Pain and bruising after Perlane normal?

I had one syringe of Perlane today for marionette lines. My left side needed more than the right side. It also is bruised and painful. Is this normal and will it look better tomorrow? It's barely noticeable, but I see a slight improvement. Thank you.

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6 answers to “Pain and bruising after Perlane normal?”

A: Time will tell

Christopher L. Hess, MD

It's very common to need different amounts of filler for lines on opposite sides of the face.  The bruising is unfortunate and will take the usual 2 weeks to resolve.  The swelling should be noticeably better tomorrow.  Remember, dermal fillers are not without complications but, as in your case... more

A: Perlane and other HA's absorb water

Kevin Ende, MD

Perlane and other hyaluronic acid fillers are hydrophilic, which means that they absorb water. Aside from the normal response to tissue trauma mentioned in the other answers, this hydrophilic property can add to the additional swelling.

A: Blueberry Muffin

Kenneth R. Francis, MD

Muffin, Any injectable can cause bruising and pain.  Apply ice for 10 minutes on and 10 minutes off, sleep with your head elevated tonight and call your doctor for recommendations for medications such as Arnica or Bromelain that can decrease bruising.  Good luck!

A: Yes

Scott E. Kasden, MD

Even though you are just getting injections, the needle and the filler are traumatic, and it will cause inflammation (how we respond to injury).  give it time to settle down, and in a few days, it should be fine. sek

A: Bruising Normal, Pain Should Ease

Arnold R. Oppenheim, MD

   It is not uncommon to have farily substantial bruising after Perlane. Perlane is injected deeper into the dermis than Restylane or Juvederm Ultra. Plus, many physicians choose to inject with a larger bore syringe, i.e. 27 gauge. This causes increased trauma.     So bruising can be... more

A: 1 day after Perlane injection, bruising sounds normal

Steven F. Weiner, MD

After injection with any dermal filler, having some bruising is not unusual.  Pain can occur, but is rarely very severe, and I have never prescribed any pain medication - not needed.  If your pain is severe, you need to go back to your doc.  Otherwise, it sounds like you'll do fine.

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