Severe bruising and swelling during and after tear trough injection.

Question

Severe bruising and swelling during and after tear trough injection. I had tear trough injections yesterday, on my right side my lower bleph bruised and swelled immediately, it looked like a blood vessel was hit and literally blew up into a hematoma. My left swelled and bruised a little later. I've been icing all night without improvement. Is this related to ischemia into a vessel, or too shallowly placed?

Jason Emer, MD · Answer

In the future use cannulas to limit these types of complications.  For now, icing and pressure whould be helpful.  Vbeam laser and venus legacy treatments can help speed the healing.  Time and patience will help and it should clear up in a few weeks. Best, Dr. Emer.

Michael A. Persky, MD · Answer

Hi S,Sorry to hear about your bruising after lower lid hollow injections.  You should address your concerns with your injecting physician.  I do not believe that you have ischemic issues, rather you have had bleeding into the tissues.  Only your injector knows the depth of the injections.  There are ways to minimize bruising from injections.  Make sure that you choose an injecting physician who uses these techniques.  Good luck and be well.Dr. P

Jason D. Bloom, MD, FACS · Answer

Bruising can be common from needle injections of filler to the tear troughs.  It is not ischemia of the vessel, but puncturing the vessel with a needle that leads to bruising like this.  The tear trough is filled with small blood vessels and this is one area that I tend to use a blunt-tipped microcannula for injections.  By using this technique, it is much less likely to get bruising, although it is still possible.  In your case, you will probably have to wait out the swelling and bruising for some time.

Richard Ort, MD · Answer

You should call your injector now so that he/she is aware of your side effects and can guide you in what to do now.  In the future, I would recommend that any filler injections under your eyes be done with a microcannula instead of a needle.  Make sure that you are seeing a reputable and experienced injector.  Best of luck.

Stephen Weber MD, FACS · Answer

I am sorry to hear about your bruising. This can occur and is the most common risk of any injectable treatment. It does not appear that you have any ischemia or vascular occlusion from the filler. However, your bruising on the right side is severe. This will probably take a couple of weeks to completely subside. Icing is very helpful. You might also consider topical Arnica montana or Bromelain to speed resolution of the bruising. I also recommend you discuss with your physician injector. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Severe bruising and swelling during and after tear trough injection.

Answers (5)

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