Injection was 2 days ago. Swelling under both eyes and one impressive black eye (see photo). No blood thinners, etc., before procedure. Took arnica tabs orally for 2 days before; ingesting arnica and bromelain now, as well as applying topical arnica. Very experienced injector. I don't look as if I've been overfilled; I just have fluid (edema) at injection sites, plus severe bruising under one eye. How common is this (e.g., % occurrence)? Should I be concerned? Thanks in advance.
Huge Bruise and Swelling from Belotero Injection to Tear Trough, Should I Be Concerned? (photo)
Doctor Answers 8
Bruising with tear trough injection
Bruising can happen, especially in the thin skinned vascular tear trough area. Time will be the best answer. Swelling generally reduces fully in two weeks. Asymmetrical bruising/swelling happens because each injection is different. Best of luck.
Huge bruise and swelling from Belotero in tear trough
It appears your injector hit a blood vessel under the eye that caused the bruise. It is a highly vascular area and bruising can be an issue there. But it will go away. For future reference, I have found that using a blunt cannula is much safer and produces far less risk of bruising. That may be an option if it is ever done again, but does require special training for your injector.
Bruise after under eye filler
Some people tend to bruise more than others and there is a long laundry list of supplements and over the counter medications that increase bruising risks. It's not just actual blood thinners that thin the blood - your fish oils are a big culprit as well.
One way we see much less bruising is by the use of microcannulas. Not all physicians have moved to cannulas and it's not a guarantee you won't bruise, but the incidence is much lower in our own clinical experience.
Swelling with any hyaluronic gel is probably at some level and will subside on its own. We recommend a lower sodium intake, icing or elevated rest the first night if possible.
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Bruise and swelling after Belotero injection to tear troughs
Although most patients do not develop bruising after an injection to the face, it is possible that it occasionally happens. Of all the places on the face that are injected, the area around the eyes is probably the area that can get bruising more than other locations. This is due to the thin skin around the eyes and the blood vessels that are in the area. With time, the bruising and swelling you got after the Belotero injection under your eyes should resolve completely. I would agree that ice can be helpful before and after.
Bruising after injectables
Bruising after injectables is uncommon, but can happen. I usually quote patients about 1% chance of bruising with injections. Ways to reduce bruising is ice before and after the injections and also the use of the cannula technique. Also avoidance of blood thinners for a week prior to your injections is very important. Injections around the eyes have a slightly increased risk of bruising. Use of the V Beam Perfect laser is very useful for reducing bruising after injections if you do happen to get a bruise. Not all offices have this laser, so you may have to ask your doctor. We offer the V beam treating free of charge to any of our patients that happen to get a bruise after an injections. It gives an added sense of security when having a treatment.
Lower eyelid bruising
We use a V-beam laser which targets the red blood cells which leaked out of their vessels as a result of the injection. This works great and reduces the duration of bruising significantly. I would recommend this in your case.