Bruising After Restylane in Tear Troughs Doctor Answers, Tips
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Bruising After Restylane in Tear Troughs

I am planning on having Restylane injected into my tear troughs. I'm wondering if I need to plan it for a weekend if the bruising is too bad. How much bruising can I expect after injections of Restylane in tear trough? What is the average?

18 Doctor Answers | Asked by sandysaidhi in los angeles
+2

Bruising after Restylane

Avoidance of undereye blood vessels is key. There are several that are deep that surgoens encounter during cheeklift surgery that should be avoided. That being said, anybody can get bruising from any injection. Aspirin, cold remedies, motrin, etc. worsen the chances; careful technique, local anesthetic and ice diminish it. We usually ask patients to have the weekend free if they contemplate injections of heavy hyaluronic acid fillers such as Restylane or Juvederm.
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Bruising is common after Restylane treatments in the tear trough

There are a lot of blood vessels near the tear troughs, and bruising is relatively common. While some people don't bruise at all, I would say most people have at least small amounts. The severity of bruising can be minimized by taking several precautions: 1. Always choose a well-trained injector. Technique is the most important factor in getting a good outcome and to minimize bruising. The tear troughs are very different than the rest of the face, and proper placement of the... more
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Bruising after tear trough injections

Of all the places we put fillers, I believe the eyelid/ tear trough area is most susceptible to bruising. The area is very vascular and the skin very thin. So I would certainly plan a couple of days of minimal social calendar activity in case you do bruise. Avoid aspirin and any anti-inflammatory agents that could cause more bruising.

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+1

Bruising after tear trough Restylane injections

Avoiding aspirin, Motrin, Advil, Vit E for 2 weeks prior, employing immediate icing after, no strenuous exercise the day of the injection are all ways to minimize but NOT ELIMINATE the chance of bruising. The eyelid is very vascular and it is not the injector's fault if you bruise. Allow 2 weeks in planning to have the injections done before a big event. This area should only be injected by doctors, and only doctors who do eyelid surgery because they best know the exact anatomy and can... more
+1

Brusing from hyaluronic injections to tear trough

This can vary tremendously from person to person. Avoid aspirin and motrin like products for at least 10 days prior to  injection. Some patients prep themselves with oral arnica supplements before the procedure and continue afterwards. Others prefer ice immediately prior and subsequent to injections.
+1

Bruising after Restylane to the Tear Troughs

Bruising happens whenever blood vessel(s) along the Tear Troughs are punctured with the Restylane needle. It is a known complication which does not always happen but cannot be avoided. You should therefore allow for this possibility and NOT have this procedure less than 2 weeks from an important social event. Although bruising cannot be avoided, it can be minimized by - avoiding medications that make you bleed longer (such as Aspirin,Advil, Ibuprofen, Nuprin, Alleve, Coumadin, Vit E,... more
+1

Lower Eyelid Brusing After Restlane Injections or "You Should See What the Other Guy Looks Like"

Hi Sandy, Most patients do not bruise, but if it occurs, it can be bruised for 10 to 14 days. Best to have the injections at least two weeks before any red carpet event or important affair. Most importantly, choose your injecting physician most carefully in this most delicate and unforgiving area for the injection of filler. Good luck and be well. Dr. P
+1

Restylane bruising isn't the important issue, the person behind the needle is

While you are wondering about bruising, the most important thing you can do is to find someone who actually knows what they are doing as this is the most challenging area of all to inject. We see mess ups galore in this area and wish that folks would do more investigation. First of all, cheap isn't something that you want in this area. You want to go to someone who is GREAT at this or you will have potential problems that can last for years literally! Second, less is more! If you overdo... more
+1

Any filler injected under the eye can give you a black eye

Restylane, Juvederm and Radiesse injected under the eye in the tear troughs can easily give you a bruise, and it could take 5-10 days to disappear. Even 1 drop of blood can look pretty noticeable in this area so make sure you have a good week at least when you don't have any major events planned.
+1

It is usually all or nothing!

This area either bruises not at all, or you get a bruise that will last a week. Be sure you are off of aspirin, ibuprofen, Vitamin E, and fish oil for 2 weeks prior to injection. Ask your doctor about the "push ahead" technique which traumatizes tissues less. Pre-treat with Prevedem by Neocutis to decrease bruising before, and after injection, try Bruise Relief gel, available at drug stores. Oral arnica may help as well, if OK'd by your primary care physician.
+1

Bruising after Restylane in the tear trough

If the physician is injecting the filler in the subcutaneous compartment under the skin and above the muscle, bruising can at times be more noticable, and the filler more lumpy, than when injected below the muscle. Bruising can occur as a result of the latter as well. The color of the bruise will fade over two weeks. Avoid any aspirin for two weeks prior to the injections, no Motrin, Advil, Ibuprofen, Alleve and other nonsteroidal antiinflammatory agents for a few days before, and no... more
+1

Minimizing bruising after injections to tear troughs

Because of the capillaries in the area, bruising is difficult to predict for injections into the tear trough area. I have had very good results using a non-cutting needle, and recommend it when I teach injectable courses. I haven't had a case of significant bruising this way. Standard advice is of course to avoid aspirin, ibuprofen, or herbal supplements that can impair blood clotting. It is always a good idea to not have a full social schedule for a couple of days after the injections just... more
+1

Plan for a long weekend for Restylane recovery

Fillers work well in the tear trough area. The main down side is the possibility of bruising and it may take a week for it to resolve. Avoid aspirin for two before injection and also start taking Arnica and Bromolin before and after injection. Make sure your doctor has experience with this procedure.
+1

Bruising after Restylane to the tear troughs

Bruising and swelling with tear trough/undereye injections can be considerable and may last 7-10 days. It would be best to have a good cover-up makeup to camouflage the bruising while you are healing. I would not expect all the swelling and bruising to be gone even after a weekend, and I would not schedule the procedure within 2 weeks of an important social occasion. Good luck.
+1

Think of this Restylane procedure as surgery in a syringe

This treatment is about as close to a magic wand as we have. However, you still have to be poked with a tiny needle and yes, this area is prone to bruising. I have one of the largest practices of under eye Restylane practices in Los Angeles, so I am in a good position to tell you about bruising. Typically, 30% of patient have some type of bruising. About 2% get a shiner, you know, a big black eye. They can easily last 10 days or more and are very hard to cover up with make up. Avoiding... more
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Bruising after Restylane

Bruising is not uncommon with Restylane. We see it approximately 4 % of the time. However, bruising is more common under the tear troughs since that skin is fragile and thin. Thus, you should plan on bruising after filler treatment and if you dont get any, you will be that much happier.
+1

Bruising after Restylane for Tear Trough

Hi, Typically, one can get away without bruising with this procedure, however if the needle penetrates a blood vessel, then you'll get a bruise. The restlane is usually placed deep so as to avoid unusual bumps and bruises. Best, Dr.S.
+1

Bruising after Restylane in tear troughs

A 'what if' question. There are percentages of patients that can become bruised after Restylane. Also the time for the black & blue to disappear varies. The best answer is based on time -- rarely 2 to 3 weeks, most recover in days. Regards.
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