Icing Before and After Juvederm for Swelling and Bruising?

Should my plastic surgeon be applying ice pre and post procedure to help minimize swelling and bruising? I just had it done and have horrific bruising.....no ice, numbing cream or local was used in my procedure. Please advise!!

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4 Doctor Answers | Asked by laura whaley

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Several factors for Juvederm swelling and bruising

Thanks for your question. Bruising is individual, and is also related to the location, technique, medicines, and other factors. Bruising happens when small blood vessels are damaged -- either nicked by the needle going in, or bursting from the pressure of what's injected. The blood in these vessels leaks into the surrounding tissue and leaves you bruised. Certain medicines such as Aspirin, Advil, etc. will cause these damaged vessels to bleed more and lead to greater bruising. To... more

Using a microcannula for Juvederm or Restylane, greatly reduces Bruising

The microcannula is easily the biggest advancement in the last 5 years for fillers. It has the following advantages.: Less bruising. About 5% of my patients now get bruises after injections. Less trauma. The number of injections is much less using a cannula. Smoother results. The filler comes out smoothly and the injector has greater control over where the filler is placed. Improved safety. Using a microcannula reduces the risk of... more

Juvederm swelling, bruising

Laura, Thanks for the question. Sorry to hear about the bruising. We recommend people abstain from medications that are conducive to "thinning" of blood and subsequently predispose you to a higher likelihood of bruising. The products include NSAIDs such as ibuprofen, aspirin, and vitamin E. Alcohol should also avoided prior to an injectable filler procedure. We do make it a practice to ice the area of injection, both prior to, and immediately following the injection, with the... more

Icing Before and After Juvederm for Swelling and Bruising

Of course, the most important issue is to avoid medications such as blood thinners, aspirin, Nsaids, and Vitamin E or Omega-3 oils prior to injection. Ice prior to and after injections can be helpful with pain as well as bruising.