Is a sizable purple mark normal after Restylane injection?

Question

Got blueish mark (sizeable) on corner of mouth right after restylane injection. Second day it turned deep purple. Third day still there with no change. Dermatologist(injector) said not to worry but that it was not common to bruise after injection that rarely does she see this. I am very worried and concerned. Will this go away. I'm upset and scared this may be permanent or there is something wrong.

George Volpe, MD · Answer

The most common reason for a bluish purple Mark following injection is a common bruise. Unfortunately, when the needle is placed under the skin occasionally a small blood vessel may be affected and may bleed causing a bruise. Fortunately, this goes away. One other issue is that if a lot of hyaluronic gel is placed in one spot superficially, one can sometimes see a bluish tinge to the skin. It is different than the bruise and easy to tell the two apart.

Jason Emer, MD · Answer

Some bruising and/or swelling can occur after lip injections and should resolve in 1-2 weeks. In the meantime, VBeam treatments can improve the appearance of the bruise. Best, Dr. Emer

Steven H. Williams, MD · Answer

Hi CarrLee,Thank you for your question and photos. Bruising is not uncommon after filler injection due to the trauma of the needle as it is moved in and out of the skin. Fortunately, in the vast majority of cases, it is nothing to worry about and will go away on its own. It may take up to 2 weeks to resolve as your body breaks down the old blood there. In the future, apply a cool compress to the treated area on and off for the first 2 days after treatment to minimize risk of bruising. Hope this helps!

Faiyaaz Kalimullah, MD, FAAD · Answer

Swelling and bruising are not uncommon after injections, particularly in the lips and around the mouth.  Even without treatment, the bruise should fade completely within 2 weeks or so.  Certain lasers can help bruises fade significantly faster - if the bruise is bothering you, it may be worthwhile to ask your dermatologist if he/she can do a laser spot treatment to treat it.

Hardik Soni, MD · Answer

Thank you for your question. It is very common to have bruising after an injection into the skin. This can take up to 2 weeks to completely heal. You can apply ice and take Arnica to help reduce any bruising. If you still have any concerns please contact your injector. Best of Luck!

Is a sizable purple mark normal after Restylane injection?

Answers (9)

Answer: Bruising after Restylane

Answer: Bruising after Restylane

Answer: Arnica

Answer: Arnica

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Is a sizable purple mark normal after Restylane injection?

Answers (9)

Answer: Bruising after Restylane

Answer: Bruising after Restylane

Answer: Arnica

Answer: Arnica

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Recommended reading

Everything you need to know about Restylane

Our mission is to create a world where every investment in modern beauty is Worth It.