How bad do you bruise after having Voluma??

Although bruising is not very common with fillers, it certainly does happen and one should always schedule accordingly. Even if you have had the same doctor inject the same filler for years, you shouldn't undergo an injection within two weeks of a very important social or work-related function as bruising can happen any time. Voluma is typically injected deeper than Juvederm, Belotero and Restylane. It is thicker and requires a slightly larger diameter needle which if perforating a blood vessel in the deep planes could cause a larger bruise than seen with the more superficial fillers and there could be a delay of a few days before noticing it.  Bruising is often hidden with the use of concealer and makeup. Vbeam laser can help reduce the bruising at a quicker rate than your own body's ability to clear the discoloration.The information provided in Dr. Shelton's
answer is for educational purposes only and is not intended
to constitute medical advice. The information provided should
not be relied upon as a substitute for consultations with a qualified
health professional who may be familiar with your individual medical needs

Most of my Voluma patients don't have any bruising at all.  That's because it is injected fairly deep where there aren't that many blood vessels.  It also depends on the skill of your injector and your tendency to bruise/bleed.  Having said that, I have many patients who say they bleed or bruise with other injectors but not me so I have to think that this ends up being related to technique to some degree.  That doesn't mean it isn't wise to avoid aspirin, advil or other blood thinners prior to fillers (and maybe alcohol as well!).  Good luck!