Is this bruising normal after Volbella Injections?

Question

Hi, I got 1cc of Juvederm Volbella in my lips about 36hrs ago. Is this normal bruising (swelling has gone but the bruise has gotten much darker) or should I be worried or is this normal?

Nelson Castillo, MD · Answer

Thank you for sharing your question.  Unfortunately bruising is not uncommon after lip injections due to the thin nature of the tissues and extensive amount of muscle.  Initial bruising may worsen over a day or two but then starts to resolve.  You can help speed resolution by using cold compresses for the first two days after treatment, arnica montana and bromelain supplementation, and warm compresses after two days.  Hope this helps.

William Andrade, MD · Answer

Hello, bruising can happen after the injection of Volbella or any facial filler.  Usually the majority of swelling is gone within a few days but a bruise can take longer to resolve.

Jason Emer, MD · Answer

It is common to get swelling and bruising after needle injections of fillers into the lips.  It is not normal to have irregularities or severe swelling.  If you are unhappy you should speak to your physician and have the area injected with hyaluronidase, an enzyme that reverses the hyaluronic acid filler.  For the next injections, consider Restylane Silk with cannula injection, this technique will limit the pain, swelling or bruising after the filler placement.  It often takes up to two weeks for swelling to subside on its own.  Find an expert in filler injections for your future treatments.  Best, Dr. Emer.

Dmitriy Schwarzburg, MD · Answer

A bit of bruising is normal with fillers. It should be gone in a matter of days. Please contact a qualified provider or a board-certified physician with extensive experience in these procedures.

Thomas E. Kaniff, MD, FACS · Answer

Hello PlasticAndrew, 
Anytime an injection is done, there is a risk of bruising.
This is why I suggest patients discontinue blood thinning medications or
supplements about 2 weeks before the injection. Arnica is also something that
can be taken prior to, and/or post-injection to help alleviate bruising and
swelling. Unfortunately bruising cannot be predicted, but there are things that
may help prevent it. Hope this helps for future injections! 
Best of Luck!
Dr. Thomas E. Kaniff

Alex Eshaghian, MD, PhD · Answer

Thank you for
your question PlasticAndrew. Volbella
is a hyaluronic acid filler designed to enhance the lips. With any injection bruising is possible and can last up to 2 weeks In our office we treat patients with a laser as early as the next day. This makes the bruise resolve much faster. Please
consult with a doctor for specific recommendations. Good luck!

Michele S. Green, MD · Answer

Thanks so much for your question.  Bruising is completely normal after lip injections.  The bruising may worsen over the first day or two after you have the injections done.  You can help bruising by taking Arnika. Good luck! Best, Dr. Green

Praven Chetty, MD · Answer

Dear PlasticAndrew:

It is not uncommon to have bruising after Volbella injections.  Bruising normally resolves within a week.  Best wishes.

Alim R. Devani, MD, FRCPC · Answer

I always tell my patients to not love their filler
injections for 2 weeks. Swelling is very common and sometimes immediate. It can
last 3-7 days and a good idea is to use cold compresses. Cold compresses may be
used immediately after treatment to reduce swelling only if needed. This may be
applied for 3 minutes, 3 times per day, for up to 3 days. This is best done
with a bag of peas in a zip lock bag. Only apply light pressure to the area but
gentle massage might be necessary if the bump is from the filler material
itself. Get Arnica gel if you can find some and apply a few times a day as well
to help treat any swelling. Avoid any blood thinners. Bruising can also last
1-2 weeks. I don't recommend hyaluronidase this early and wait a few weeks
until the swelling has resolved. If it is persistent or you are worried, set up
a follow up appointment with your dermatologist.

Benjamin Barankin, MD, FRCPC · Answer

Any filler when injected into the skin can cause bruising. The lips have a lot of blood vessels and so bruising is more common as is swelling. Typically this resolves within 7-10 days. Ice in the first 24hrs can help, and avoiding aspirin, advil and alcohol, as well as intense exercise or sauna/Jacuzzi around the time of injection is a good idea.

Is this bruising normal after Volbella Injections?

Answers (15)

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