How Much Bruising Should I Expect from Under Eye Filler Injections?

Any injection can cause bruising and the under-eye area skin is thinner, so bruising may be more apparent if it occurs. To minimize bruising use Ocumend or another strong arnica montana containing product.  We like Ocumend patches, which are hydrogel patches containing a very high concentration of arnica.  They release higher concentrations directly where needed rather than a small amount throughout your entire body as oral versions do.  We also recommend icing the area and avoiding products that can "thin" your blood, such as aspirin, anti-inflammatory meds, coumadin, vitamin E and fish oil capsules.

When it comes to under-eye filler injections, bruising can vary significantly from person to person. Some people might experience minimal to no bruising, while others may have more noticeable bruising. The under-eye area is particularly sensitive and has many small blood vessels, which can lead to a higher likelihood of bruising compared to other facial areas.Typically, if bruising occurs, it's usually mild and can be covered with makeup. The extent of the bruising can depend on several factors, including the technique used by the injector, the type of filler, and your individual skin characteristics. Some people are more prone to bruising due to thinner skin, or because they take certain medications or supplements that increase the risk of bruising.Most of the time, any bruising that does occur will resolve within a week or so. Applying a cold compress immediately after the procedure can help minimize bruising and swelling. Avoiding blood-thinning medications and supplements, like aspirin, ibuprofen, and fish oil, for a few days before your treatment can also reduce the risk.As for taking time off work, it's not usually necessary for most people, but this depends on your comfort level with potential visible bruising. If you're concerned, you might want to schedule your appointment before a weekend or a time when you can have a day or two of downtime, just in case.It's important to discuss these concerns with your plastic surgeon prior to getting the injections. They can provide you with more specific advice based on your skin type, medical history, and the specific filler product being used.

Hi @devika. Using a cannula for tear trough injections decreases the chances of bruising. I recommend seeking treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications.

Best of luck,

Dr. Nima

There is no way to predict this. It's like asking if I'm going to get a bruise if I fall tomorrow. Unless you have a crystal ball, there's no way to predict if you're going to get a bruise or how much bruising you will get.Any injectable treatment has the potential to cause bruising. I encourage patients not to schedule injectable treatments right before major social functions. Bruising can last 2-3 weeks if it does occur. Fortunately, make-up (or BB cream) covers up most bruising if you do get one.The foregoing information provided is not intended nor implied to be a substitute for professional medical advice, it is provided for educational purposes only. You assume full responsibility for how you choose to use this information. Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment or discontinuing an existing treatment. Talk with your healthcare provider about any questions you may have regarding a medical condition.

Thank you for your question, devika! Bruising is always a potential with any filler treatment. If a cannula is used, bruising is minimized when compared to injecting with a needle. You are able to apply makeup gently to the area the next day, so taking time off of work may not be necessary. Try doing the treatment on a Friday so you have the weekend to recover. 

Thank you for the question. I am sorry to hear about your bruising.  There are steps that can be taken to reduce the swelling and bruising.  
Before the treatment, it is advised that you avoid medications and substances that increase the risk of bruising.  The patient may be asked not to take aspirin or NSAIDs for at least 7 days, unless discontinuation of these poses a significant risk.  Herbal medications (such as St John’s wort, ginkgo biloba, vitamin E, garlic, ginseng, fish oil) that predispose to bleeding and bruising should be withheld.  Preoperative ingestion of some homeopathic medications such as arnica may reduce bruising, although further investigations are needed to confirm this.
It is also imperative that you choose an experienced injector who uses a technique to minimize bruising.  This is an operator dependent procedure and so you need to be in safe hands.  This is particularly important when injecting under the eyes as the skin is thin and there are multiple blood vessels which can be injured and cause bruising.
After the procedure I also advise my patients to ice the area for up to 10 minutes every hour.  Reusable ice packs can be used or a bag of frozen peas can be used to mold over the area.  A short course of steroid can also accelerate the healing process.  Anectotally, Arnica forte can be used to prevent bruising, but no definitive evidence exists to suggest that is always successful. 
If you would like to learn more about injectable fillers I recommend an in person consultation with a board certified dermatologist with cosmetic training.

Any time you have an injection there is a risk for bruising.  To lessen the risk I advise all of my patients to avoid blood thinning agents like aspirin, Motrin, and fish oils. There are also homeopathic regimens like arnica montana that can help reduce bruising if it should occur.  

In my practice I use a blunt end cannula to inject under the eye or tear trough area. This greatly lessons the chance for bruising.  We also advise our patients to avoid exercise after the injection and resume physical activity the next day. If bruising should occur it usually resolves within 5-7 days and can be camouflaged with makeup.

Best of luck.

Dr. Kaniff

Hi there, 
There are a lot of factors here that influence bruising time after tear trough fillers. Generally speaking there is risk with any injection however, the tear trough is a sensitive and vascular area in itself increasing the risk with syringe / or direct injection. 
Personally I use a microcannular to treat tear troughs which I find the safest approach. This drastically reduces downtime and risk of bruising. Most of my clients walk out without a blemish. When direct injection are required I give a downtime of around two weeks to allow potential bruising to settle
Hope this helps!
Dr Rupert 

 The best way to minimize bruising
- especially for sensitive areas like lips or under the eyes, is to avoid
medications such as aspirin, Ibuprofen ( Motrin and Advil) and non-steroidal
anti-inflammatories such as Alleve or Naprosyn that might be taken for sports
injuries . Other culprits of bleeding and bruising tendencies are green tea,
flax seed oil, Omega -3s and alcohol or caffeine intake the day before
your treatment!
Arnica oral tablets are an easy remedy to reduce
the degree and length of time of bruising and can be taken 3 -5 days following
the treatment.#bruisingwithtreatments  #Restylaneinjections  #undereyetreatments

Bruising depends on the patient and the type of injection technique. In my experience, my patients have had very little bruising and it could be easily camouflaged by concealer. While it would be difficult to say how much bruising you’ll have, you can help minimize the rate by avoiding medications and vitamins that promote bleeding, such as aspirin and St John’s Wort. Avoid exercising and other vigorous physical activity on the day of your treatment as well.