How Much Bruising Will There Be with Juvederm on Chin Crease?

Part of it is technique of the physician and part is your preparation.
Here is the preparation for you;
? Take Xanax 0.25mg 1 hour before procedure. We will call it in to your pharmacy. If you have never taken Xanax in the past, try one pill on a weekend to see how you react to it. Please do not drive if it makes you sleepy. Have someone drive you or reschedule your appointment.
? Apply Emla cream 1 hour prior to procedure. Put a very thick layer on and cover with saran wrap. This cream is available by prescription only. ? Avoid taking any Aspirin / Motrin or similar pain pills. Tylenol is safe to take. Stop all herbal medicine and supplements especially Vitamin-E, Fish oils, Omega 3, Coenzyme Q-10 Flaxseed for 2 weeks before getting these injections.You can take your multivitamin, calcium and vitamin D.
? You can use Arnica pills before and after the procedure & Arnica cream after the procedure to reduce bruising. Both are available from our office. You can also find them in specialty vitamin stores. Bromelain is helpful in reducing any swelling after the procedure.
? Apply ice after the procedure for a few hours if possible.
? Avoid sun exposure, exercise and alcohol for 24 hours after the procedure.
? Do not get these procedures done a few days before an important function such as a wedding etc.
? If you develop a cold sore around your lips, please call the physician's office.
? If you develop a bruise, you can camouflage it using Dermablend cover up. It is available from Macys.

Any needle stick can cause bruising. Juvederm and Restylane can bruise more readily than other fillers as a consequence of their chemical properties, yet most patients don't bruise much. You can help minimize bruising by not consuming blood thinners such as aspirin for two weeks before injections, avoid the non-steroidal antiinflammatory agents such as: Motrin, Ibuprofen, Advil, Alleve, Naprosyn, and others, for three days before, and avoid Garlic, Ginseng, Ginko Biloba, Fish Oil and Vitamin E supplements for two weeks before. Slow delivery and gentle pressure by the doctor helps minimize bruising and ice packs for a minute or so after may minimze bruising. Some doctors believe in Arnica Montana and Bromelain herbal supplements that can be taken before during and after the treatment to minimize bruising. Do not work out right after as exercise or increasing the blood pressure (bending over as an example) can increase bruising. If you do all the same each time, you still might find that sometimes you will bruise and others, not. Good luck.

Fillers can cause bruising in a minority of patients. Medications such as aspirin and anti-inflammatory drugs like Ibuprofen can make bruising worse. Patients on blood thinners like Coumadin can get significant bruising. For patients who do tend to bruise, taking Arnica Montana and Vitamin K starting the day before can reduce bruising.
An alternate method for treating chin creases is to relax the chin muscle with a small amount of Botox into the chin pad below the crease.