Is bruising due to how the fillers are injected? Is there a right way & wrong way to administer the fillers? (Photo)

I use cannulas to inject fillers because there is research supporting that there is less bruising and edema with cannulas. That being said, the most important variable is the amount of injections done by the injector and the understanding of the facial anatomy. In our office only me and my partner inject. We are both surgeons and even though we could likely higher RN's or PA's which would make us more money, I prefer to do it myself. That is not saying that their aren't RN's or PA's out there who are better than me. It is merely because I have seen those layers during surgery and feel I will get closer to the results I am willing to accept with my own hands. Now with even that being said, there is an aspect of luck. All of us are injecting in deep tissues that we can not always see and there is variable vascular anatomy specific to each patient. So we can only maximize our hardware (using cannulas in my hands) and rely on our knowledge to offer the best care we can.  Patient variables are also something that we cannot control. If you had friends over the night before and had a few glasses of wine that can affect your blood clotting. If you take fish oil or other vitamins and supplements that can affect the blood clotting cascade those can all lead to a bit more bruising. For your bruises use a warm compress for 10 minutes every 20 minutes prior to bedtime for 2 hours. This will help it resolve more quickly.Hope this helps.Best of luck,DrC

Thank you for posting your question. Bruising is a risk anytime the skin is punctured by a needle. Bruises obtained after injectables with the traditional sharp technique are completely normal and should heal several days after your treatment. Risk of bruising can be minimized by avoiding blood thinners in the days approaching your procedure. In general, I ask my patients to discontinue blood thinning medications such as ibuprofen, aspirin, naproxen, fish oil, etc. In my practice, I also prefer using the microcannula technique for injecting filler, which is a blunt-tipped instrument that is used to distribute filler evenly beneath the skin with virtually no bruising. If your bruises do not resolve in the next few days, I recommend following up with your injector to share your concerns. Best of luck.

Unfortunately bruising is a side effect of having any injections.  It is best to avoid and medicaitons/supplements that will thin your blood a week before treatment.