding, which causes bruising when having any injections or surgery, avoid aspirin and ibuprophen, (most important!), for at least one week before an injection, 2 weeks before surgery. Other "blood thinners" include:fish oils, garlic,ginseng,ginko and green tea. Arnica Montana homeopathic pills have been shown to decrease bleeding and bruising, (start taking the day before). The area that is injected also determines how likely a bruise might be- the lower face... more

Debra Irizarry, MD

Crestone Plastic Surgeon

ASPS

The most important prevention technique for bruising is to stop taking any medications that may thin the blood

The most important prevention technique for bruising is to stop taking any medications that may thin the blood, thereby putting you at higher risk for bruising. That includes: Aspirin, Advil, Motrin, or any similar products (the only pain reliever that does not contribute to bruising is Tylenol), Omega 3 fatty acids, and Vitamin E. And, of course, stronger blood thinners like Coumadin should be avoided as well. Products which will speed up the resolution of any bruising, should it occur,... more

Michael R. Macdonald, MD

Bay Area Facial Plastic Surgeon

Minimize Bruising with Injectables

Bruising can occur with any procedure, but there are techniques that can minimize the odds. First of all, if you are taking aspirin, extra vitamin e, ginkgo, or other exotic supplements, stop them at least 1 week before the visit. Stop all other NSAIDS 2-3 days before your visit. Use of ice on the area to be injected is sometimes helpful prior to and immediately after injection. Lastly, use of arnica montana after treatment can also help fend off bruising.

Stephen Prendiville, MD

Fort Myers Facial Plastic Surgeon

Zimmer chiller, good technique, and arnica are best for preventing bruising from fillers

Blowing ice cold air from the Zimmer unit on the area while injecting fillers not only cuts down the chances of bruising but also makes the injections almost painless. We also use excellent technique and tiny needles and arnica pills as well.

David Hansen, MD

Beverly Hills Dermatologic Surgeon

Reduce risk of bruising after injection

Many answers here addressed important points. While it is impossible to guarantee no bruising, there are things we can do to significantly minimize bruising. Aspirin, vitamin E products, and Nonsteroidal anti inflammatory medicine (ie Motrin) should be stopped ideally 2 wks before the procedure. An experienced surgeon also will be able to properly inject fillers and Botox which will also help lower risk of bruising. An important point is when a bruise develops during injection, quick... more

Corey S. Maas, MD

San Francisco Facial Plastic Surgeon

Preventing bruising during filler (like Juvederm) injections

Thanks for the question - Of course much of the chances of getting significant bruising after injection can be technique dependent. Avoiding major arteries, staying in the appropriate plane and using proper injection technique can help to avoid bruising. Additionally, in our San Francisco area office we use cool compresses prior to injection to constrict the blood vessels and decrease the amount of bleeding. Also, careful history taking to make sure our patients aren't on aspirin or other... more

Steven H. Williams, MD

San Francisco Plastic Surgeon

ASPS

Unfortunately, there is no way to absolutely eliminate...

Unfortunately, there is no way to absolutely eliminate the possibility of bruising, so we ask our patients to not have big plans for a week after injections. They also avoid aspirin and motrin-type products for a week before injection and take arnica around the time of the treatment. With all these measures, bruising is usually minimal and short lived.

Richard P. Rand, MD, FACS

Seattle Plastic Surgeon

ASAPS ASPS

Don't take aspirin, Motrin, Advil, or Aleve (ie...

Don’t take aspirin, Motrin, Advil, or Aleve (ie NSAIDs) at least a week before and a week after injection, as these medications can lead to more bruising. Intermittent icing is recommended for about the first 6-12 hours after injection to help with swelling and possible bruising. Arnica Montana herbals have anecdotally been said to lessen the bruising related to procedures, but I do not typically recommend this to my patients getting Botox.

Jennifer Walden, MD

Austin Plastic Surgeon

ASAPS ASPS

To reduce the potential for bruising from a cosmetic...

To reduce the potential for bruising from a cosmetic injection, avoid the following for at least 2 weeks prior to treatment: Vitamin E Anti-inflammatory medications, such as ibuprofen (Advil, Motrin), naproxen (Aleve), St. John’s Wort, ginko biloba, and any supplement or medication that thins the blood.

Renato Saltz, MD

Salt Lake City Plastic Surgeon

ASAPS ASPS

Less bruising after Juvederm

It is impossible to completely avoid bruising and swelling from injectable fillers such as Juvederm, Restylane and Perlane but there are precautions you can take to minimize your risk. First you would want to stop all of your blood thinning medications and supplements, Aspirin, Ibuprophen, Vitamin E, fish oils and herbal supplements, one week prior to the appointment. There is also a homeopathic supplement Arnika Montana, that you can start taking the day prior to treatment... more

Michele S. Green, MD

New York Dermatologist

Juvederm

Ice after an injection is a good idea to decrease swelling & a little pressure to decrease bleeding and bruising, but not so much to distort the filler location. Avoid herbs, aspirin, vitamin E, fish oil, and any of the salicylate drugs like Advil, etc. at least 2 weeks prior to the treatment. You may also use anti-bruising substances.

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Sonia Badreshia-Bansal, MD

San Francisco Dermatologic Surgeon

Preventing bruising with Juvederm injections

I have had the best success in minimizing bruising of the face with Juvederm injections by first having my patients avoid asprin, advile, motrin, alleve, ibuprofen, vitamin E etc.. for 1 to 2 weeks before injection if possible. On the day of injection I apply a small solid ice pack and pressure to the site to be injected for 10-15 seconds. The injections need to be precise and gentle then the solid ice pack is applied with pressure again. The patient and I get into a... more