Bruising after Juvederm treatment?

Thank you for your question.The amount of bruising depends you.  Some patients do not bruise at all, other patients bruise as soon as you touch them.  It is important to avoid things that thin your blood prior to your appointment (Motrin, Excedrin, Alcohol).  Afterward, cold compresses can also help with swelling and bruising.

My experience is that patients bruise three different ways.  The first is the big bruise, which starts almost immediately.  Usually the docs see a flash of blood drip immediately after removal of the needle, or immediately see swelling.  Those tend to create large, week long bruising.The second is a more moderate result, which tends to blossom within the first 24 hours.  These are harder to predict, but luckily happen fairly infrequently.  The third is often delayed a few days, and show up maybe two or three days later.  They occur from deep bruises that take a few days to finally come to the surface.  Because they are deeper, they also seem to take longer to resolve.As others have pointed out, the bruising is overall rare.  Some areas like the eye region or prejowl sulcus bruise more often.  Other areas like the cheeks don't tend to bruise.  There is little that an injector can do to prevent them, other than gentle professional technique.  The simple passage of a needle into the skin starts the process.  Avoiding aspirin, ibuprofen, or naprosyn for a week helps.  Also fish oil, high dose vit e, and a few other more obscure herbs or supplements.  If you do bruise, we offer arnica cream or pills, and IPL treatments to break up the bruising as fast as possible.  

Thank you for your excellent question, but the answer is all the above.  Bruising can manifest itself immediately if a blood vessel is encountered during an injection but most commonly a true bruise develops in hours or the following day.  I have attached a link below as to how to minimize the risk of bruising. Hope this helps.

Thank you for sharing your good question. When performed properly by an experienced injector, bruising should be insignificant and resolve quickly. Small bruises typically appear the day of injection. Arnica and cold compresses can diminish bruising and hasten recovery.Good luck,

Thanks for your question and I always recommend that you get these injections in offices of board certified dermatologists or plastic surgeons as we are the most skilled in the varying injection techniques and what to do if something goes wrong, even when a bruise develops. For the most part, fillers can cause swelling, but bruising is dependent on the injection technique of the injector, the skill of the injector, and at times, where the injection is taking place on the face. If a blood vessel is nicked during the injection process, which can occur, bruising is more likely. The bruising can come on within hours of the injection if it is going to occur and can last upwards of a week in some individuals. Ice can minimize any bruising and we do use this in most of our patients. Arnica, which can be topically applied or via a pill, can help in some. And if the bruise is widespread, one can use a pulsed dye laser or a newer device called the Aerolase Neo which have shown to reduce bruising very quickly. So find the right injector and you should do just fine.