{"id":11347,"date":"2021-12-14T17:47:00","date_gmt":"2021-12-15T01:47:00","guid":{"rendered":"https://www.realself.com\/news\/?p=11347"},"modified":"2023-10-12T16:59:29","modified_gmt":"2023-10-12T23:59:29","slug":"bruising-after-injectable-filler","status":"publish","type":"post","link":"https://www.realself.com\/news\/bruising-after-injectable-filler","title":{"rendered":"Injectable Bruises? Been There. Here\u2019s How to Handle Them Without Hiding Out."},"content":{"rendered":"<?xml encoding=\"utf-8\" ?><p>In these gloriously transparent times, if a brand dares to harbor dirty laundry, it will most certainly be aired&mdash;if not used to hang them out to dry.&nbsp;<\/p><p>While this open-book ethos pervades nearly every industry in 2019, certain aesthetic treatments, we&rsquo;ve noticed, seem somehow exempt. Reported side effects and complications may be voluntarily logged into a little-known <a href=\"https:\/\/www.fda.gov\/medical-devices\/mandatory-reporting-requirements-manufacturers-importers-and-device-user-facilities\/manufacturer-and-user-facility-device-experience-database-maude\" target=\"_blank\" rel=\"noreferrer noopener\">FDA database<\/a> or, perhaps, discussed by doctors at medical conferences; but on the whole, they tend to be downplayed to the public. So when we leave our lunchtime <a href=\"https:\/\/www.realself.com\/injectable-fillers\">filler<\/a> appointment, two days before our best friend&rsquo;s wedding, with a burgeoning black eye or needle-inflicted hickey, we can&rsquo;t help but feel blindsided.<\/p><p>Bruises after cosmetic injections take us by surprise, precisely because nobody talks about them. Contusions may be covered in the consent forms you &ldquo;sign and initial here, here and here&rdquo; prior to treatment, but injectors rarely dwell on the topic. And when black-and-blues do rise up, patients go to great lengths to hide them. All told, our collective reticence has made injectable bruises seem like an anomaly when, really, they&rsquo;re &ldquo;a common and often unavoidable&rdquo; part of the procedure, says Great Neck, New York, dermatologist <a href=\"https:\/\/www.realself.com\/dr\/jeannette-graf-new-york-ny#about\">Dr. Jeannette Graf<\/a>.<\/p><p>Pause for perspective: a bruise after injections is hardly cause for boycott. It&rsquo;s the price we pay for beauty, some might say. And I get that. I am admittedly grateful to <a href=\"https:\/\/www.realself.com\/botox\">Botox<\/a> for sparing me crow&rsquo;s-feet and fine lines and <a href=\"https:\/\/www.realself.com\/concerns\/wrinkles\">forehead grooves<\/a>; I appreciate the balance <a href=\"https:\/\/www.realself.com\/restylane\">hyaluronic acid fillers<\/a> bring to my aging face. But when expensive &ldquo;no-downtime&rdquo; procedures undertaken to make us look and feel more beautiful render us swollen and bruised for days to weeks&mdash;well, it&rsquo;s a cruel irony indeed.<\/p><div id=\"doctorCTA_shortcode\" style=\"text-align:center;\"><div style=\"color: rgba(0,0,0,.5);margin-bottom:10px;\"><small>Interested in dermal fillers?<\/small><\/div><a class=\"button\" href=\"https:\/\/www.realself.com\/drsearch?keyword=dermal+fillers\" style=\"padding: 15px;margin-top: 0px;margin-bottom: 1.75rem;width: 300px;max-width: 100%;\">Find Doctors Near You<\/a><\/div><h2 class=\"wp-block-heading\" id=\"h-why-filler-bruising-is-more-common-than-you-think\"><strong>Why filler bruising is more common than you think<\/strong><\/h2><p>Tens of millions of filler and neurotoxin shots are administered each year, and every one of those needle pokes poses a risk for bruising. Why? Because the human face is an arterial minefield, its intricacies beautifully detailed in this frequently regrammed <a href=\"https:\/\/www.instagram.com\/p\/BtZbfKwnzx5\/\" target=\"_blank\" rel=\"noreferrer noopener\">illustration<\/a> commissioned by aesthetic nurse <a href=\"https:\/\/www.realself.com\/find\/Minnesota\/Plymouth\/Aesthetics-by-Connie-Brennan-RN\">Connie Brennan<\/a> from artist <a href=\"https:\/\/www.instagram.com\/kevincease\/\" target=\"_blank\" rel=\"noreferrer noopener\">Kevin Cease<\/a>.<\/p><center><blockquote class=\"instagram-media\" data-instgrm-captioned=\"\" data-instgrm-permalink=\"https:\/\/www.instagram.com\/p\/BtZbfKwnzx5\/?utm_source=ig_embed&amp;utm_campaign=loading\" data-instgrm-version=\"12\" style=\" background:#FFF; border:0; border-radius:3px; box-shadow:0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width:540px; min-width:326px; padding:0; width:99.375%; width:-webkit-calc(100% - 2px); width:calc(100% - 2px);\"><div style=\"padding:16px;\"> <a href=\"https:\/\/www.instagram.com\/p\/BtZbfKwnzx5\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" background:#FFFFFF; line-height:0; padding:0 0; text-align:center; text-decoration:none; width:100%;\" target=\"_blank\" rel=\"noopener noreferrer\"> <div style=\" display: flex; flex-direction: row; align-items: center;\"> <div style=\"background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;\"><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;\"><\/div><\/div><\/div><div style=\"padding: 19% 0;\"><\/div> <div style=\"display:block; height:50px; margin:0 auto 12px; width:50px;\"><svg width=\"50px\" height=\"50px\" viewbox=\"0 0 60 60\" version=\"1.1\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"https:\/\/www.w3.org\/1999\/xlink\"><g stroke=\"none\" stroke-width=\"1\" fill=\"none\" fill-rule=\"evenodd\"><g transform=\"translate(-511.000000, -20.000000)\" fill=\"#000000\"><g><path d=\"M556.869,30.41 C554.814,30.41 553.148,32.076 553.148,34.131 C553.148,36.186 554.814,37.852 556.869,37.852 C558.924,37.852 560.59,36.186 560.59,34.131 C560.59,32.076 558.924,30.41 556.869,30.41 M541,60.657 C535.114,60.657 530.342,55.887 530.342,50 C530.342,44.114 535.114,39.342 541,39.342 C546.887,39.342 551.658,44.114 551.658,50 C551.658,55.887 546.887,60.657 541,60.657 M541,33.886 C532.1,33.886 524.886,41.1 524.886,50 C524.886,58.899 532.1,66.113 541,66.113 C549.9,66.113 557.115,58.899 557.115,50 C557.115,41.1 549.9,33.886 541,33.886 M565.378,62.101 C565.244,65.022 564.756,66.606 564.346,67.663 C563.803,69.06 563.154,70.057 562.106,71.106 C561.058,72.155 560.06,72.803 558.662,73.347 C557.607,73.757 556.021,74.244 553.102,74.378 C549.944,74.521 548.997,74.552 541,74.552 C533.003,74.552 532.056,74.521 528.898,74.378 C525.979,74.244 524.393,73.757 523.338,73.347 C521.94,72.803 520.942,72.155 519.894,71.106 C518.846,70.057 518.197,69.06 517.654,67.663 C517.244,66.606 516.755,65.022 516.623,62.101 C516.479,58.943 516.448,57.996 516.448,50 C516.448,42.003 516.479,41.056 516.623,37.899 C516.755,34.978 517.244,33.391 517.654,32.338 C518.197,30.938 518.846,29.942 519.894,28.894 C520.942,27.846 521.94,27.196 523.338,26.654 C524.393,26.244 525.979,25.756 528.898,25.623 C532.057,25.479 533.004,25.448 541,25.448 C548.997,25.448 549.943,25.479 553.102,25.623 C556.021,25.756 557.607,26.244 558.662,26.654 C560.06,27.196 561.058,27.846 562.106,28.894 C563.154,29.942 563.803,30.938 564.346,32.338 C564.756,33.391 565.244,34.978 565.378,37.899 C565.522,41.056 565.552,42.003 565.552,50 C565.552,57.996 565.522,58.943 565.378,62.101 M570.82,37.631 C570.674,34.438 570.167,32.258 569.425,30.349 C568.659,28.377 567.633,26.702 565.965,25.035 C564.297,23.368 562.623,22.342 560.652,21.575 C558.743,20.834 556.562,20.326 553.369,20.18 C550.169,20.033 549.148,20 541,20 C532.853,20 531.831,20.033 528.631,20.18 C525.438,20.326 523.257,20.834 521.349,21.575 C519.376,22.342 517.703,23.368 516.035,25.035 C514.368,26.702 513.342,28.377 512.574,30.349 C511.834,32.258 511.326,34.438 511.181,37.631 C511.035,40.831 511,41.851 511,50 C511,58.147 511.035,59.17 511.181,62.369 C511.326,65.562 511.834,67.743 512.574,69.651 C513.342,71.625 514.368,73.296 516.035,74.965 C517.703,76.634 519.376,77.658 521.349,78.425 C523.257,79.167 525.438,79.673 528.631,79.82 C531.831,79.965 532.853,80.001 541,80.001 C549.148,80.001 550.169,79.965 553.369,79.82 C556.562,79.673 558.743,79.167 560.652,78.425 C562.623,77.658 564.297,76.634 565.965,74.965 C567.633,73.296 568.659,71.625 569.425,69.651 C570.167,67.743 570.674,65.562 570.82,62.369 C570.966,59.17 571,58.147 571,50 C571,41.851 570.966,40.831 570.82,37.631\"><\/path><\/g><\/g><\/g><\/svg><\/div><div style=\"padding-top: 8px;\"> <div style=\" color:#3897f0; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:550; line-height:18px;\"> View this post on Instagram<\/div><\/div><div style=\"padding: 12.5% 0;\"><\/div> <div style=\"display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;\"><div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);\"><\/div> <div style=\"background-color: #F4F4F4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;\"><\/div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);\"><\/div><\/div><div style=\"margin-left: 8px;\"> <div style=\" background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;\"><\/div> <div style=\" width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg)\"><\/div><\/div><div style=\"margin-left: auto;\"> <div style=\" width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);\"><\/div> <div style=\" background-color: #F4F4F4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);\"><\/div> <div style=\" width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);\"><\/div><\/div><\/div><\/a> <p style=\" margin:8px 0 0 0; padding:0 4px;\"> <a href=\"https:\/\/www.instagram.com\/p\/BtZbfKwnzx5\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#000; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px; text-decoration:none; word-wrap:break-word;\" target=\"_blank\" rel=\"noopener noreferrer\">Me: Please don&rsquo;t bruise me &#128591;&#127995;. Injectors: &#128076;&#128556;&#128137; copyright @conniebrennanrnbsn 2018; with artist @kevincease. #anatomy #injectable #safety #antiaging #boardcertified #dermatology #beautyeditor #filler<\/a><\/p> <p style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; line-height:17px; margin-bottom:0; margin-top:8px; overflow:hidden; padding:8px 0 7px; text-align:center; text-overflow:ellipsis; white-space:nowrap;\">A post shared by <a href=\"https:\/\/www.instagram.com\/joleneewrites\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px;\" target=\"_blank\" rel=\"noopener noreferrer\"> Jolene Edgar<\/a> (@joleneewrites) on <time style=\" font-family:Arial,sans-serif; font-size:14px; line-height:17px;\" datetime=\"2019-02-02T23:10:11+00:00\">Feb 2, 2019 at 3:10pm PST<\/time><\/p><\/div><\/blockquote> <script async=\"\" src=\"\/\/www.instagram.com\/embed.js\"><\/script><\/center><p>Practitioners who navigate injectable treatments through vascular terrain <em>without<\/em> leaving a mark have either uncanny luck or some kind of sorcery on their side. The reality is, &ldquo;anyone can bruise, and it&rsquo;s not about Botox versus filler&mdash;it&rsquo;s associated with the needle,&rdquo; says <a href=\"https:\/\/www.realself.com\/dr\/robert-t-anolik-new-york-ny#about\">Dr. Robert Anolik<\/a>, a dermatologist in New York City. &ldquo;If the needle happens to touch a slightly larger vessel, blood can be released into the surrounding skin, leaving a bruise. A blunt-tipped cannula can be helpful in some scenarios, but if a cannula has to be pushed with great strength because it&rsquo;s not sharp enough to glide easily, that force can also trigger bruising.&rdquo;&nbsp;<\/p><p>As Washington, D.C.&ndash;based dermatologist <a href=\"https:\/\/www.realself.com\/dr\/tina-s-alster-washington-dc#about\">Dr. Tina Alster<\/a> explains in a popular <a href=\"https:\/\/www.realself.com\/question\/how-can-minimize-bruising-cosmetic-injection\">RealSelf Q&amp;A<\/a>, &ldquo;No matter how skilled your physician is, it is very difficult to avoid bruising when having fillers injected. In fact, the chances of bruising after dermal filler treatments are high and it&rsquo;s one of the most common side effects&mdash;on average, 67% of patients bruise, based on 22 clinical studies with more than 2,700 patients. These FDA studies were completed by some of the most expert injectors in the world, which further demonstrates that bruising is common among even the most skilled practitioners.&rdquo;<\/p><p><em>Related: <\/em><a href=\"https:\/\/www.realself.com\/news\/weird-new-ways-doctors-are-using-filler\"><em>Off-Label Is the New Black: The Weird New Ways Doctors Are Using Filler<\/em><\/a><\/p><h2 class=\"wp-block-heading\" id=\"h-living-proof-bruises-happen-to-the-very-best-injectors\"><strong>Living proof: bruises happen to the very best injectors<\/strong><\/h2><p>To this point, I can personally attest. Beauty editors, you may have heard, are an absurdly fortunate bunch. Chief among the perks of the job is open access to the world&rsquo;s most preeminent (and generous) cosmetic dermatologists. I didn&rsquo;t begin to fully explore this privilege until several years ago, when my now 42-year-old face started to deflate and sink.&nbsp;<\/p><p>I had just turned 38 when I visited Dr. Graf for my first dose of filler&mdash;a single syringe of <a href=\"https:\/\/www.realself.com\/voluma\">Voluma<\/a>, split between both cheeks, to subtly hike my midface and smooth my smile lines. Thoughtful, gentle and precise in all she does, Dr. Graf has flawless technique&mdash;yet I still left her that day with a faint smattering of pinpoint bruises. In hindsight, they were minor and disappeared after a week or so; but at the time, I was nothing short of distraught&mdash;wholly unprepared for this perfectly normal response to having a needle pierce my skin.&nbsp;<\/p><p>In the years since that first stick, I&rsquo;ve seen a number of dermatologists for filler injections. Save for one or two lucky shots, I&rsquo;ve bruised fairly consistently. During that stretch, I&rsquo;ve also reported extensively on the <a href=\"https:\/\/www.realself.com\/news\/the-potentially-serious-dangers-of-simple-seeming-treatments\">potential pitfalls of injectables<\/a>, familiarizing myself with even the rarest of risks&mdash;stuff way scarier than bruises, like <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30805636\" target=\"_blank\" rel=\"noreferrer noopener\">blindness<\/a> and skin death resulting from filler-blocked arteries. With these could-be horrors forever embedded in my brain, I now view every bruise as a potential emergency.<\/p><p>And yet&hellip; I go back.&nbsp;<\/p><p>In the summer of 2018, I met up with an old friend in New York City, and together we paid a visit to Dr. Anolik, an expert injector who injects Manhattan&rsquo;s elite on a daily basis. Toward the end of my session, he grazed a vessel near the top of my right cheekbone. The area swelled and darkened almost instantly as blood filled my tear trough and eventually bloomed into a full-on shiner. I overreacted in equally dramatic fashion. Dr. Anolik still regrets giving me his cell number. (J\/k&mdash;he called and texted regularly following my appointment.)<\/p><p>My black eye lingered for almost three weeks, and I did my best to veil it with concealer and oversize shades&mdash;all the while refraining from posting selfies, because a) not pretty and b) I worried (needlessly) that sharing what had happened might irk my doctor. With an utterly unbruised ego, Dr. Anolik chalked it up to bad luck and said he sees bruises of such severity &ldquo;maybe twice a year.&rdquo;&nbsp;<\/p><div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><img decoding=\"async\" width=\"4167\" height=\"1958\" src=\"https://www.realself.com\/news\/wp-content\/uploads\/2019\/10\/RS_Bruising-Sotry2.jpg\" alt=\"Progression of bruising after injectable fillers\" class=\"wp-image-11351\" srcset=\"https://www.realself.com\/news\/wp-content\/uploads\/2019\/10\/RS_Bruising-Sotry2.jpg 4167w, https://www.realself.com\/news\/wp-content\/uploads\/2019\/10\/RS_Bruising-Sotry2-450x211.jpg 450w, https://www.realself.com\/news\/wp-content\/uploads\/2019\/10\/RS_Bruising-Sotry2-768x361.jpg 768w, https://www.realself.com\/news\/wp-content\/uploads\/2019\/10\/RS_Bruising-Sotry2-700x329.jpg 700w, https://www.realself.com\/news\/wp-content\/uploads\/2019\/10\/RS_Bruising-Sotry2-1080x507.jpg 1080w\" sizes=\"(max-width: 4167px) 100vw, 4167px\"><\/figure><\/div><p>This past June, I scored an appointment with another famously brilliant dermatologist, who I&rsquo;ve interviewed countless times (she requested anonymity here&mdash;something I offered to everyone). After assessing my sinking face, she filled my hollow temples and then injected my chin, aiming to protract it back to a youthful position that would better balance my naturally strong cheekbones. As bruises began to surface on my temples, she zapped them with her <a href=\"https:\/\/www.realself.com\/vbeam\">Vbeam<\/a> laser.&nbsp;<\/p><p>It wasn&rsquo;t until hours later, when I was on a train back to Providence, that my chin fully freaked out. I snapped some unflattering selfies in the Amtrak bathroom and texted them to my injector, who quickly reassured me that all looked normal. By the time I got home that evening, my chin was bloated and stained with violet streaks. (Chin bruises tend to drain downward, leaving drippy trails.) My kind and understanding doctor prescribed prednisone (for the swelling) and a night without worrying (a harder pill to swallow).<\/p><p>The next day, <a href=\"https:\/\/www.realself.com\/dr\/caroline-a-chang-east-greenwich-ri#about\">Dr. Caroline Chang<\/a>, a dermatologist in nearby East Greenwich, Rhode Island, fortuitously reached out, inviting me in to try the new blood vessel-targeting <a href=\"https:\/\/www.realself.com\/neo-laser\">Aerolase Neo<\/a> laser she happened to be road testing. She treated my bruises, and a week later, they were nearly invisible.<\/p><p><em>Related: <\/em><a href=\"https:\/\/www.realself.com\/news\/hyaluronidase-dissolve-fillers\"><em>What It&rsquo;s Really Like to Get Fillers Dissolved<\/em><\/a><\/p><div class=\"newsletter-signup\" id=\"newsletterForm\">\n    <h2 class=\"newsletter-signup__heading\" id=\"unlock-a-world-of-modern-beauty\">Unlock a world of modern beauty<\/h2>\n    <p class=\"newsletter-signup__text\">Stay up-to-date on trending news, popular procedures, and exclusive content.<\/p>\n    <div class=\"newsletter-signup__wrapper\">\n        <input class=\"newsletter-signup__input\" type=\"email\" id=\"newsletterEmail\" placeholder=\"Enter your email\">\n        <button class=\"newsletter-signup__button button\" onclick=\"submitEmail()\">SUBSCRIBE<\/button>\n    <\/div>\n    <div class=\"newsletter-signup__small\"><p><span style=\"font-weight: 400;\">By subscribing, you accept our <\/span><a href=\"https:\/\/www.realself.com\/real_self_privacy_policy.html\"><span style=\"font-weight: 400;\">Privacy Policy<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.realself.com\/terms-of-service\"><span style=\"font-weight: 400;\">Terms of Service<\/span><\/a><span style=\"font-weight: 400;\"> and agree to receive marketing emails.<\/span><\/p>\n<\/div>\n    <div id=\"newsletter-message\" class=\"newsletter-signup__message\"><\/div>\n<\/div><h2 class=\"wp-block-heading\" id=\"h-filler-bruising-what-to-do-if-it-happens-to-you\"><strong>Filler bruising: what to do if it happens to you<\/strong><\/h2><p>Being a &ldquo;bruiser&rdquo; has taught me what works to speed healing and what doesn&rsquo;t&mdash;for me, anyway. I&rsquo;m hoping you can extrapolate something useful here, but keep in mind: your body may respond differently&mdash;what failed me could very well save you. Here&rsquo;s what I&rsquo;ve come to know.<\/p><ul>\n<li>Certain parts of the face&mdash;namely, the under-eye area, the crow&rsquo;s feet, the chin and the lips&mdash;are more apt to bruise. &ldquo;But it can happen anywhere, anytime,&rdquo; Dr. Anolik notes. To be safe, don&rsquo;t schedule injectable appointments within two weeks of important events.<\/li>\n\n\n\n<li>&ldquo;Some patients are naturally more prone to bruising&mdash;they tend to have thinner, more sun-damaged skin,&rdquo; says Dr. Graf. (I&rsquo;ll try not to take offense.)<\/li>\n\n\n\n<li>The usual spiel about <a href=\"https:\/\/www.researchgate.net\/publication\/316934487_The_Management_of_Bruising_following_Nonsurgical_Cosmetic_Treatment\" target=\"_blank\" rel=\"noreferrer noopener\">avoiding blood thinners<\/a> for one to two weeks before filler injections (and, some say, one to two days after) is pretty sound.&nbsp; According to Dr. Anolik, steering clear of &ldquo;things that can encourage bleeding, such as aspirin, ibuprofen, alcohol, fish oil and vitamin E, can help limit bruising.&rdquo; (FYI, along with the specific ones mentioned, there are many other common supplements that can increase the likelihood of bruising, including ginkgo, ginseng, st. john&rsquo;s wort, and flaxseed oil. And it&rsquo;s also a good idea to avoid over-the-counter NSAIDS&mdash;Aleve, Motrin, naproxen&mdash;in general. Instead, stick with Tylenol.) Emphasis on the word <em>limit<\/em>. Abstinence hasn&rsquo;t always worked for me, but my most gruesome black-and-blue to date did occur on the heels of an Advil-medicated migraine. Keep in mind that many prescription medications, such as Warfarin, can also increase the likelihood of bruising, so make sure to discuss that with your injector ahead of time.<\/li>\n\n\n\n<li>Arnica montana&mdash;can&rsquo;t hurt, might help. The bulk of evidence supporting the herb&rsquo;s anti-bruise benefits is anecdotal. I&rsquo;ve experimented with the homeopathic tablets, over-the-counter arnica gels and creams, doctor-dispensed rollerballs, even those OcuMend high-potency hydrogel patches that derms are wild about&mdash;all to no avail. However, Nanuet, New York&ndash;based dermatologist <a href=\"https:\/\/www.realself.com\/dr\/heidi-a-waldorf-nanuet-ny#about\">Dr. Heidi Waldorf<\/a> calls the OcuMend pads &ldquo;a game changer for bruising.&rdquo; The key, she says, &ldquo;is slapping them on <em>before<\/em> you bruise, immediately after injections&rdquo;&mdash;ideally, covering the whole face and not just the injection site, then leaving them on for six hours before replacing them with fresh pads for six more hours, and so on. &ldquo;They won&rsquo;t keep you from bruising if a vessel was hit, but they can reduce the slow, leaky bruising that tends to develop on day two.&rdquo;<\/li>\n\n\n\n<li>Icing: If your injector nicks a vessel, they should put pressure on the treated area right away and begin icing ASAP. Ice acts as both an anesthetic and a vasoconstrictor, explains Dr. Waldorf, cutting down on pain and early blood seepage. She recommends icing for 10&ndash;20 minutes per hour, for the first two days, while awake. Personally, my bruises have come on so fast and furious that ice packs were no match.<\/li>\n\n\n\n<li>Topical vitamin K oxidase I have not yet tried, but Dr. Graf says &ldquo;it breaks up hemosiderin&mdash;the hemoglobin pigment of bruising.&rdquo; Apply it three times daily, starting right after injections. (You can find it in a product called <a href=\"https:\/\/www.lovelyskin.com\/c\/auriderm\" target=\"_blank\" rel=\"noreferrer noopener\">Auriderm<\/a>.)<\/li>\n\n\n\n<li>Lasers can slash healing time&mdash;in certain situations. When Dr. Anolik zaps bruises with his <a href=\"https:\/\/www.realself.com\/pulsed-dye-laser\">pulsed dye laser<\/a> in the days following injections, he often sees them &ldquo;vanish in a matter of hours,&rdquo; he says. One exception: if the bruising is widespread after an isolated needle stick or accompanied by underlying swelling, it may be too deep for the laser&rsquo;s energy to reach (such was the case with my black eye). Once it&rsquo;s partially healed and appears more purple (versus black) and surface-level, then lasering may help fade it the rest of the way. Likewise, Dr. Chang has found that her Neo (a type of <a href=\"https:\/\/www.realself.com\/yag-laser\">Nd:YAG<\/a> laser) can cut healing time in half. (Worked for me!)<\/li>\n<\/ul><center><blockquote class=\"instagram-media\" data-instgrm-captioned=\"\" data-instgrm-permalink=\"https:\/\/www.instagram.com\/p\/BXX8OIiA8rG\/?utm_source=ig_embed&amp;utm_campaign=loading\" data-instgrm-version=\"12\" style=\" background:#FFF; border:0; border-radius:3px; box-shadow:0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width:540px; min-width:326px; padding:0; width:99.375%; width:-webkit-calc(100% - 2px); width:calc(100% - 2px);\"><div style=\"padding:16px;\"> <a href=\"https:\/\/www.instagram.com\/p\/BXX8OIiA8rG\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" background:#FFFFFF; line-height:0; padding:0 0; text-align:center; text-decoration:none; width:100%;\" target=\"_blank\" rel=\"noopener noreferrer\"> <div style=\" display: flex; flex-direction: row; align-items: center;\"> <div style=\"background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;\"><\/div> <div style=\"display: flex; 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font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:550; line-height:18px;\"> View this post on Instagram<\/div><\/div><div style=\"padding: 12.5% 0;\"><\/div> <div style=\"display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;\"><div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);\"><\/div> <div style=\"background-color: #F4F4F4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;\"><\/div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);\"><\/div><\/div><div style=\"margin-left: 8px;\"> <div style=\" background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;\"><\/div> <div style=\" width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg)\"><\/div><\/div><div style=\"margin-left: auto;\"> <div style=\" width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);\"><\/div> <div style=\" background-color: #F4F4F4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);\"><\/div> <div style=\" width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);\"><\/div><\/div><\/div><\/a> <p style=\" margin:8px 0 0 0; padding:0 4px;\"> <a href=\"https:\/\/www.instagram.com\/p\/BXX8OIiA8rG\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#000; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px; text-decoration:none; word-wrap:break-word;\" target=\"_blank\" rel=\"noopener noreferrer\">Friday Favorites: the VBeam laser to treat bruising &mdash; Even when the patient and the doc do everything to avoid it, a big ol&rsquo; bruise can happen. &#9785;&#65039;This is me last March after a friend &ndash; a fabulous injector&#128137; &ndash; did my filler at a meeting. Okay, I did nothing to avoid it (had advil, wine&#127863;, didn&rsquo;t ice). But back in the office 2 days later, I treated the bruises with my Vbeam laser&#9889;&#65039;&#9889;&#65039;. Et voila! The next day the purple was red and much easier to cover. &#128120;&#127996;I offer the option as a freebie to my filler patients &ndash; don&rsquo;t need it often but it&rsquo;s great when we do! #fillers #bruises #vbeam #beforeandafter #lookgoodfeelbetter #results #realresults #waldorfderm #waldorfdermatologyaesthetics #beauty #beautyguru #tipsandtricks #dermlife #coverup #fillers #injectables #bruising #igbeauty<\/a><\/p> <p style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; line-height:17px; margin-bottom:0; margin-top:8px; overflow:hidden; padding:8px 0 7px; text-align:center; text-overflow:ellipsis; white-space:nowrap;\">A post shared by <a href=\"https:\/\/www.instagram.com\/drheidiwaldorf\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px;\" target=\"_blank\" rel=\"noopener noreferrer\"> Heidi A Waldorf, MD<\/a> (@drheidiwaldorf) on <time style=\" font-family:Arial,sans-serif; font-size:14px; line-height:17px;\" datetime=\"2017-08-04T13:47:04+00:00\">Aug 4, 2017 at 6:47am PDT<\/time><\/p><\/div><\/blockquote> <script async=\"\" src=\"\/\/www.instagram.com\/embed.js\"><\/script><\/center><p>More crucial than any of this advice is knowing when a bruise is <em>not<\/em> just a bruise but rather a sign of <a href=\"https:\/\/www.realself.com\/news\/vascular-occlusion-injectable-filler-complication\">vascular occlusion<\/a> (filler inside a vessel, blocking blood flow to the skin). If the area of discoloration has a dusky, netlike appearance and is exquisitely painful post-treatment&mdash;as in searing, keeps-you-up-at-night pain&mdash;call your injector right away, says Dr. Waldorf, &ldquo;because delaying diagnosis and treatment is most dangerous.&rdquo;<\/p><h2 class=\"wp-block-heading\" id=\"h-how-to-cover-bruises-from-injectable-fillers\">How to cover bruises from injectable fillers&nbsp;<\/h2><p>The right concealer is everything. Since I very well may be the world&rsquo;s worst makeup artist, I reached out to one of the world&rsquo;s best: <a href=\"https:\/\/www.instagram.com\/sandylinter\/\" target=\"_blank\" rel=\"noreferrer noopener\">Sandy Linter<\/a>, who&rsquo;s camouflaged her share of filler bruises. &ldquo;You&rsquo;d be surprised how easy they are to hide&mdash;and without a lot of fussing,&rdquo; she says. Her secret weapons: This <a href=\"https:\/\/alconemakeup.com\/shop\/details\/dermacolor\/kryolan_dermacolor_mini_concealer_palette\/KR71000\" target=\"_blank\" rel=\"noreferrer noopener\">Kryolan Dermacolor Mini Concealer Palette<\/a>&mdash;the formulation &ldquo;adheres to skin immediately&rdquo;&mdash;and a good concealer brush (she uses the <a href=\"https:\/\/www.sephora.com\/product\/the-concealar-brush-P393963?nrtv_cid=.nrtv_plchldr.&amp;SubID=1235&amp;nrtv_as_src=1\" target=\"_blank\" rel=\"noreferrer noopener\">Kevyn Aucoin<\/a>). To build coverage, she explains, &ldquo;many times I start with a deep pink&mdash;it seems to disguise or lift the black. Then I&rsquo;ll add a deeper skin-tone shade and touch up the top with a color closest to my skin tone [or the client&rsquo;s] before dusting on a bit of powder or applying foundation. The lightest touches work really well.&rdquo;<\/p><div id=\"doctorCTA_shortcode\" style=\"text-align:center;\"><div style=\"color: rgba(0,0,0,.5);margin-bottom:10px;\"><small>Interested in dermal fillers?<\/small><\/div><a class=\"button\" href=\"https:\/\/www.realself.com\/drsearch?keyword=dermal+fillers\" style=\"padding: 15px;margin-top: 0px;margin-bottom: 1.75rem;width: 300px;max-width: 100%;\">Find Doctors Near You<\/a><\/div><h2 class=\"wp-block-heading\" id=\"h-the-bottom-line-on-filler-bruising\">The bottom line on filler bruising<\/h2><p>Bruising after injectable fillers can be downright devastating (no exaggeration), but try not to panic. Ask your injector what they can do for you in the moment, or perhaps a few days later, to fast-track healing. And consider mining your friends and coworkers for tips&mdash;odds are, they&rsquo;ve been on the losing end of a needle before too and can help guide you out of the darkness.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Bruising from your fillers? Learn about why filler bruises are more common than you think\u2014and how to cover them. <\/p>\n","protected":false},"author":118,"featured_media":11355,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[9075],"tags":[24,35],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v20.0 (Yoast SEO v23.0) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>How to Cover Bruises from Filler Injections | RealSelf News<\/title>\n<meta name=\"description\" content=\"Bruising from your fillers? 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