Belotero tear trough bruising. Is this permanent? Should I be patient? (Photo)

The tear trough region can be densely populated with small  blood vessels, and the skin here is very thin, so this combination of factors puts patients at risk for visible bruising following injection of fillers.  The risk of bruising is increased if a patient has been taking aspirin, NSAIDs, fish oil, and a variety of other homeopathic medications.  Preinjection with anesthetic containing epinephrine and use of a blunt cannula for injection can reduce the risk of bruising, but nothing, except good luck, can entirely prevent it.If you see bruising following injection of the tear trough region with filler, arnica montana and bromolein are two homeopathic medications that can accelerate its resolution.  It is also very important that you keep this region out of direct sunlight while the bruising is resolving, in order to prevent long term hyper pigmentation of the skin here. It can take several weeks before the bruising completely disappears, and patience with this is definitely in order.  Light stimulation treatments can also help speed resolution of the swelling and bruising.In rare cases, patients can develop hemosiderin staining from deposition of iron ions released from the hemoglobin of ruptured blood cells in the deeper layers of the skin.  Hemosiderin staining also usually resolves completely, but this can take many months, instead of the weeks that garden variety bruising takes to resolve.  In cases of hemosiderin staining, chelating agents and treatments with alexandrite lasers can speed the resolution of this condition.  However, in your case, since you are only eleven days out from treatment, you would be best served by waiting two to three more weeks, and then returning to your physician to reevaluate your progress.

bruising can take 2-3 weeks to improve sometimes longer, i suggest laser treatments to speed it up and arnika pills.  Best, Dr. Emer.

Thank you for your question.
Swelling and bruising is not uncommon with tear trough injections. Using cold paks, Arnica, and bromalain can all help reduce the swelling and get rid of the bruising quicker. Swelling can last up to 2 weeks. I encourage you to remain patient and not judge any results untl after the 2 week mark. At which point I would follow up with your injector to see if any massage or touch up is necessary. 
Good Luck