Juvederm: Q&A
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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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63 Doctor Answers |
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anon
+8
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...
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+5
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
+5
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...
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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...
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+5
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...
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+5
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...
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+4
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 treatment...
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+3
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.
+3
A Laser solution for injection bruising
The answers here offer excellent information about how to avoid injection bruising. We give our patients much of the same information before their treatments but in some cases, bruising is unavoidable either because the patient cannot stop their medications or because they are more prone to bruising.
In these cases, we have an excellent post injection bruising removal technique. Pulsed dye lasers are designed to treat vascular conditions like Rosacea and port wine stains so the target for...
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+3
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.
+3
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...
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+3
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.
+2
The best way to avoid bruising with fillers is to use a microcannula
The introduction of the microcannula is an amazing advancement for the fillers! The microcannula is the same diameter as traditional needles, but it has a rounded tip that doesn't cut arteries and veins the way a needle does.
In my practice I've seen the bruising rate decrease from 30% to less than 5%.
Other tips incluce:
Plan time on your schedule so if you do bruise, it's not the end of the world.
Avoid aspririn, Motrin, St. Johns Wort, high...
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+2
How Can I Prevent Bruising from Restylane or Juvederm
Avoidance of aspirin, Motrin, Alleve, and other types of these pain medications for at least a week prior to injection will help minimize bruising. Also Vitamin E and fish oils can contribute to this problem. An experienced injector with a good technique is also a key to decreased bruising. And finally the use of ice after injection will help as well.
+2
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...
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+2
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...
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+2
How to minimize brusing from Restylane and Juvederm.
With any surgery or injection using Botox, 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.
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+2
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...
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+2
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...
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+2
Avoid Bruising
Best to Avoid any Aspirin 2 weeks prior to injections as well as any fish oils and/or herbal suplements-also avoid Aleve or Motrin 1 week prior-Arnica sublingual tabs have been very helpful in our practice and we order them from Vitamedica-they cost $10 per pack and I include that with most of my injection patients who have a history of bruising
+2
Two Tips for Controlling Bruising
2 Two tips for limiting bruising after injections have really helped my patients eliminate any downtime - avoid aspirin products for 10 days prior to the injection appointment (Advil, Motrin, ibuprofen, aspririn), and take Arnica Montana. Arnica is a micronutrient vitamin that has been shown to reduce bruising.
+2
Reduce bruising after Juvederm, Restylane, Sculptra, Radiesse
Bruising after dermal fillers is more common in some people than others. You can do things to reduce the bruising. In my practice we give patients the following instructions.
BEFORE TREATMENT TO REDUCE BRUISING FROM DERMAL FILLER
For one week before, avoid aspirin, NSAIDs (Ibuprofen, Aleve, Motrin, etc.), St. John’s Wort, Vitamin E, Multivitamins (often contain Vitamin E), Fish Oils, Flaxseed Oils, Omega-3, Gingko, Ginseng, Garlic and Glucosamine.
Go to store...
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Amarillo Dermatologist
+2
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.
+2
Prevent bruising from Restylane or Juvederm injection.
Since needles into tissue are involved with HA filler placement, and anywhere on the face is a very vascular area in general, it is wise to do the following before any needle stick (filler or Botox):
1) Avoid aspirin (Excedrin, Bufferin, etc.) or ibuprofen (Advil, Nuprin, etc.) for two weeks before treatment. These medicines interfere with platelet activity and cause more bleeding and/or bruising.
2) Use ice, which helps not only with discomfort, but also vasoconstriction, and...
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+2
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...
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+2
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,...
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+2
Minimize risk of bruising for injectable fillers.
There is no way to guarantee zero risk of bruising, even with the most careful technique by the most skilled appropriate injector, but there are several tricks to minimize risk:
Avoid aspirin, ibuprofen, and other similar medications for TWO weeks prior to treatment
Use ice packs right after treatment and even later that day on and off
Do not exercise during the same day after your treatment
Make sure you see an experienced and conscientious board-certified core...
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+2
Reduce and treat bruising from injectables - plan ahead!
Plan out 2-3 WEEKS not days for minimal bruising. No Aspirin, over-the-counter pain relievers except Tylenol, and NO SUPPLEMENTS!! Fish oil, glucosamine, etc can cause bruising just like aspirin. Try not to get injected while you are cycling- menstruation can affect your bruisability.
Prior to your injection ask the injector to apply ice to the area to shrink the blood vessels under the skin. Despite all this, if you still bruise (hyaluronic acids like Restylane and Juve will be more...
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+2
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...
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+2
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.
+2
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.
+1
Bruising Prevention with Dermal Fillers
The risk of bruising can be reduced by avoiding blood thinning agents such as aspirin, advil, fish oil, and vitamin E 5-7 days days prior to your treatment. I also suggest arnica tablets to my patients both before and after injection. Ice can also be helpful if needed.
+1
How Can I Prevent Bruising from Restylane or Juvederm?
Prior to injection one should avoid blood thinning agents such as Aspirin, NSAIDS ( Motrin, Alleve, Advil), and Vitamin E and Fish oils. Using ice after the injection will help as well. Some patients have used arnica Montana and pineapple prior to injections because they decrease inflammation. An experienced injector with a good technique is also important to decreased bruising.
+1
Bruising can be reduced
Bruising has to do with bleeding when a skin blood vessel is pierced. These are soem of my suggestions. 1. have an expert doctor injector do it. 2. dont take anything that thins out your blood for 2 weeks prior (asprin, motrin, alleve fish oil, etc) 3. take homeopathic arnica montana
see video
+1
Brusing Prevention from Restylane and Juviderm
There is no sure fire way to prevent some bruising, but things that may help would be-first and foremost-go to a reputable Dr., some other things that may help would be to ice up the area a little before and after, and also if it's possible, maybe to void NSAID's about two weeks prior.
"Dr.D"
Fayetteville Facial Plastic Surgeon
+1
Preventing Bruising with Fillers
Bruising can be prevented by avoiding blood thinners such as aspirin, vitamin E, fish oil, etc. approximately for 10-14 days prior to your injection. A skilled injector with knowledge of the facial anatomy can minimize bruising, but unfortunately there are no guarantees.
+1
How to prevent bruising from injections
During an injection, whether it is Botox or filler, there is soft tissue trauma. As a result, there is a risk for bleeding and a subsequent bruise. Ideally, we try to optimize the circumstance so as to prevent this unwanted outcome.
Outside of practitioner technique, there are multiple elements that can promote bruising. With regard to medications, there are required medications and elective medications. Required medications include Plavix, Heparin, Warfarin, Lovenox, etc. These...
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+1
To reduce bruising with Restylane or Juvederm, use blunt cannulas and avoid blood thinners
I have greatly reduced my incidence of bruising with the use of blunt cannulas for my dermal fillers. Although I will inject clients who are on blood thinners for medical reasons (coumadin and plavix), I recommend clients stay off any non-essential supplements and advil, aspirin, for their procedure. If a bruise occurs, the VBeam can be used to significantly reduce the duration of the bruise (see my pics in the VBeam section) and it is painless and given as a complimentary...
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+1
Bruising
Bruising can be managed if the patient is not on blood thinners or has taken aspirin prior to the procedure. Post procedure arnica may also be useful.
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Guidelines for minimizing bruising from Juvederm/Restylane
Choosing a trusted and experienced injector will reduce the amount of bruising you experience from injections like Restylane, Juvederm, Botox, and Radiesse. One of the new advances that decreases bruising is using micro cannulas rather than sharp needles.
Some things to avoid two weeks prior to and immediately after your injection:
NSAID's like Ibuprofen, Naproxyn and Aspirin (and Aspirin-containing medications, before and after surgery)
Any blood-thinning...
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+1
Preventing Bruising from Restylane or Juvederm
Hello there,
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...
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+1
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...
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+1
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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Ice or pressure immediately helps
You or your doctor should put pressure on the injection site immediately after injection for a few minutes. Ice or pressure later after the bruise has formed will not have any effect.
+1
Juvederm and how to reduce risk of bruising.
It is best to stop all aspirin and aspirin containing compounds for two weeks prior to injections. You should also avoid vitamins and herbs that may cause thinning of the blood like vitamin E, ginko and many more. I have a full list of supplements and aspirin containing products I supply to my patents at their
consultative visit. Prior to any injections this is reviewed along with other medications the patient may be taking to help limit the amount of bruising for the procedure. These...
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+1
Avoid thinners like aspirin or advil to reduce injection bruising
Any injection can produce bruising. Our faces have a very strong blood supply.This is wonderful because it helps us heal faster and reduces risk of infections. The down side is the chance of bruising.
This can be reduced by applying ice just before and after the injections. Avoid any blood thinner such as aspirin, advil, and aleve for the 10 days it takes to clear from your system. Some think Arnica Montana helps reduce bruising. ...
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+1
Minimizing bruising with Restylane and Juvaderm
There is no guarantee that you won't get some bruising after any type of injection but following these simple guidelines should help keep it to a minimum.
For the patient before injections: Stop all aspirin or medicines which act like aspirin (ie Motrin, Advil, Ibuprofen) or blood thinners 2 weeks prior to the injection, as long as it is cleared by your doctor to do so.
For the surgeon during injections: Use the smallest needle diameter possible. Inject slowly and...
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+1
Restylane and Juvederm Bruising, prevention
While there is always a risk of bruising with any injection, they can be minimized by using ice to the treatment area BEFORE the injection. If a bruise does occur, it can be minimized by placing ice over the treated area AFTER the injection as well.
In addition, the use of the smallest possible needle during the injection will minimize the risk of injuring a small blood vessel and therefore reduce the risk of bruising.
Thee are the measures you can take to minimize the risk...
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+1
Minimzing bruising with fillers
Before you get a filler, we advise patients to stop all ibuprofen or similar meds that can thin your blood. Icing the area can help some as well before and after the injections. We try to use techniques to minimize trauma to the area and subsequent brusiing, but despite all this, sometimes you will still bruise.
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Preventing Bruising After Fillers
There are several steps for minimizing bruising after facial fillers:
Technique- The most important thing in minimizing bruising. Every injector will have his/her own techniques to minimize this
Avoidance of blood thinners- Ideally, patients will discontinue blood thinners prior to an injection.
Icing- Important to do so preinjection and postinjection
+1
How to reduce bruising with Juvederm or other Facial Fillers
In out Jacksonville plastic surgery practice, we attempt to minimize bruising when injecting any filler including Juvederm, Restylane, or Radiesse by using the following techniques. 1. Minimize needed sticks 2. Place ice before and after the injection 3. Visually inspect for superficial veins and avoid them 4. Some light pressure directly after injection.
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Bruising from Restylane or Juvederm injections may be unavoidable
Any time you are stuck with a needle, you can develop a bruise. In my practice, I use very small needles, and have the patient ice the area before and after the injection. I do get some bruising in about 10% of my patients, but most of the time the bruises are pinpoints and can be covered with makeup. In general too, I encourage patients to stop herbal remedies, fish oil, aspirin and ibuprofen for two weeks before treatment, but I am sure that not every patient is compliant with this,...
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+1
Reducing bruising following Restylane or other injections
All of the above answers are good. I personally believe, however, that most bruising is related to the little bit of immediate bleeding under the skin following the introduction of the needle. I try to minimize the trauma from the needle and only pass the needle where necessary. The best way to minimize bruising is to gently compress the injected area as soon as possible for several minutes to allow the injured blood vessels time to clot so they leak less.
After an...
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+1
Keys to minimize bruising with fillers
You should choose the right filler for different facial anatomic areas and occasions. For example, if you have an important social occasion in 3 days, I would choose Evolence for nasolabial folds. Juvederm can be slightly less likely to cause swelling and bruising on lips and tear troughs though this may not be consistently true for everyone. The keys to mininimize bruising with fillers is to find a competent and experienced board-certified dermatologist or plastic surgeon who takes time for...
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+1
No secrets to preventing bruising with dermal filler injections
Some things are obvious, like avoiding aspirin, ibuprofen, and herbal supplements that may similarly impair blood clotting before having Restylane, Juvederm, or other dermal fillers.
Technique is important, but even the best injectors sometimes get a bruise. Ice may help if used during the procedure because it constricts the blood vessels, but is probably not as helpful afterwards.
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How to Reduce Bruising During Dermal Fillers
To prevent bruising during a dermal filler injection such a Juvederm or Restylane
1) Avoid taking Aspirin and Motrin, Advil, even the Advil PM formula (NSAID's) for 7 days before the treatment. You can take Tylenol.
2) Avoid Vitamin E, fish oil, and most herbal supplements/teas.
3) Use ice after the injection to reduce bruising and swelling.
4) Make sure you go to a experienced and gentle injector.
5) Avoid strenuous exercise for 24 hours after injection.
+1
Extremely important things you can do to minimize bruising after any injection
First and foremost, avoid any aspirin or aspirin containing products for five days prior to going for the injection. Don't forget, many herbal products, such as Ginko, also have properties that increase bruising, and you should dscuss any supplements you are taking with your medical professional. Using ice around the time of injections can also decrease bruising. Finally, make sure you see a professional experienced in injecting fillers to optimize your result and minimize side effects.
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+1
Bruising is rare after Restylane and Juvederm.
Hi!
1) Go to an experienced doctor.
2) For a week before fillers, do not take aspirin or Advil.
3) Apply ice packs after the injections.
+1
Buising Minimizing Techniques for Injectables
Unfortunately there is not a text book answer to this question. We ask our patients to avoid aspirin, motrin, aleve products and even some vitamins. There is also a product called Arnica which you take around the time of your injection and this help to minimize any bruising that could occur at the time of injection.
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How to reduce bruising during restylane lip injection
Here are some tips:
Avoid blood thinning products such as aspirin
Start Arnica montana 3 days prior to injection
Choose an experienced board certified plastic surgeon who does the procedure frequently
Be certain to ice the lips before the injection (cold constricts the blood vessels)
Be certain to ice the lips for 15-20 minutes after injection and compress the lips between your fingers
Do not have your injection during your menstrual period
Restylane injection and other filler injections...
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+1
Bruising with fillers
Bruising, generally speaking, can happen after injection treatments. Several previous answers made note of drugs to avoid beofre the treatment. We also give the patient sin-nech before we do the filler treatment. It helps with most, but not all. They have a formulation much lower than the that used for surgery--a tablet at the time of injection and a few more every 6 hours after the injection.
+1
Bruising after fillers
Bruising is related to many factors and many are beyond the doctor or patient's control. Some people bruise related to underlying vasculature, skin type, medications, injection technique, injection volume and location of injection. Sometimes bruising is unavoidable. However, typically bruising is very minimal and usually occurs about 10-20% of the time.
Some things that patients can do to minimize the risk of bruising is to make sure that unnecessary medications that are known to cause...
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+1
Many things can help
I would say to minimize bruising, you should avoid some things that cause bleeding before the procedure. This includes aspirincontaining products for 2 weeks and NSAID's for at least a week prior to the procedure. At the time of the procedure, ice packs can help minimize bruising. Also topical agents to anesthetize the skin that contain epinephrine may help as well. Howver, these things do not eliminate the risk of brusing they only help to minimize it.
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