Does bruising depend on the type of filler and/or amount used?

Question

I will be receiving filler in my cheeks and lips. I understand that the lips tend to swell and bruise more easily than cheeks and that many other factors are involved, but I was wondering whether the bruising was also dependent upon the specific brand of filler and/or the amount of filler injected?

William Andrade, MD · Answer

Thank you for your question.  Bruising is a common side effect with fillers.  The lip area is particularly sensitive to swelling and bruising however there are ways to reduce bruising before you have your lips injected.  By avoiding certain blood thinners like Aspirin, Advil, or red wine prior to your injection, you may reduce the risk of bruising.  Some patients also bruise more easily than others.  If you do experience bruising, it usually lasts a few days and in some instances a week after the treatment.  The type and amount of filler might potentially effect bruising.  Best regards.

Nelson Castillo, MD · Answer

Thank you for sharing your excellent question and congratulations on your decision to pursue cheek and lip fillers.  Bruising largely depends on the method of filler placement and plastic surgeon skill rather than the amount or brand of filler used.  There are methods to help minimize the risk and duration of common side effects so talk to your injector for advice.  Best wishes!

Paul L. Leong, MD, FACS · Answer

Thank you for your question! The type of dermal filler that is injected has little to no association with bruising that may happen, however, there are other factors that might play a role in this.  Taking any blood thinning supplements such as aspirin, fish oil, ibuprofen, etc. within a few weeks of the injections may contribute to bruising. Also, whether you were injected with a needle or a microcannula can make a difference. Although using a microcannula doesn't completely eliminate the chance of bruising, it does decrease the chances by a fair amount. The injector's skill level and technique definitely plays a role in bruising as well. Lastly, some people simply tend to bruise easier than others. I hope you find this information to be helpful. Best of luck to you!

Johnson C. Lee, MD · Answer

Bruising is not dependent on the filler type. Bruising depends on the technique of injection as well as the patient's own skin. Patients who tend to have more superficial blood vessels (red in the face) or are getting more superficial injections are more prone to bruising. Hope this helps!

Johnson C. Lee, MD
Board-Certified Plastic Surgeon

Johnson C. Lee, MD 
Board-Certified Plastic Surgeon

Steven F. Weiner, MD · Answer

Bruising is going to happen with all injectors some of the time. However, experienced injectors will use techniques such as cannulas to limit or eliminate the bruising risks. The filler has very little to do with the bruising. Areas injected such as lips will bruise more. If more injections are made because a larger amount of filler is used, the higher chance of a bruise. Reducing risk factors such as stopping aspirin 12 days prior as well as other NSAIDS, herbal supplements, and reducing alcohol intake for 3 days prior will reduce bruising risk too. Treating a bruise with arnica, ocumend, and Excel V laser reduces my patient's bruise duration to a few days.

Esta Kronberg, MD · Answer

Unfortunately the fillers cause some bruising. There is something in the Hyaluronic acid fillers that cause a bit more bruising. One doesn't bruise more or less than the others. You can have some variation with the skills of the injector.In addition you can decrease the bruising by avoiding  certain things for 10 days prior to your treatment.Avoid Aspirin, Aspirin like products such as Motrin and Alleve, flax seed and fish oil for 10 days before the treatment.. Arnica cream and pills sometimes help diminish the bruising.It's always best to allow for 1 week of bruising just in case.

Shaun Patel, MD · Answer

Thanks for sharing your question. Bruising does not depend on the type of filler used although swelling may as certain fillers tend to swell more than others. There are several things you can do as a patient prior to treatment to minimize bruising and I would discuss this with you injector.

Allen Foulad, MD · Answer

The risk of bruising and swelling after injectable filler treatment is associated with several factors, such as personal genetics, exposure to supplements/medications known to increase bleeding risk, and the skill of the injector. I use a microcannula in my practice and most patients do not develop any significant bruising or swelling. Some fillers attract more water, and thus the type/brand of filler can potentially contribute to overall swelling depending on the technique used and the location treated. It is important to consider the individual's skin, the location that the filler will be used, and the treatment goal when determining which type/brand of filler to use.
Best,Allen Foulad MD

Kristina Tansavatdi, MD · Answer

There are several factors that increase the risk for bruising and swelling after filler injections including any personal history of easy bruising or bleeding, the medications or vitamins that predispose to easy bruising, and the injection skill and technique of the injector. The specific brand of filler, however, has little to do with the degree of bruising you might expect.

Leonard Grossman, MD · Answer

The amount of swelling can easily be controlled by the technique of the injecting physician. My patients rarely see any amount of swelling even when their lips are augmented. Using a small cannula helps the patients and the doctor to avoid bruises. Good luck from New York City

Does bruising depend on the type of filler and/or amount used?

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