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Juvederm 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?

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+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.
Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
+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... more
Raffy Karamanoukian, MD
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)... more
D.J. Verret, MD
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.
Steven F. Weiner, MD
Pensacola Facial 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
+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... more
Anita Patel, MD
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... more
Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
+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... more
David Hansen, MD
Beverly Hills Dermatologic Surgeon
+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... more
Elizabeth F. Rostan, MD
Charlotte Dermatologist
+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
+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.
Steven H. Williams, MD
San Francisco Plastic Surgeon
+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. more
Gary Goldenberg, MD
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... more
Phillip C. Haeck, MD
Seattle Plastic Surgeon
+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... more
Esta Kronberg, MD
Houston Dermatologic Surgeon
+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.... more
Mark Hamilton, MD
Indianapolis Facial Plastic Surgeon
+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... more
Yael Halaas, MD
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.
Sonia Badreshia-Bansal, MD
San Francisco Dermatologic Surgeon
+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
+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.... more
Catherine Huang-Begovic, MD
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
+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
+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... more
Sanusi Umar, MD
Redondo Beach Dermatologic Surgeon
+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
+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... more
Emily Altman, MD
Short Hills Dermatologic Surgeon
+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.
Sanjiv Kayastha, MD
Albany Plastic Surgeon
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