Will Lips Bruise After Juvederm Injection?

Will there be a lot of bruising on upper and lower lips when Juvederm is injected in these areas?

Doctor Answers 13

May be

Any time anything is injected into the lips that doesn't contain epinephrine to reduce bleeding there is the potential for bruising. With that said the lips are incredibly resilient and tend not to bruise much. If you do get bruising it will likely last the standard amount of time 10 days to 2 weeks. But remember it's very uncommon.

Bruising after juvederm

 Bruising after injections can be multifactorial.  If you take anti-inflammatories or aspirin then you will be more prone to bruising.  If you are very active just after injections ( go to the gym, etc..) you can bruise more as well.. Some herbals can cause bruising as well.

Steven Wallach, MD
New York Plastic Surgeon
4.0 out of 5 stars 22 reviews

Bruising after injections

Bruising is a possibility after any injection - not specific to Juvederm. There really is no way to predict who will bruise and who will not. Factors that increase chance of bruising include taking Aspirin or Motrin within the week before the injections. Some studies show that Arnica Montana, an herbal medication, may help reduce bruising. Make sure that you do not have any plans for important occasions for a few days after the injections in case you do get any bruising. Good luck.

David Shafer, MD
New York Plastic Surgeon
5.0 out of 5 stars 69 reviews

Probably Not

Whenever there is an injection, there is a chance of a bruise. If there is a bruise it is usually small, however, rarely, patients do get large bruises.

Here is your best bet to avoid a bruise.

  1. Stop any medication or herbal treatments that thin the blood one week prior to the treatment (you should check with your family doctor to be sure it is OK to do this, if the treatment was recommended by a doctor)
  2. The most common over the counter medications that thin the blood are, Aspirin, Motin, Advil, Aleve (anything that helps a headache that is not Tylenol).
  3. Many Herbal/Vitamin medications also thin the blood. Some common ones are Vit. E, Fish Oil (the list goes on and on your doctor can supply a list).
  4. Use ice compresses on your lips immediately after the treatment or a few hours, on and off.
  5. Avoid heavy excessive for one day
  6. Try to sleep with your head a little elevated the night of the treatment.

As I mentioned, nothing can guarantee that you will not get a bruise, so if you have a big event get your treatment a few weeks in advance.

Hope this helps.

Marc Cohen, MD
Philadelphia Oculoplastic Surgeon
5.0 out of 5 stars 18 reviews

Bruising on lips after juvederm

It all depends on the technique and needle, but generally you should expect some amount of bruising after lip injections. Bruising can vary, from minor to very apparent. Don't take any medications or supplements before your treatment or after that would promote bleeding, like aspirin and st. john's wort.

Minimizing bruising with lip Juvederm injection

Lips do tend to bruise with filler injection. The bruising can be minimized, however. In particular, injecting via special cannulas rather than needles has tremendously reduced bruising and swelling in my practice.

Laxmeesh Mike Nayak, MD
Saint Louis Facial Plastic Surgeon
5.0 out of 5 stars 141 reviews

Bruising after injectables

While hard to predict the future, there are a couple of things that may lead to an increased chance of bruising.  NSAIDS, (Ibuprofen, Aspirin, etc;) Vitamins, (A and E), Herbal supplementation, (ginkgo, St. John's Wart, etc:) can all increase bruising.  It would be great if you could be off of them two weeks prior to the procedure.  Always check with your regular doctor before changing medicines.  Afterward our office likes ice and Arnica, (an herbal supplement), to try and decrease bruising.

Jeffrey J. Roth, MD, FACS
Las Vegas Plastic Surgeon
4.5 out of 5 stars 14 reviews

Treating and preventing bruises with Juvederm and Restylane with Bruise-Stick

Bruising is not common with Juvederm or Restylane injections, but can occur.  I would recommend an Arnica ointment and oral pill called Bruise-Stick and Bruise-Pak before your injections just in case. 

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 75 reviews

Probably not, but your plastic surgeon will attempt to minimize it.

When performing hyaluronic acid (HA) fillers (Juvaderm and Restylane) we use measures to minimize the chance of bruising, but it is always possible.

The first consideration is your medical history (any bleeding disorder, prior bruising, heavy periods, prescription medications which increase bleeding). Next would be over-the-counter medications or supplements that may increase bleeding. There are treatments such as oral arnica montana that may help.

Next comes the procedure itself. The drug doesn't cause the bruise; but it is the injection treatment. Since several actual needle punctures are needed, tiny vessels normally bleed. If this bleeding is minimal, you are less likely to develop a bruise. Light pressure at the injection sites helps, but ask your surgeon. Don't push very hard or for very long after the filler treatment.

Afterward we suggest that you go home, relax and apply ice packs if you notice swelling. You should avoid strenuous exertion for several hours. Then go back to your regular activities. If bruising occur, notify your surgeon's office and ask if they have any recommendations. More extensive bruising will take longer to resolve.

Sutton Graham II, MD
Greenville Plastic Surgeon
4.5 out of 5 stars 4 reviews

Bruising is unpredictable

Bruising is unpredictable after lip injections, however, the methods mentioned by the other responders to this question can help minimize this. Besides bruising from the actual trauma of the needle, hyaluronic acid fillers are hydrophilic. This causes localized swelling in addition to that caused by the injection.

Kevin Ende, MD
Manhattan Facial Plastic Surgeon
5.0 out of 5 stars 7 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.