Is There an over the Counter Med I Can Take to Help Reduce Swelling After Filler Injections?

I had a combo of Radiesse for my jawline and mouth corners and restalyne for my lip lines. It's been almost 24 hours and I have been icing the area. But is there an over the counter med I can take to reduce the swelling? I read something about Zyrtec and Benedryl. Is that helpful?

Doctor Answers 20

Reduce Swelling

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I encourage my patients to use ice compresses and sometimes an oral antihistamine like Benadryl for the first day or two.


Fullerton Dermatologic Surgeon

Swelling after fillers

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First and foremost, icing is the most important thing to do to decrease swelling after a dermal filler has been injected. However, many of my patients have had success with using both Arnica and Bromelain after the procedure.

Ryan Greene, MD, PhD
Fort Lauderdale Facial Plastic Surgeon
4.9 out of 5 stars 83 reviews

Tips to Reduce Swelling and Bruising After Fillers

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Dr. Ebrahim recommends eating fresh papaya and pineapple 2 -3 days before the procedure.  Avoid Vitamin E, Multivitamins, Aspirin , Ginkgo Biloba.  She also recommends avoiding  alcohol the night before the fillers.

Arnica may be a good option to help prevent bruising and swelling .  Take 2 – 3 tablets twice a day for a couple of  days before the procedure.

Swelling is also a common side effect.   Using ice immediately post treatment is also advised.

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Swelling Post Filler Injection

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Swelling will normally resolve over time on its own. No medication can significantly speed up the process. Some people will recommend homeopathic remedies such as arnica montana and/or bromelain which may or may not be helpful. Applying cold packs and head elevation may help as well. Definitely be careful when applying cold packs and do not apply them directly on the skin to avoid frost bite.

OTC remedies for swelling after Radiesse

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Nothing works better than ice for the swelling after Radiesse.

At our pracitce, we do not recommend any other products or remedies. The swelling is temporary and products for swelling do not work well.

The swelling is based on the location of the area injected and injection technique. Also, Radiesse has hyaluronic acid which takes up water in the skin and contributes to the swelling.

Harry Goldin, MD
Skokie Dermatologist

Fillers may cause some swelling that might be reduced by Arnica montana

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Benadryl and Zyrtec are antihistamines and not diuretics (or waterpills). Unless you have swelling produced by an allergic reaction related to the release of histamine, then antihistamines are not expected to reduce your swelling.  Minimize activity including avoiding bending over at the waist, straining, lifting heavy objects, do ice compresses and consider taking the herb, Arnica montana, which has been shown to reduce the possibility of swelling and bruising.  Some recommend bromelain as well.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

Is There an over the Counter Med I Can Take to Help Reduce Swelling After Filler Injections?

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Ice for the first 48 hrs!

Black and blue ointment has both Arnica and Bromelain. You can also use all the usual Anti-inflammatory!

And Patience :-)

Icing is helpful, and so is time.

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Unfortunately, sometimes patience and tincture of time are the best remedies for the swelling that is caused by these treatments.  Arnca is completely ineffective so I would not bother with this.  I treat a lot of actors and working broadcasters.  For these folks, sometimes I will prescribe corticosteroids.  However it is also possible to have some remarkably severe reactions to the steroids, so generally these are reserved for critical circumstances.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Reducing swelling after filler injections

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I recommend icing after fillers, but do not feel there is a need for anything else. If swelling persists for more than 48h, I will use some oral prednisone.

Barry Resnik, MD
Miami Dermatologist

Arnica for Swelling after Fillers

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I would highly recommend taking some oral Arnica Montana to help reduce any swelling or bruising after filler injections. It is homeopathic, safe, inexpensive and available at health food stores. Icing the areas will certainly help also.

Sumit Bapna, MD
Columbus Facial Plastic Surgeon
5.0 out of 5 stars 50 reviews

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.