Bruising and Swelling Prevention and Fillers?

Hi Bronzi, Bruising can occur no matter how skilled the injector is but you could stop taking Ibuprofen, Aspirin, Fish oil and green tea for two weeks before treatment to help eliminate the risk

Avoid blood thinners such as Aspirin, Ibuprofen, and Vitamin E.  In addition, use a BruiseStick ointment immediately after the injections to minimize bruising. 

It's ok to continue your Vitamin D prior to treatment with any dermal filler, and it sounds like you're informed of discontinuing blood thinning supplements. We recommend a full week off of any blood thinner, unless your PCP has prescribed it specifically for a health condition. Not taking those supplements help minimize the incident of bruising post-treatment, however, it's never a guarantee that you won't bruise, regardless.

Avoiding aspirin-containing products, Ibuprofen, fish oil, Vitamin E, ginseng, ginkgo, ginger and garlic supplements will reduce the risk. Further, starting an Arnica Montana supplement prior to and generously icing the area following the treatment can reduce the risk of bruising. Most importantly, an experienced injector can minimize the risk and avoid any serious filler-related complications. I hope this information is helpful.Stephen Weber MD, FACSWeber Facial Plastic Surgery

I advise avoiding aspirin, ibuprofen, vitamin E, fish oil, alcohol, ginseng, gingko biloba and green tea before procedures and for a few days afterwards. Vitamin D will play no role with bruising or swelling. I agree that Bromelain as found in fresh pineapples can be helpful, and Arnica may be of some benefit too. Dr. Benjamin Barankin, Toronto Dermatology Centre.

I recommend bromelain as it is a super anti inflammatory and also an enzyme that breaks down bruising. There is a great book published about Bromelain on Kindle Books and Nook Books - check it out.

I agree with the previous answers but also advise you to stop drinking green tea for at least one week before your filler treatment.   

I agree with the others that say that you need to avoid the supplements that are associated with bruising /bleeding but no worries about Vitamin D. I also think that Arnica might help as well as icing before and after. I would add the possibility of fresh pineapple helping and have my patients eat one cup of fresh pineapple daily for five days prior to procedure.

You can continue taking your vitamin D as usual. I advise patients to stop aspirin that is not medically necessary 10 days prior to the procedure. Herbals (ginko, ginseng, garlic), vitamin E, and fish oil should be stopped 1 week prior to the procedure. You should also avoid alcohol and certain pain medications (ibuprofen, aleve, naproxen) for 2 days.  While studies have not shown Arnica to prevent bruising, the product has a loyal following. Lastly, invest in a good coverup! DermaBlend and similar products are great for camouflage.

I would recommend stopping anything that is not absolutely essential 2 weeks prior to any procedure.  You can restart the next day post procedure.  That should limit any bruising risk as much as possible.  I'm not aware of Vitamin D causing major bruising problems, but you are right about Vitamin E and Fish Oil.  I also have a few patients who eat garlic just before procedures and note bruising.  

Consider pre-treatment arnica montana and post treatment bromelain to help limit bruising.  These are available at vitamin stores.