Post Juvederm Bruising- How Long Will It Last? Can I Speed Healing?

Some degree of bruising occurs in up to 70% of patients following injection with Juvederm and Restylane. The extent of bruising is less dependent on the injectors expertise and more in keeping with the patient's individual physiology and tendency to bruise. You can minimize your tendency to bruise by avoiding aspirin, NSAIDs, fish oil, alcohol (vasodilator), and the G' supplements (garlic, ginko baloba, ginseng) for 10 days prior to your procedure. I believe it is also helpful if you are able to relax your body during the injection and avoid strenuous exercise for 24-48 hours following the procedure. If you are taking aspirin for a medical condition other than preventative heart health, you should check with your PCP before discontinuing this medication.
Bruises generally last one or two weeks. I use the VBeam pulse-dye laser on all of my patients that bruise following filler treatment.  The use of the laser dramatically speeds the resolution of bruising, often in less than 72 hours. I have also had  success with the Ocumed patches, which contain a potent form of Arnica Montana in a hydrogel matrix. The Ocumed patches are especially useful in the rare patient that suffers a black-eye type bruise.  Many doctors also recommend topical and/or oral forms of Arnica, bromelain, and Vit K, which may prove helpful. Cover-up can prove difficult, but surgical makeup is available that is designed expressly for this purpose. My best.
 

Thank you for your question. Bruising is a very common side effect of filler injections even when the patient abstains from medications and supplements that can increase their likelihood.  Depending on the severity of the bruise, it can be a few days to two weeks for complete resolution.  Arnica tablets are a homeopathic supplement that can make the healing process significantly faster, available at most health stores, Whole Foods and online.  Best wishes for good results.

Thank you for the question. I am sorry to hear about your bruising. There are steps that can be taken to reduce the swelling.  
Before the treatment, it is advised that you avoid medications and substances that increase the risk of bruising.  The patient may be asked not to take aspirin or NSAIDs for at least 7 days, unless discontinuation of these poses a significant risk.  Herbal medications (such as St John’s wort, ginkgo biloba, vitamin E, garlic, ginseng, fish oil) that predispose to bleeding and bruising should be withheld.  Preoperative ingestion of some homeopathic medications such as arnica may reduce bruising, although further investigations are needed to confirm this.
It is also imperitive that you choose an experienced injector who uses a technique to minimize bruising.  This is an operator dependent procedure and so you need to be in safe hands.
After the procedure I also advise my patients to ice the area for up to 10 minutes every hour.  Reusable ice packs can be used or a bag of frozen peas can be used to mold over the area.  A short course of steroid can also accelerate the healing process.  Anectotally, Arnica forte can be used to prevent bruising, but no definitive evidence exists to suggest that is always successful. 
If you would like to learn more about injectable fillers I recommend an in person consultation with a board certified dermatologist with cosmetic training.

Hi there! Thank you for your question. I'm sorry to hear you are unhappy however most people tend to find this residual bruising settles down after a 7-10 day period. You can help speed up healing with arnica - applied topically or orally, avoidance of pro-bruising factors such as those you have mentioned. Also try cold compress / ice which is useful up to 48hours after treatment. If you are still concerned about results please do contact your practitioner for suitable follow up to ensure all your questions are addressed. I hope this helps! Best wishes,Dr Rupert

Hello and thank you for your question. It is very common to have bruising following Juvederm injections. That being said, I suggest an in-person follow up with your board certified injector if you are experiencing severe bruising. I suggest an arnica supplement or cream to expedite the healing process. This is a natural ingredient that reduces swelling and bruising. I hope this information helps and I wish you the best of luck.