Tear trough and bruising with restylane, is this normal? (photo)
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Doctor Answers 5
Restylane and Bruising
One of the potential side effects of Restylane injections is bruising. I wonder if you were on any blood thinners like aspirin or motrin before the injections? Were both eyes or just one eye this bruised? If only one eye was this bruised then a vessel was hit during the injections which caused this bruising. Next time I would take Arnica before the injections. Please find a board certified dermatologist for the best cosmetic results.
Tear trough and bruising with restylane, is this normal?
Tips & Techniques For Reducing Bruising Following Nonsurgical Tear Trough Treatment With Fillers
There are, however, a number of tips and techniques that can help to reduce this very unwanted consequence. If possible, i.e. if there is no medical reason not to, all aspirin or aspirin-containing products, which thin the blood, should be stopped about ten to fourteen days before treatment. NSAIDs, such as naproxyn or ibuprofen, should likewise be stopped about a week beforehand. It is also advisable to disontinue certain other food supplements that are known to thin the blood and increase the likelihood of bruising, specifically omega 3 fatty acids, gingo, garlic and ginseng. Finally, alcohol should be avoided for twenty-four hours beforehand A word of caution: Blood thinners, such as coumadin and Plavix should not be stopped without medical advice.
There are certain techniques that injectors may use to reduce bruising. The slower the injection, the less likely to cause damage to blood vessels under the skin (the cause of bruises). The use of blunt tipped catheters, instead of sharp needles, is another method of minimizing tissue damage and bleeding as is adding a small amount of epineprhine to the injectable filler to promote blood vessel constriction.
Lastly, although not guaranteed to work in my experience, applying ice, taking sublingual arnica along with bromelain pills (a pineapple derivative) and applying arnica and vitamin K creams all have their proponents.
It should go without saying that consultation and treatment by a board certified core aesthetic physician with extensive experience in injecting the delicate under eye area is strong advised.
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.