Restylane: Q&A
Ask a QuestionInput Please- MD Icing / Pressure Protocol When Veins Are Hit in Tear Troughs?
A vein was hit when Restylane was injected under my lower lids. My PS iced and applied pressure for one minute or less before continuing injecting. He did not ice at all before or after- but sent me home with an icepack. (No blood-thinning supplements factor in, and thorough home-care by me afterwards.) It seems that reasonable MD protocol would be to apply pressure and ice the area immediatley and longer to reduce bruising. What would you, as an MD, do?
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9 Doctor Answers |
Asked by
Lilliana M.
in Portland, OR
+3
Risks of Bruising with Injections around the Eyes
Injecting any of the hyaluronic acid fillers such as Restylane of Juvederm around the eyes, in my opinion, has the highest risk of bruising of anywhere on the face. Even with the correct injection technique there is always the chance of hitting a vein and causing a significant bruise in this area. All of my patients are warned of this possibility before any injections are done. So obviously luck unfortunately plays a role as well. If necessary, I will have the patient apply pressure for at...
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+3
Bleeding with fillers
Lilliana,
The coagulation cascade can take up to 12 minutes to work, therefore I always recommend that gentle pressure be applied to the area for 10 minutes continously. The use of ice for hemostasis(stopping bleeding) does not help. The pressure must be gentle as I do not want you manipulating the filler that has just been placed in the area. Rubbing or constant motion might cause the bleeding to start again, along with possible displacement of the filler. Gentle...
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West Palm Beach Plastic Surgeon
+3
Pressure not icing for veins hit during injections
You need to hold steady, firm pressure to the area for 10 minutes without lifting to see if the bleeding has stopped. Ice does nothing at all.
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+3
Pressure for 5-10 minutes immediately after fillers can reduce bruising
Pressure for 5-10 minutes immediately after fillers can reduce the incidence and severity of bruising. I have found that 10 minutes works better than 5 minutes, and for the past couple of years have had my patients apply firm steady pressure to the treated area as soon as the needle comes out of the skin. Pressure is vastly more effective than ice after the injection.
If a patient gets a bruise in spite of this, they can return to see me in a couple of days and we can treat the bruise...
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+1
Always a chance of bruising after injections
Greetings Lilliana~
Whenever someone undergoes injections, whether it be for cosmetic reasons, getting a vaccination or venipuncture, there is always the risk of a bruise, regardless of the skill of the injector or the care taken. We always advise patients that they will very likely have bruising when we inject around the eye and tear trough area and therefore it is not wise to do before a big event or if they have plans the week following the procedure. Though applying...
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+1
How to treat bruising with tear trough Restylane injections
All good feedback from the panel members.
With regards to pressure being applied, we find that using more pin point pressure with a large swab or Q-tip is more effective. In these situations, we do not rush the process and provide adquate time to stop the cascade of events. Icing has helped with the swelling that wants to settle into this unforgiving area.
In a situation wherein someone is experieincing bruising that is beyond a small area, the treatment is...
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+1
Bruising after restylane injections
I don't find that ice helps at all in limiting bruising. Ice may help reduce swelling. If a vein is inadvertently injected, then I have my patient or assistant hold pressure. Small capillaries only need several seconds but a vein can take several minutes. If someone is taking aspirin, fish oil, vitamin E, Advil, Ibuprofen, Alleve, Motrin, and other blood thinners, then the time of pressure should be about ten minutes. The amount of bruising may be less with taking...
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+1
Bruising after Restylane injection
One of the potential side effects on injection is bruising, especially under the eye. This is a very sensitive area with a lot of blood vessels. I always tell my patients the potential of bruising. Although bad bruising rarely happens, there can sometimes be extensive bruising, which depends on various factors including if you take any Omega-3, Aspirin, blood thinners, alcohol etc. Pressure is the most important thing that you can do. Holding it down for about 10 minutes is very important....
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+1
Please lighten up on your plastic surgeon.
Lillian
As I posted yesterday, bruises happen when you get poked with needles. Even having your blood drawn can cause a nice bruise. Doing filler is associated with a definite risk of bruising. Yes it is helpful to be prepared by the injector that you can bruise. Please see my post from yesterday.
Any of us injecting a lower eyelid will immediately address an area that is trying to bruise at the time of injection with direct pressure. I for one do...
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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