When are you in the clear for bruising or swelling? (approx time frame and days after treatment)

I did not want to take any downtime from work to have this done....my cosmetic derm. will be using the canulla technique and only 1 syringe to use for both under eye areas. Any input would be appreciated! After the procedure, is that the way it will look days later? or will it look different.....

Doctor Answers 5


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Thank you for your question.

You may have swelling and bruising for quite a few days.My advice is to take Arnica Montana before & after. Stop taking NSAIDS one week prior to the treatment along with icing the area afterwards to help minimize the swelling & bruising.

Hope this helps

Bruising after Belotero

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Any injection (whether with a needle or cannula) can cause a bruise.  To minimize the chance of bruising, stop any aspirin, nonsteroidal anti inflammatory medications (Advil, Motrin, Ibuprofen, etc) or homeopathic medications (fish oil, ginkgo ginkoba, etc) two weeks prior to your treatment.  In addition, avoid alcohol for two days before and after your procedure.  Finally, avoid bending over (to tie your shoes, put on socks), lifting heavy objects, and strenuous exercise for two to three days following your injections.  Some physicians advocate Arnika Forte starting one day prior to your procedure.  If you do bruise, your board certified dermatologist may offer Ocumed patches and laser to rapidly resolve the bruise within 24 to 48 hours. 

Also so remember you may have swelling after Belotero.  Ice as much as possible after your treatment.  I often use furosemide to minimize any swelling when injecting the tear troughs or lips. 

Best set of luck,
Suneel Chilukuri, M.D.

Suneel Chilukuri, MD
Houston Dermatologic Surgeon
5.0 out of 5 stars 43 reviews

Injections and Bruising

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Bruising is possible with the use of both cannulas and needles. Bruising and swelling are typically the worst 48 hours post injection but can last up to 1-2 weeks depending on the patients' healing ability and severity of the bruise.  I recommend that all of my patients discontinue NSAIDS, like Advil and aspirin, 2 weeks prior to a procedure. Other medications and foods that can promote bruising are naproxen, fish oil, vitamin E, flax seed oil, avocado, chocolate and alcohol. Start taking Arnica and Bromelain a few days prior to any injections which will help minimize bruising and swelling. In our practice, we offer IPL laser treatment to bruises which helps to break them up within 24-48 hours. Good luck! 

Laurie A. Casas, MD, FACS
Chicago Plastic Surgeon
4.9 out of 5 stars 110 reviews

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Under Eye Filler and Bruising

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Even with a cannula you can bruise in the delicate area under the eyes.  Best to take Arnica a few days ahead and be certain not to be taking Aspirin or any other blood thinners.  Best, Dr. Green

Under Eye fillers with cannulas

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my patients almost never get a bruise with cannula use in this area.  please see an expert and under treat the first time . Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
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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.