Allure Health and Med Spa

At your age, loss of fat and bone structure in the face is uncommon but will appear and progress as we age. Addressing your concerns with filler now would be the start of a life long commitment but well worth it if you achieve a look that makes you happy! Juvederm Voluma and Juvederm Ultra Plus would both accentuate the natural curves, no matter how apparent they are now, and enhance the curvature of the face. Proper injection will provide a natural look without the "filled face" look that is less desirable. The new VYCROSS fillers from Allergan/Juvederm, including Voluma, can last up to 18-24 months requiring less frequent injection. Juvederm Ultra Plus in the mid-face can last up to a year in most people. Achieving your ideal level of correction may take more time and filler initially but if you are good about maintaining the filler you should not have to use the amount initially required. These products are hyaluronic acid fillers which have been seen to boost natural collagen production which will help maintain natural cheek plumpness over time- waiting for the "official" study on this to come out- just personal/professional experience talking in that regard. Good luck!

Botox very unlikely to cause vascular or vein issues other then the bruising you have experienced. I would recommend applying topical Arnica and/or Vitamin K cream to the bruised area which will help clear the bruise much faster then letting it dissipate on its own. You can also pre-treat with arnica for a week prior to your next Botox treatment to help prevent and lessen bruising which is the most common side effect with a facial injection! Arnica is available over-the-counter from various herbal or skin care companies, many online. Good luck!

You can resume your multivitamins.  Applying Arnica to the bruised area can help diminish it faster.