Bruises After Silicone Microdroplet Injections

Question

I have some minor bruising on my cheek and forehead from my silicone microdroplet injections.  How can I reduce or get rid of them?  Warm compresses?  Ice pack?  How long does bruising from these injections typically last?

Eric M. Joseph, MD · Answer

In general, bruising after any filler treatment will go away with time. There are no studies to demonstrate whether Arnica works for reducing bruising, despite availability for nearly 25 years. Arnica can't hurt. Ice or warm compress should not be necessary. Hope this helps! Dr Joseph

Otto Joseph Placik, MD · Answer

Bruising may be the result of several diffiernt conditions. Consider using Arnica orally as wel as in topical cream or gel. Perhaps i severe enough, ti could warrant evaluation with an hematolgoc work up.

Raffy Karamanoukian, MD, FACS · Answer

Bruising after silicone injections can occur. Injection related bruising can be minimized by Arnica based supplements are creams before and after surgery. I recommend the Bruise-Pak chewable pills and Bruise-Stick ointment stick.

Robert Kotler, MD, FACS · Answer

Perhaps 5% of people have some bruising.  Usually there are signs of it right after the injection where the skin gets a little swollen and purple.  In the office, immediate application of ice helps stem that tide and usually reverses it.  We recommend the patient use ice packs on the nose when they get home that day, and typically by the next day there should not be an issue with it.  I have never seen it last more than one day.  The reason is that a very tiny, small gauge needle is used for the injection and the chance of "hitting a vessel" is nearly zero.

Melanie D. Palm, MD · Answer

Ice packs--great idea, use it on and off for the first 24 hours.

	Arnica montana--take this orally, next time start the day before

	Vitamin K topical cream--will improve and clear bruising

	Consider pulsed dye laser treatment--it will clear the bruise in approximately 1/2 the time.  Lower energies should be used.

Channing R. Barnett, MD · Answer

Bruising is a potential side effect with any treatment involving needle injections.  Not even the best physicians are perfect and avoid bruising 100% of the time. Silicone injections are a huge part of my practice and we deal with occasional bruising.  When I am doing the treatment in the office, as soon as I see more brisk bleeding that could later lead to a bruise, we apply intense pressure with either a gauze or a q-tip directly to the spot.  
After the treatment, we also always have all patients hold pressure with gauze for 5-10 minutes. I believe immediate pressure in the office is the best way to prevent or minimize bruising.  Bruising, when occuring, lasts anywhere from 3 to 7 days depending on the individual.  I honestly do not believe warm compresses or ice packs at home (as it is too late really) make much of a difference.  
However, it cannot hurt and some patients find it soothing.  But again, the key is applying and holding pressure in the office.  Some of our patients believe Arnica helps, however I am not convinced it really makes a diffrerence.  Hope this helps!

Bruises After Silicone Microdroplet Injections

Answers (6)

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