5 Days Post Belotero - is This Normal? (photo)

Belotero in tear troughs 5 days ago. Significant bruising and swelling. Started to subside but now can seen and feel ridges. Will this go down?

Doctor Answers 9

Bruisestick ointment with Arnica for Belotero bruising

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Our office recommends Bruisestick for bruising around the eyes after facial fillers. The Bruisestick contains Arnica and Bromelain. 

Los Angeles Plastic Surgeon
4.8 out of 5 stars 95 reviews

Bruising after Filler in the Tear Trough

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Bruising and Swelling is common after injections and can take up two weeks to resolve. You can massage the filler to help smooth it out. If after 2 weeks you are not happy with your results you can have it dissolved with hyaluronidase. It takes a skilled injector to correctly fill this area. I recommend you having this evaluated by your physician. 

Hardik Soni, MD (not currently practicing)
Summit Emergency Medicine Physician

Bruising post Tear trough injection

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Yes the bruising will go away. Avoid ASA , antiinflammatories and alcohol.They could enhance bruising.

Give it a week to 10 days. 

There should not be ridges. Wait 2 weeks and reassess the result with your injector.

Cynthia Stolovitz, MD
Montreal Physician

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It'll all get better

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This will definitely improve and can be normal after injection in this location. This is why I use cannulas for periorbital injections. There is less bruising and less swelling. It allows delivery of the product with only one poke and then threads the product under the skin. 

For your bruising I would do cold and warm compress every twenty minutes prior to bed. also sleep with three pillows to elevate your head. It will get better and I bet you are happy in 1 wk. 

Hope this helps.

Best of luck,


Benjamin Caughlin, MD
Chicago Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

Bruising and Swelling: Common After Treating Eye Troughs

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Common side effects after Belotero injections are similar to other like products : swelling, bruising, redness, hardness of the skin, altered skin color and itching. Some people experience swelling around the nose . Most all side effects resolve in 7 days.  We suggest using oral and topical Arnica, avoiding anti-inflammatory supplements (fish oils, Ibuprofen and green tea) for approximately  1 week to quicken the results.

Ronald Moser, MD
San Juan Capistrano Physician

Belotero under eyes

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You are experiencing some bruising and swelling in the under eye area. I would recommend sleeping propped up on a few pillows and icing the area intermittently. You can consider massaging gently, but I would recommend consulting with your doctor. In the future, you can consider the use of a cannula to avoid bruising.

5 days post Belotero in tear troughs... Is this normal?

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Unfortunately bruising and swelling can happen with some patients or injectors. If it does happen it can last a couple of weeks  Ultimately the bruising and swelling will go away but the product may need some massage to smooth out especially if it was injected too superficially. Check back with your provider to see if and when they want to start massage.  After a couple of weeks and some massage, if you are not happy with the results you can consider hyaluronidase to dissolve the product. It's unfortunate but some injectors may not have enough experience with the tear trough area.  It does require extra skill and experience to do it well.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 231 reviews

Bruising After Belotero

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Hi Z.  Based on how you appear, we believe that the Belotero was injected superfically (above the muscle that surrounds the eye).  We also tried this with one patient and it did not work out well.  The manufacturer was telling us that the superficial placement could work well (Restylane and Juvederm are placed deeper) but it did not.  

You may have residual lumps and bruising.  We use Vitrase to dissolve the product in these situations and you can ask your injector about it.  We also use our q-switched lasers to get rid of the staining appearance from the bruising.  Hope this helps.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

Five days after Belotero under eyes

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The appearance that you currently have 5 days after your Belotero injection under your eyes will most likely still change.  The uncertainty is in how much it will change.  I would recommend waiting perhaps a week more for the swelling from your injection to completely resolve and then see how it looks.  If you still feel that you have some ridges, you should return to your injector and you can have a medicine called Hyaluronidase injected to help with the ridges.  

Michael I. Echavez, MD
San Francisco Facial Plastic Surgeon
4.5 out of 5 stars 18 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.