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Juvederm Bruising
asked 4 years ago by anon
Latest answer by Gary Goldenberg, MD
Question viewed 36,173 times
Tags: bruising
I had restaylne in the past and it really bruised. the bruises lasted over 3 weeks!! is juvederm similar in that I will get bruising from the injection?
58 answers to Juvederm Bruising
+1
Will I get Bruising from Juvederm?
Just because you had Restylane injected and got bruising from that doesn't mean that you'll automatically get it again or form Juvederm Injections. Avoid medications that are know to thin the blood as well as Vit C, Vit E, Fish Oil and Niacin supplements before your filler injections. We recommend that patients having filler injections use Arnica 12 C after the procedure which also helps reduce bruising and swelling, IMHO.
+5
Bruising with Juvederm
Any dermal filler treatment can lead to bruising although a skilled and experienced injector may minimize some of the reasons for bruising. When possible avoid blood thinning medications and alcohol prior to treatment. If you can not avoid these, inform the injector of their use. Post operative steps such icing and possibly arnica may minimize the chances of bruising.
+5
Juvederm, Restylane, and Bruising
Bruising is one of the more common complications of injectable fillers. The bruising is not directly caused by the type of filler, but rather, by the size of the needle used to inject the filler, the amount of tissue trauma during injection, trauma to the arteries and veins around the injection site, and the patient's propensity to bleed.
Common causes of bleeding and bruising are a family history of bleeding disorders, ingestion of aspirin, ibuprofen, coumadin, or other herbal...
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Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon
Los Angeles Plastic Surgeon
+5
Unfortunately, any time you get injections under the...
Unfortunately, any time you get injections under the skin you have the possibility of bruising. By inserting a needle under the skin, small blood vessels can be broken, which cause bruising.
In my practice, I've taken to mixing lidocaine with epinephrine into the Juvederm and have found that this reduces the amount of bruising which occurs with patients. Applying ice before and immediately after injection and making sure patients are not taking medications (over the counter and prescription)...
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D.J. Verret, MD
Dallas Facial Plastic Surgeon
Dallas Facial Plastic Surgeon
+3
Bruising from Juvederm is much better using blunt cannulas
I know that I might sound repetitive with my answers on Realself, but using blunt cannulas has greatly reduced bruising for my clients, even in lip injections. I find no difference with the degree of bruising with Restylane or Juvederm In general, the more experienced the person injecting, the less bruising you will have.
+2
Bruising with Dermal Fillers
One of the most common side effects of all dermal fillers, including Juvederm, is the risk of bruising. This risk is increased when patients are on blood thinning medications such as Aspirin or Coumadin. Skilled injectors with a good knowledge of anatomy are less likely to cause bruising, but unfortunately patients anatomy can vary and sometimes it is unavoidable. The bruising usually only lasts 7-10 days with the results of the...
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Neil J. Zemmel, MD
Richmond Plastic Surgeon
Richmond Plastic Surgeon
+2
Minimize Bruising from filler treatment
Any treatment with fillers may result in bruising. This largely depends on the area treated. The area around the eyes is especially prone for hematoma. Since we have started to use blunt cannula we have seen significantly less bruising. You can avoid aspirin or alcohol to minimize the risk yourself.
Robert Kasten, MD
Mainz Dermatologic Surgeon
Mainz Dermatologic Surgeon
+2
How to avoid bruising from filler injections
You can get bruising with any brand of filler. It is not the product itself that determines the amount of bruising. The bruising results from blood vessels that are punctured during the process of injection, and some areas of the face are more prone to bruising than others.
Understanding the anatomy and proper technique are very important. Make sure you choose an experienced doctor with careful and precise technique. (I would recommend going with a board certified plastic surgeon or board...
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Anita Patel, MD
Beverly Hills Plastic Surgeon
Beverly Hills Plastic Surgeon
+2
Bruising is always a potential for injectables
Even with the best injectors, bruising is a potential and is influenced by medications, techniques being used, and areas being treated. In our practice, the few that experienced prolonged bruising (beyond 1 week) seems to be directly related to those that are taking omega acids on a regular basis. A gentle hand and icing will help minimize the potential; however, I would not advise that you find a different injector after one bruising episode.
In our practice, we utilize the pulsed dye...
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+2
Using the Zimmer chiller when injecting any filler or Botox prevents most bruising
All fillers can cause bruising and stopping your meds or stopping that wine with your meal a week ahead of time isn't going to be practical. Chilling the skin while you get the injections is the best way to prevent bruising since it constricts the tiny blood vessels and it makes the injections almost painless as well. I use the zimmer cryac unit on all Botox or filler injections, chemical or laser treatments and anytime I remove barnicles or skin tags as well. Arnica gel or pills is also...
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+2
Minimize bruising after filler
With any filler you can get bruising. I see more bruising typically with hyaluronic fillers such as Juvederm and Restylane, but they are still great products for volume restoration. I think we see the least bruising with Sculptra. To minimize bruising, we recommend avoiding aspirin, advil etc for 7-10 days before. Also arnica supplements have been helpful for some people as have creams containing Vitamin K and/or arnica - such as Biopelle Auriderm post op recovery gel and arnica tablets. We...
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+2
Bruising -- Many Factors to Consider
There is no difference in bruising with restylane and juvederm in my experience. The following are some methods to help decrease the incidence of bruising post injection with NASHA agents: 1. Avoid medications which promote bleeding such as aspirin or advil 2. Avoid herbal medications which can promote bleeding such as Green tea or Fish oil 3. Avoid lifestyle activities which can promote bleeding such as Alcohol consumption 4. A gentle touch- every experienced injector has techniques they...
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Anil R. Shah, MD
Chicago Facial Plastic Surgeon
Chicago Facial Plastic Surgeon
+2
It is always possible to get a bruise with a needle
Whenever you inject the skin with any product that requires a needle, there is a risk of a bruise. This can occur with Botox, Restylane or Juvederm. Having said this, usually there is no bruising or very little. It will help you if you avoid non steroidal anti inflammatories such as Advil, Ibuprofen or even aspirin for a week prior.
Sanjay Grover MD
Orange County Plastic Surgeon
Orange County Plastic Surgeon
+2
Caution in adjusting your medical regimen
I agree whole heartedly with the comments by the other physicians, however be cautious about altering your medical regimen without speaking to your doctor first. This is especially true if you are on stronger medications for blood thinning.
Remember, your health is the first goal.
I hope this helps.
+1
Redness, swelling and bruising after fillers
Bruising is possible with any agent. Some of this is doctor dependent. But provided you went to a good one, most of this is patient dependent. There are several things you can do to decrease bruising: don't take advil, ibuprofen or aspirin, don't drink any alcoholic beverages, don't take vitamin E for 7-10 days BEFORE and 1-2 days AFTER the procedure. Make sure to use an ice pack right after the injections. Do not exercise or over exert yourself after the procedure.
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Gary Goldenberg, MD
New York Dermatologist
New York Dermatologist
+1
Bruising is upsetting but not predictable
Here is what causes bruising with any injections:
Patient uses aspirin, alka seltzer excedrin motrin ibuprofin aleive or naprosyn and doesn't tell her surgeon
Patient has natural predisposition to bruising
Even experienced injectors get a patient occasionally that bruises even when it didn't happen with prior injections
Deep injections cause bruising more than superficial ones especially when large doses are being used
I use both juvederm and restylane and rarely...
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+1
Bruising with fillers
3 weeks is a bit long for bruising after your treatment. Unfortunately both products Juvederm and Restylane cause bruising. They are both Hyaluronics and there is something in the product that makes you bruise. The good news is that they last a long time for the patient. There are some things you can do to decrease your chance of bruising. you want to avoid Aspirin, anti-inflamatories (such as Motrin and Alleve), vitamin E and some herbals for 10 days prior to your treament.. Applying ice...
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+1
Three weeks is too long! How to prevent bruising.
Bruising can occur with fillers but three weeks is definitely a long time. Several things to look at first are: Did you do all you could to minimize the bruising? Avoiding aspirin, ibuprofen, nonsteroidals or any blood thinners the week before really makes a difference in how much somebody bruises. In addition, the technique that the injector uses also makes a difference. I am a firm believer in that icing the area prior to injection as well as afterwards really helps minimize bruising....
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+1
Trying to prevent bruising?
Bruising cannot necessarily be prevented by injections, since it is caused by the needle itself as it punctures your skin into a potential blood vessel; skilled injectors will try to avoid visible blood vessels. I advise staying away from blood thinners such as Advil, Aspririn, Excedrin and Vitamin E the week prior to your injection. Stick with Tylenol and arnica montana the week prior to your treatment to help minimize the bruising as well. Placing ice after the injections will also...
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Yael Halaas, MD
Manhattan Facial Plastic Surgeon
Manhattan Facial Plastic Surgeon
+1
Juvederm
Bruising is related to the needle hitting a blood vessel under the skin, not the injected material. Additionally, your medical history and medications can increase the likelihood & time of bruising.
+1
Bruising
Your bruising should not last that long-we offer patients with a history of bruising in the past Arnica and it has really helped.
Edward J. Bednar, MD
Charlotte Plastic Surgeon
Charlotte Plastic Surgeon
+1
Juvederm bruising
The difference in product really doesn't affect bruising. You can bruise with either product. 3 weeks seems awful long to be bruised! Were you taking aspirin or anti-inflammatories or herbal medications (some make you prone to bruising). If you've noticed you have prolonged bleeding in general you may want to discuss this with your internist. Icing, head elevation, and avoiding exercise after your injection should also help.
Dr. Cat Begovic M.D....
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Catherine Huang-Begovic, MD
Beverly Hills Facial Plastic Surgeon
Beverly Hills Facial Plastic Surgeon
+1
Some degree of bruising can happen.
You are susceptible to bruising from any injectable, and about 25-30% get some degree of bruising if the filler is placed deeply. Bruising is subject to the level of placement of the hyaluronic acid (HA) filler. Therefore, deeper injections are at higher risk for bruising such as the lower eyelid tear trough, the cheek bones, lips, the deep nasolabial fold and marionette lines. Correction of very fine wrinkles have less tendency to bruise.
Peter Schmid, DO
Longmont Facial Plastic Surgeon
Longmont Facial Plastic Surgeon
+1
How to reduce bruising after Juvederm
Bruising is a risk after any injection in the face. Best to avoid aspirin, garlic, fish oil or vitamin E 14 days prior to your injection. Also avoid alcohol 2 days prior. Some people feel arnica works well. I have seen so-so results with this herbal remedy. Some also recommend eating pineapple but again I have seen mixed results. The best thing is to ice after the injection and to find an injector who is gentle in his/her technique.
Kavita Mariwalla, MD
New Haven Dermatologic Surgeon
New Haven Dermatologic Surgeon
+1
Juvederm and Dermal Filler Bruising
Bruising is not unusual and each patient's body is different. You should avoid alcohol before your treatment, and any streneous activity during your healing process. Anti-inflammatories taken before your procedure can also agitate bruising. Most dermal filler treatments will lead to bruising. You can minimize this by selecting a more experienced professional. Make sure that during your healing process, your head is kept elevated and iced. Juvederm is definitely a great...
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+1
Bruising varies between patients
Patients are different when it comes to bruising. Some will bruise more than others. We tell patients to avoid ibuprofen or other anti-inflammatories for 7-10 days before their injection. Even then, sometimes you will bruise.
Mario Loomis, MD
Middletown Plastic Surgeon
Middletown Plastic Surgeon
+1
Bruising after Juvederm
Bruising after injection procedures depends on a number of factors. Putting aside genetic disorders that lead to poor clotting, bruising can happen in certain circumstances:
1. if a small blood vessel is punctured during the procedure. That occasionally happens and there is no way of avoiding that. Anatomically, we know where the larger vessels are, but there is no way to predict where the tiny arterioles, venules or capillaries are located.
2. if you are taking...
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+1
Bruising with Juvederm
Bruising is certainly a possibility with any injectable. Avoiding aspirin and other blood thinners can help minimize bruising. Ask your doctor if it is safe to discontinue these medications before doing so. Also, keeping your head elevated, using ice packs, and avoiding strenuous activity can help.
+1
Fillers and bruising: What to expect
Fillers are wonderful products for adding volume, minimizing fine, moderate, and deep skin folds, and minimizing shadows and dark circles. They are being used with great success to fill the grooves under the eyes, hollows at the temples, nasolabial folds, and frown lines around the lips, just to name a few. The different products, such as Juvederm and Restylane, differ in their chemical composition, their duration of effect, and their mechanism of action. They are all similar...
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Lisa Ishii, MD
Baltimore Facial Plastic Surgeon
Baltimore Facial Plastic Surgeon
+1
Juvederm and Restylane are equally likely to cause bruising
Anytime you puncture the skin with a needle, you can cause bruising--whether you inject Juvederm, Restylane, or nothing. To minimize bruising, I recommend:
1. Keep your head elevated for several hours after injection.
2. Avoid strenuous exercise for the rest of the day after injection.
3. Avoid aspirin and motrin for one week prior to injection.
4. Consider pretreatment with the anti-bruising medication, Arnica Montana (available over-the-counter).
5. Use ice...
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Ronald Friedman, MD
Dallas Plastic Surgeon
Dallas Plastic Surgeon
+1
Bruising is possible with any filler.
Restylane and Juvederm are equal in risk for bruising. The skill and care of the injector, the anatomy of your skin blood vessels, and the presence of blood thinners (aspirin, ibuprofen, coumadin) are all factors. Keeping the area cool with ice packs after injecting can be helpful.
+1
Bruising with injectables
All types of injectables (juvederm, restylane, radiesse, etc.)can cause temporary bruising. This is injector dependent occasionally and may also be related to recent intake of aspirin or motrin by the patient, which should be avoided about 10 days prior to injection. Application of ice to the injection site can help to minimize swelling and bruising as can the product Arnica, which is a homeopathic medication shown to reduce bruising.
Please consult with your board certified...
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+1
Minimize bruising with Juviderm
An injection of any sort may result in bruising, even with Juviderm. The best way to minimize bruising is to stop all Aspirin/Advil/etc for two weeks prior and apply ice immediately to the area.
Randy J. Buckspan, MD
Austin Plastic Surgeon
Austin Plastic Surgeon
+1
Bruising resulting from dermal filler injections
Unfortunately, bruising does occur at times with dermal filler injections but it is the result of the trauma of the injections and not from the filler itself. Avoiding blood thinning medications and alcohol prior to the procedure, the use of cold packs after the treatment and the use of herbals like arnica, bromelain and Vitamin K products can reduce the risk of bruising and/or speed up the resolution of any bruise that may occur.
I hope my answer was helpful.
Steven E. Rasmussen, MD
Austin Dermatologist
Austin Dermatologist
+1
Bruising can occur with injections
Any needle that penetrates the skin can cause bruising. Placement of the needle and injection technique are important to minimize this problem. Avoid any medications that may promote bleeding (ASA, NSAIDS etc.) Many injectors advocate arnica montana (available at health food stores) to reduce the chance of bleeding.
Robert Mounsey, MD
Toronto Facial Plastic Surgeon
Toronto Facial Plastic Surgeon
+1
All Injections can potentially Bruise
While all injections can potentially bruise, fillers are more likely to cause bruising than Botox. You can minimize the chances of bruising significantly by avoiding aspirin, ibuprofen, naproxen, fish oil, vitamin E and other blood thinners. Taking arnica montana, available in health food stores and sometimes at your physician's office in a stronger version, can help reduce bruising also.
+1
Juvederm and bruising
Any injectable filler can result in bruising. Often the location and size of the needle used will determine if bruising will occur. Make sure you avoid blood thinners and ice the area immediately after the injection to minimize bruising. I think juvederm has about the same reported incidence of bruising as restylane. I hope this information helps.
Scott Trimas, MD
Jacksonville Facial Plastic Surgeon
Jacksonville Facial Plastic Surgeon
+1
Bruising after Juvederm
Juvederm is an excellent hyaluronic acid based injectable that can be used effectively for facial contouring.
It is possible that you may experience some bruising after the use of Juvederm. It is not the dermal filler that is causing the bruising but the technique that is used as well as the characteristics of the tissue where the filler is being injected. Your best bet is to work with a board-certified plastic surgeon who has a great deal of experience in facial rejuvenation and using...
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B. Pat Pazmino, MD
Miami Plastic Surgeon
Miami Plastic Surgeon
+1
Fillers and Bruising. What can you do to help?
Any injection can cause bruising, particularly in vascular areas like the lips and under eye area. Here are some tips:
PRIOR to the injection:
Avoid aspirin, advil, motrin products. These make you bleed more. Stop two weeks ahead.
Arnica and Bromelain herbals can help. Start two days prior to procedure.
Don't be hot and sweaty (ie just after working out) when you come in.
DURING
ice and elevate.
AFTER
ice
elevate
avoid strenuous...
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Lauren Greenberg, MD
Palo Alto Plastic Surgeon
Palo Alto Plastic Surgeon
+1
Bruising with Fillers
Bruising can occur after any filler injection, but a few tips can help. Injector technique is important-- a very skilled injector is less likely to get a bruise than a novice-- but even the best physician will get bruises from time to time. Icing the area immediately before and after injection will help to reduce bruising. Also important is for you to avoid aspirin, ibuprofen, Aleve, ginseng, garlic, and vitamin E for up to 10 days prior to injections, as these may increase your risk of...
more
+1
Bruising and fillers
Unfortunately bruising can happen with any filler. It is not the specifice filler, but innjecting with a needle can hit small blood vessels not apparent to the naked eye. In additiion, medicines like aspirin or anti-inflammatories, even some foods can cause bleeding to occurmore commonly.
+1
Fillers and Bruising
Bruising in general is related to the filler injected, the technique of injection and YOUR propensity to bleed longer / bruise in general.
All hyaluronic acid fillers (IE Juvederm, Restylane, Perlane etc) are associated with some bruising. Moreover some injection techniques and the manner in which they are done can cause more bleeding. Therefore you should consider being injected by an experienced MD instead of an average "injector".
Lastly, we all know people with longer periods,...
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+1
Bruises from injections
It isn't the material injected that causes the bruise, but rather the needle hitting small blood vessels and maybe your own blood clotting mechanism not working to its fullest. Next time make sure you avoid aspirin, Motrin etc for 10 days before and after the treatment and use Arnica and ice. Maybe next time it will be better.
+1
Bruising with Dermal Fillers
Bruising is a adverse reaction to all dermal fillers i.e. Juvederm, & Restylane. You should avoid aspirin and anti-inflammatory medications such as Advil or Aleve at least two before and one week after injections to help reduce the amount of bruising.
+1
Juvederm Filler for wrinkles and bruising
It is difficult to predict whether you will bruise. Most patients have no bruising from injections, but injury to a small vein injection too deep can result in bruising. If you use some ice before the injection to the area, you can minimize the chance of bruising.
Ankit Desai, MD
Jacksonville Plastic Surgeon
Jacksonville Plastic Surgeon
+1
Choose the right technique
The technique of linear threading with the application of any filler, including Juvaderm, is what minimizes bruising. Avoid asprin and antiinflammatory agents in the week prior to injections as this thins the blood and can contribute to bruising. Over the counter supplements such as St. Johns Wort and vitamin E compunds have been linked to increased bruising also.
Lee Kleiman, MD
Annapolis Facial Plastic Surgeon
Annapolis Facial Plastic Surgeon
+1
Bruising after Juvederm
It is not uncommon to have bruising and swelling from Juvederm, Restylane or Perlane injections. This is normal and will resolve spontaneously. No treatment is necessary.
+1
Brusing can happen with any procedure, even Juvederm
Unfortunately, bruising is possible with any procedure, and in the hands of any physician. However, there are things that can be done to minimize the chances of a recurrence: stop all aspirin, ibuprofen, alleve (NSAIDS), vitamin e, fish oil, ginkgo, and all other exotic supplements for at least 10 days prior to having your procedure. In addition, don't drink red wine the night before your procedure. After the procedure, apply ice to the injected area and take arnica montana.
Beyond these...
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+1
Facial injections and bruising
Honestly, you can experience bruising with any type of injectables to your face since we are injecting needles under the skin, small blood vessels can be broken. As a precaution, make sure you are not on any aspirin medication for a few days prior to your injection and you may also want to try some Arnica.
Bruce Katz, MD
New York Dermatologic Surgeon
New York Dermatologic Surgeon
+1
Bruising with Juvederm and other fillers
Unfortunately, facial fillers do cause bruising when injected for wrinkle reduction and revolumization. This is the most common side effect seen with Juvederm, and will last for 1-2 weeks if it occurs. You can help minimize the bruising by abstaining from ibuprofen, aspirin, and other pain medications (except Tylenol) for two weeks prior to your injections. Injector experience also matters, but even the most experienced injectors still have bruising in their patients, depending on the volume...
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Chad L. Prather, MD
Baton Rouge Dermatologist
Baton Rouge Dermatologist
+1
Any filler can cause brusing
In my experience, bruising with filler procedures can happen regardless of the product used. The amount of bruising varies with location of the injection and the injection technique. Also, patient factors such as aspirin and or alcohol use can aslo contribute.
Jeremy Waldman, MD
Manchester Plastic Surgeon
Manchester Plastic Surgeon
+1
Do's and Don'ts to minimize bruising from fillers
All fillers have the potential to bruise and cause swelling temporarily. For nasolabial folds, Evolence is the least likely to cause bruising. Between Restylane and Juvederm, Juvederm may be slightly less likely to cause swelling but you may findother physicians with different experience. Radiesse used to be the one that may bring out most amount of bruising and swelling; however, with the current protocol of pre-mixing with lidocaine with epinephrine, Radiesse injection does not have to be...
more
+1
How to minimize bruising with Juvederm and Restylane
Different areas of the face are more or less prone to bruising, but there isn't a lot of difference between the hyaluronic acid fillers Juvederm and Restylane. The use of ice pads, proper selection of the type of needle, good technique and experience can help. On the patient's part, avoiding aspirin and ibuprofen for a week before helps too.
+1
Avoid Juvederm bruising with good technique.
Hi.
It is not the filler itself (Restylane or Juvederm) that causes the bruising; it's how the needle is used. A little bruising can always happen, but 3 weeks is very unusual. Try a different doctor.
+1
Juvederm Bruising
Bruising is a common side effect with dermal fillers, many different variables come into play when figuring out how you became bruised, especially if the patient has taken any type of blood thinners, Examples: Ibuprofen, Alcohol, within 2 weeks prior to the treatment date. Avoiding these can significantly aid in cutting your chances of bruising.
I recommend Arnica Montana prior to injectable procedures atleast week before. You can pick up Arinica Montana at your local health store or in some...
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Sofia Rubbani, MD
Manhattan Oculoplastic Surgeon
Manhattan Oculoplastic Surgeon
+1
Injectables and bruising
Any injection can cause bruising. There is probably no direct relationship between bruising and the type of products used. However, recommended needle size varies with different products and larger needles may cause more bruising. I believe injection technique is also a variable in the amount of bruising caused.
In general, to reduce bruising I have the patients ice before and after injection and I use the smallest needle I can force the product through. If you bruised with Restylane, you...
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+1
Fillers and Bruising
All fillers have the potential to cause bruising since you are inserting a needle several times into the skin and so there is always a chance that it hits a blood vessel underneath, and thus causes a bruise. An experienced injector will use a variety of techniques to reduce bruising, including ice packs, pressure, slow injection technique and a great knowledge of the underlying anatomy. The patient can minimize bruising by not taking/consuming aspirin, NSAIDs (e.g. ibuprofen), alcohol green...
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+1
Juvederm can cause bruising
Juvederm and really any of the fillers can cause bruising. This happens from the trauma the needle causes as it enters the skin and affects the blood vessels around the injection site. Some of the ways to decrease injection is to stop aspirin and other blood-thinning agents such as coumadin, plavix, ibuprofen and other non-steroidal anti-inflammatory drugs, herbal supplements like like vitamin a, vitamin E, St. Johns' wort, ginseng, gingko biloba, etc. 5- 7 days prior to injections.
Please...
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Ritu Saini, MD
New York Dermatologic Surgeon
New York Dermatologic Surgeon