Bruises After Silicone Microdroplet Injections

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.

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!