Is it normal for cheeks to turn yellow 3-4 days after ultherapy?

Question

I believe my cheeks are bruised. How long does it take the yellow skin to heal and is the a normal side effect of face ultherapy?

Paul Vitenas, Jr., MD · Answer

Bruising after Ultherapy can occur although it is not very common in our practice. We have noticed that patients with thinner skin or who are more prone to bruising easily have the most trouble with this. With patients who fit these categories we try our best to have the patients refrain from taking any inseds (advil, asprin, ibuprofen, etc.) 2 weeks prior to and 2 weeks after having an Ultherapy procedure performed. We also recommend that patients stay away from fish oil, vitamin e, and any other herbal supplements they may be taking for the same time period. In the event that we anticipate a patient will have a higher incidence of bruising we try our best to make sure the patient is using arnica montana both topically and orally to get them back up and at it as soon as possible post procedure.

Michael A. Zadeh, MD, FACS · Answer

Bruising is a rare risk of the Ultherapy procedure, but it can happen sometimes to those with thinner faces or who have a tendency to bruise. It's even less common for it to happen on the cheeks. Nonetheless, the yellowish nature of the bruise means that it is resolving. Most bruising completely goes away by about 7 days. If you are concerned you should schedule a follow up with your treatment provider. Best of luck to you.

Michael I. Echavez, MD · Answer

I would say that bruising is not common after an Ultherapy treatment, but it is possible.  Sometimes bruising can be black and blue, but sometimes it can also be yellow or green. Usually, if it is yellow or green, it will fade away faster than black or blue.  If you have any concerns after your treatment, I would recommend contacting the physician who treated you.

Grant Stevens, MD · Answer

Hello!Bruising is not common after Ultherapy, however I have seen it
in some patients. We've seen it most often in the lower check and neck area. It is most
likely in thinner skin, lighter skin, or patients with a history of easy bruising.
It is especially helpful in these patients if they refrain from any medications
that have anticoagulant properties. Topical and oral arnica will assist in
healing the bruises. These can take 5-10 days to heal and can be concealed with
makeup.

Hratch Karamanoukian, MD, FACS · Answer

This is an uncommon finding after Ultherapy and perhaps related to using excessive energy use. The good news is that the bruising will go away and hopefully you will have a great outcome in 6 months. In the meantime, Bromelain and Arnica will help accelerate the absorption of broken down blood products in the soft tissue and Bromelain is also a natural anti inflammatory agent. Read my Ultherapy ebook provided on the link below. It is a free access ebook.

Michael H. Gold, MD · Answer

Thanks for your question and know that you should be fine at this point with what appears to be bruising that is now most likely resolving. This is not all that common with Ulthera treatments but should have been told to you as part of the post-operative instructions and care. This is why we always recommend that these procedures be performed at an office of a board-certified dermatologist or plastic surgeon — post-operative care is something that we all spend lots of time so that everyone understands what can happen and what to do if something does happen, as you have had.  Also, feel free to call the provider and ask them what they think and perhaps even visit the office if you are concerned.

Is it normal for cheeks to turn yellow 3-4 days after ultherapy?

Answers (6)

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