How Do I Treat Bruising After Lip Augmentation with Restalyn?

Thank you for your question! I am sorry to hear about the extreme bruising you are experiencing. In my clinic I use Cearna OcuMend hydrogel patches. I recommend applying the patch directly on the injected area to minimize the chance of bruising and swelling, or to speed up the healing time of an already developed bruise. This product has 50X the potency of standard gels and works great. I also suggest reaching out to your injector to assess your bruising in person to make sure your lip and surrounding tissue are in good health.  
Best of luck,Dr. Kian

thank you for sharing your question. The bruising should resolve in a few days. You are already doing the correct treatment at this time. I hope it resolves sooner than expected. Good luck.

Thank you for your question. Ice and arnica can be used to prevent bruising as well as staying away from high sodium foods and alcohol.

Unfortunately bruising is a possible consequence of lip injections.  I always tell patients to avoid alcohol, aspirin or ibuprofen products for a few days before and after to prevent bruising.  Taking arnica starting a few days before and icing for 48 hours off and on after injection is also helpful.  However, even in the best of circumstances, it is possible to get bruising after a lip injection.  I do want check to make a distinction that the black color is bruising and not necrosis.  If the filler gets into a blood vessel, it can cause skin necrosis destroying the skin.  As long as this is not the case, and it truly is just bruising, you are doing all the right things and with time it will resolve. 

Unfortunately, any filler injections in the lips do have the risks of bruising and swelling. Swelling of the lips for the first 24-48 hours after injections is common. Bruising is less common, but does occur. 
There are some nuances of injecting the lips that can help to minimize bruising and swelling. Cold packs immediately after injection can also be helpful, as can sleeping with the head elevated afterward. In many cases, it simply takes time for the bruising and swelling to resolve once it occurs.
I always recommend seeing an expert physician injector for any cosmetic facial injections.
All the best,

First I would see your surgeon as they will have specific recommendations that they prefer.If you are a few days out warm compress is the best for an established bruise. This will increase the blood supply to the area (which can temporarily increase the swelling) and that will increase the rate of absorption of the bruise.Be patient. It will improve. I am sorry this is an added stress for you.Hope this helps.Best of luck,DrC

I am very sorry to hear about your experience.  While we can anticipate how the majority of patients will respond once having fillers injected, we cannot fully determine the degree to which patients will bruise and swell. It is important for you to share what medications you have taken and any lifestyle choices that could attribute to more bruising and swelling.   It is important that your injector sets realistic expectations, including addressing all possible side-effects, so that you are informed enough to decide if you should proceed with fillers or reschedule your appointment. 

You are doing everything you can do to help the healing process.  Continue to refrain from any medications and such that could thin the blood.  I typically recommend Jane Iredale Corrective Colors Kit to patients who need to cover deep bruising.  You could also look into an department store brand like DermaBlend to help conceal the bruising. 

Believe it or not, the bruising will subside without doing anything in 7-10 days. However, the Arnica oral tablets and a topical Arnica gel will help to lessen the discoloration and reduce the time that the bruising is evident.We like to use Jane Iredale's mineral make-up line that has a Concealer kit made just for this dilemna. It does an amazing job safely covering injected areas without worry of infection.#bruisingafterinjections    #Lipbruising #Restylanesideeffects

It’s unusual for patients to develop significant bruising
and swelling following the use of injectable fillers.Never the less, this complication may
occasionally occur following these injections.Bleeding, bruising and swelling aren’t usually related to the filler
material, but instead are related to the injection technique and the patients
clotting mechanism.When
this situation arises bruising and swelling usually resolve in 7 to 10 days,
but may last as long as three weeks following the procedure.With an important social engagement on the
horizon, this may not be enough time for this problem to resolve.Under these circumstances, anything that
minimizes the inflammatory response might speed the process.Ice and steroid treatments might be helpful
for this reason.It’s
important to discuss this issue with your specialist.It’s also important to understand that
although this event was unfortunate, it should only be a temporary problem.

Thanks for the question. It is such a problem and we all have issues with bruising and fillers. The key is trying to prevent it. I've recently wrote an editorial discussing research into this area. Perhaps it would be of help?I go over alot of information so hopefully it helps in the future!James P. Bonaparte, MD, MSc, FRCSCHead and Neck Surgerypracticing in Facial Plastic and Reconstructive SurgeryAssistant Professor, University of OttawaOttawa, Ontario, Canada