Does St. Johns Wort Cause Bruising After Juvederm Injections?

Question

I am thinking about getting Juvederm injections in my tear troughs. One thing I forgot to mention to my doc is that I have been taking St. John's Wort for 6 months now. Will this cause excessive bruising after Juvederm injections? If so, how long do I need to stop taking it before injections? I don't want to stop taking it for more than a few days since it works wonders for my mood. :)

Michael Constantin Gartner, DO · Answer

St. John's Wort has been found to increase the rate of bruising, so it's better to avoid taking it about two weeks or so before your injection.

Sonia Badreshia-Bansal, MD · Answer

Thank you for your question. There are many medications, herbals, and over the counter products that can cause increased bleeding and bruising, including St John's Wart. The usual recommendation is to discontinue elective blood thinning products 7-10 days prior to treatment. If you would like to continue with it, you can take Arnica or Bromelain to help decrease the bruising. Be certain to be under the supervision of a board certified dermatologist or plastic surgeon with expertise in injectables for an evaluation and for the safest and most effective treatments. I hope this helps.

Paul S. Nassif, MD · Answer

St John's Wort can potentially cause excess bruising. It is an herbal supplement you will want to avoid 2 weeks prior to and 2 weeks after injectables if possible. It is also important to avoid other over the counter medications and supplements like ibuprofen, NSAIDS, vitamin E, and fish oil. All of them can contribute to bruising. Arnica Montana is a homeopathic supplement that can be taken prior to injections. This will help prevent bruising from taking place. Thank you, and I hope this helps answer your question!

Sam Naficy, MD, FACS · Answer

Many herbs, including St John's wort can cause blood thinning and delayed clotting which can lead to higher risk of bruising.  All non steroidal anti inflammatory drugs and Herbs such as St John's Wort should be avoided for 1-2 weeks prior to injections or surgery.  Check with your provider about their protocol.

Rebecca Fitzgerald, MD · Answer

Supplements do increase bruising potential, but don't necessarily guarantee it. We recommend a 7 day hold on certain supplements and over the counter pain killers like aspirin or ibuprofen. All the "heart healthy" supplements - even the now common fish oils - will thin the blood and make bruising more likely whether you're getting a filler injection or just bump into the edge of a table.

	With the use of smooth-tipped cannulas now for a majority of filler placements, bruising is much further reduced. So discuss with your doctor the real risks. If she/he is using cannulas, then you won't have as much risk as with needles.

	It's nice to know you're getting good mood benefit from St. John's Wort!

	 

	P.S. - Anyone using prescription blood thinners should NOT take it upon themselves to stop their routine medications without the prescribing doctor's consent. And this includes those who are taking aspirin who have had or might be as risk for heart attacks. Your health always comes first.

Does St. Johns Wort Cause Bruising After Juvederm Injections?

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Answer: St Johns Wort cause bruising after injections?

Answer: St Johns Wort cause bruising after injections?

Answer: St. John's Wort and other supplements/medications that can increase bruising with injectables

Answer: St. John's Wort and other supplements/medications that can increase bruising with injectables

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Does St. Johns Wort Cause Bruising After Juvederm Injections?

Answers (10)

Answer: St Johns Wort cause bruising after injections?

Answer: St Johns Wort cause bruising after injections?

Answer: St. John's Wort and other supplements/medications that can increase bruising with injectables

Answer: St. John's Wort and other supplements/medications that can increase bruising with injectables

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Recommended reading

Everything you need to know about Juvederm

Our mission is to create a world where every investment in modern beauty is Worth It.