Bruise or broken blood vessel? (photo)

I always start with a conservative amount of filler in any area. With this approach more filler can always be added at a later time if desired.Bruising is common after physical trauma to the skin or lips. Without an in-office exam I am not able to tell exactly what it is. If you have before photographs it may be easier to tell. Either way, any type of vascular lesion (bruise, broken capillary, etc.) can be treated with a laser such as KTP or pulsed dye or an IPL with filters in the 500-600 nm range. Without treatment bruises normally resolve on their own. Good luck!

Thank you for your question.  These appear to be bruises, give them a few days and see if they resolve.  If they do not follow up with your board certified Dermatologist.  Regards, Dr. Matt Elias