How to Prevent Bruising from Fillers?

How can one prevent bruising when getting injectable fillers?

Doctor Answers 5

How to prevent bruising from fillers

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Bruising can be minimized by avoiding Aspirin, Motrin, Aleve or Advil for three days prior to your treatment. 

New York Dermatologist
4.7 out of 5 stars 11 reviews

Preventing Bruising

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The method of injection is a major contributor to bruising. Medications and lifestyle choices can also contribute. You should choose an experienced injector, as well as avoid taking medications and supplements that promote bleeding (thin the blood), such as aspirin, St John’s Wort and Vitamin E. Start taking Arnica a week or two before your treatment, and continue taking it afterwards. Avoid vigorous physical activity and hot baths on the day of your treatment, as well as a day or two afterward. You should also avoid smoking.

Minimizing bruising could be done at 3 levels

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Every effort should be done to minimizing swelling and bruising after filler injection or any surgical procedure,this could be done at 3 levels:

1. Before the procedure: Avoid blood thinners ,whether drugs or food. e.g aspirin, advil, motrin, coumadin etc.

2. During injection: Using ice, and using non traumatic needle in sensitive areas.

3. Post-procedure: Use arnica and ice. Steroids are controversial and may have a role in more invasive surgical procedures.

Hope that helps!

Hisham Seify, MD, PhD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 19 reviews

Multiple things you can try after fillers

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Ultimately there are many things you can do to prevent bruising, but there is no guarantee that it will work for sure.

1. Avoiding any medications that thin the blood e.g. Aspirin, Aleve and other non-steroidals, many types of over the counter herbal medicines thin the blood, etc.

2. After your procedure place ice packs immediately for at least a couple of hours. If your surgeon hits a small blood vessel during the procedure, placing immediate pressure for 5-10 minutes will also help reduce bruising.

3. Taking Arnica a couple of days prior and after helps. Studies have shown a trend towards helping, but not statistically significant, although I would tell you I have all of my patients do it beforehand because it does seem to help.

Hope that helps.

Samson Lee, MD
Seattle Facial Plastic Surgeon

Avoid Aspirin, Eat Pineapple; Try Ice Packs, Arnica, Auriderm

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Avoid any substances which might thin the blood and cause excess bleeding. These would include aspirin, non-steroidal anti-inflammatory agents such as Advil, St. John's Wort, or high doses of Vitamin E.

Eating pineapple before your treatment. No not really. The Bromelain found in pineapple inhibits clot formation and bruising. The problem is the bromelain is found in the stem and not the fruit. However, it does come in a supplement form so you could pick some up in your health food store.

Make sure you use ice packs both before and after your injections. These constrict the blood vessels and diminish swelling and bruising. Even if you feel these are unnecessary, they are not a bad idea.

Some physicians recommend arnica montana, Leopard's Bane. This is an old folk remedy for bruising. However, a study by Bauman et al, in Dermatologic Surgery 2002 failed to show that this was any better than placebo in preventing or treating bruising.

On the other hand a recent study by Cohen did show Vitamin K oxide gel ( Auriderm) did decrease bruising AFTER the procedure.

Hope this helps.

Arnold R. Oppenheim, MD
Virginia Beach Dermatologist

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.