Bruising After Restylane in Tear Troughs

I am planning on having Restylane injected into my tear troughs. I'm wondering if I need to plan it for a weekend if the bruising is too bad. How much bruising can I expect after injections of Restylane in tear trough? What is the average?

Doctor Answers 25

Bruising after Restylane

Tear troughs can be very tough and unpredicatable. The skin under the eyes is thin and more sensitive and more vascular and thus has more potential for bruising during injections. I typically tell my patients during consultation that they should plan for at least one week of potential down time in case any bruising and swelling occurs. It is best not to do these injections at least 2 weeks before any big event as swelling can occasionally take a few weeks to settle. You may be one of the patients that does not experience any of these however it is best to plan for it. I use a blunt tip instrument to place the filler in the tear troughs to minimize these complications. I also use a laser after injections to further prevent and or treat any bruising if it does occur. So there are precautions that can be taken to minimize these effects. It is always best to follow up with your physician to ensure that corrections do not need to be made. 

Miami Dermatologic Surgeon
5.0 out of 5 stars 2 reviews

It is usually all or nothing!

This area either bruises not at all, or you get a bruise that will last a week. Be sure you are off of aspirin, ibuprofen, Vitamin E, and fish oil for 2 weeks prior to injection. Ask your doctor about the "push ahead" technique which traumatizes tissues less. Pre-treat with Prevedem by Neocutis to decrease bruising before, and after injection, try Bruise Relief gel, available at drug stores. Oral arnica may help as well, if OK'd by your primary care physician.

Mary P. Lupo, MD
New Orleans Dermatologist
5.0 out of 5 stars 18 reviews

Bruising after Restylane

Avoidance of undereye blood vessels is key. There are several that are deep that surgoens encounter during cheeklift surgery that should be avoided.

That being said, anybody can get bruising from any injection.

Aspirin, cold remedies, motrin, etc. worsen the chances; careful technique, local anesthetic and ice diminish it. We usually ask patients to have the weekend free if they contemplate injections of heavy hyaluronic acid fillers such as Restylane or Juvederm.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 178 reviews

Reducing Restylane Side Effects

Filler injections into the tear trough region can causing bruising anywhere from 1-2 weeks.  Careful injection technique and the right combination of volume and specific filler can have the impact of reduced bruising.  Other factors that can help to minimize bruising are avoiding medications and supplements such as Advil, aspirin, fish oil and green tea.  Arnica tablets diminish the extent and duration of bruising and can be taken a few days after the treatment.

Robert W. Sheffield, MD
Santa Barbara Plastic Surgeon
4.9 out of 5 stars 30 reviews

Ways to Avoid Bruising with Filler Treatments

It's simple to avoid excessive bruising  when by getting filler treatments for tear troughs!  Remember to eliminate offending over-the-counter medications and supplements such as Motrin, Advil and Excedrin and supplements such as fish oils, garlic and green tea.

Arnica oral tablets are an easy remedy to reduce the degree and length of time of bruising and can be taken 3 -5 days following the treatment.

#minimizebruising  #fillertreatments  #avoidbruisingoutcomes

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 157 reviews

Tear Troughs Outcomes Better with Prevention!

The best way to minimize bruising and swelling  - especially for sensitive areas like lips or under the eyes, is to avoid medications such as aspirin, Ibuprofen ( Motrin and Advil) and non-steroidal anti-inflammatories such as Alleve or Naprosyn that might be taken for sports injuries . Other culprits of bleeding and bruising tendencies are green tea, flax seed oil, Omega -3s and alcohol or caffeine intake the day before your treatment!
Arnica oral tablets are an easy remedy to reduce the degree and length of time of bruising and can be taken 3 -5 days following the treatment.

#eyetroughbruising  #Reducingbruising   #Restylaneteartroughs

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 110 reviews

Tear trough bruising with filler

Fillers injected anywhere in the face can cause bruising, and when this occurs in the tear troughs, typically the bruise lasts 7-10 days. A careful skin assessment and knowledge of anatomy will reduce greatly the risk of a bruise, as will staying away from various blood thinners (e.g. aspirin, advil, alcohol). Makeup can be applied, although in the first 5 days its often still not enough to fully camouflage. Restylane is a particularly good filler for the tear troughs and my preferred dermal filler in this location. ~ Dr. Benjamin Barankin, Toronto Dermatology Centre.

Benjamin Barankin, MD, FRCPC
Toronto Dermatologic Surgeon
4.8 out of 5 stars 53 reviews

Bruising in the tear troughs after Restylane injections

I would immediately apply Bruisestick ointment to minimize bruising after injection.  This contains both Arnica and Bromelain. Raffy Karamanoukian Los Angeles

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

Bruising after Tear Trough Correction

Bruising occurs when a blood vessel is hit by the needle during the injection.  For this reason, it is very important to: 1.) find a qualified and experienced board certified facial plastic or plastic surgeon to perform the tear trough correction 2.) ensure that your doctor uses a microcannula.  A microcannula is a blunt tip needle used to insert filler (such as Restylane, Perlane and Juvederm) into desired areas of the face.  A needle is used to puncture a hole in the skin, and then the microcannula is inserted to evenly distribute the filler.  Since the microcannula has a blunt tip, the chance of hitting a blood vessel is low.  If by chance, you do experience bruising you can expect the area to resolve within a few days (depending on the size and location of the bruise).  Many of my patients have found that Bromelain or Arnica (found in GNC) help resolve bruising.  I hope this information helps!

Paul L. Leong, MD, FACS
Pittsburgh Facial Plastic Surgeon
4.9 out of 5 stars 47 reviews

Bruising is common after Restylane treatments in the tear trough

There are a lot of blood vessels near the tear troughs, and bruising is relatively common. While some people don't bruise at all, I would say most people have at least small amounts.

The severity of bruising can be minimized by taking several precautions:

1. Always choose a well-trained injector. Technique is the most important factor in getting a good outcome and to minimize bruising. The tear troughs are very different than the rest of the face, and proper placement of the material is a must. Some blood vessels under the eye are in predictable locations, and can be avoided by an experienced injector.

2. You should also avoid aspirin, motrin, advil, Vitamin E before and after your treatment. Icing the area immediately after and for 2-3 days after treatment will also minimize bruising.

If you do get a bruise, it will take 7-14 days to fully resolve. Most of my patients come for Thursday or Friday treatments. You can use coverup to hide most of the bruising, but I would plan your treatment at least 2 weeks before any big photo-ops and social engagements.

I hope this infomration helps.

Richie L. Lin, MD
Summit Dermatologic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.