Bruising 1 week after tear trough injections? (Photo)

Question

She used Voluma. I've been wearing concealer alll week so haven't really noticed until now. I just googled and it said I could go blind or necrosis or embolism? Scary words to be thrown around. Do I need to go to ER since the office is closed until Monday. It's tender and kind of heavy feeling but no pain.

Jon E. Mendelsohn, MD, FACS · Answer

I agree that this looks like a "normal" bruise that can be seen after injecting this area. Sometimes a bruise will take a few days to appear on the surface. Tenderness and a bit of swelling is not unusual, and this should all resolve within the next several days. I do not think you need to visit the ER, unless you develop a sudden increase in pain, swelling, or visual disturbances. Your provider will appreciate a call on Monday to discuss your progress. They may use a light-based treatment to assist in the fading of the bruise. In the meantime, gentle warm compresses and arnica (a topical cream you can get at the health food store) can speed up the resolution of your bruising and swelling.

Anil R. Shah, MD · Answer

Bruising can be common depending on both technique and how fragile your skin is.  Seek attention from your provider to see if there are any methods to expedite bruise absorption (i.e. IPL, saline injections, warm compress, etc)

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph.  It appears that you developed a faint bruise rather than necrosis or embolism and this should clear quickly over the first 1-2 weeks after treatment.  I would advocate for use of arnica montana and warm compresses, as well as eating dark leafy green vegetables to help speed resolution  Hope this helps.

Nirmal Nathan, MD · Answer

Any fillers if injected into small local vessels can cause necrosis, and around the eye can cause blindness. Your injector should have educated you regarding the common side effects and rare risks, as this is an important part of any physician-patient relationship.

As I mentioned, it is very rare and you appear to have just normal bruising, which is relatively common for tear trough injections. I usually don't use Voluma, however, because in the tear trough region, it can become palpable and noticeable. This is because Voluma is an exceptionally dense filler and the tear trough region has very thin skin. I prefer to use thinner fillers such as Restylane or Belotero.

I prefer to use a microcannula technique to minimize bruising. As mentioned, despite these efforts bruising can happen in the tear trough region. When this happens, I will often use my IPL laser to reduce the discoloration. If your injector has an IPL laser, that may be an option for you. Hope this helps.

Francis Johns, MD · Answer

I would recommend warm compresses for now to help the bruising subside. Call the office on Monday for them to evaluate you. It looks like they may have injured some vessels while injecting, which lead to the bruise. I did not think you need to go to the ER. This area is very sensitive and bruising is common.

Renata Wix-Harris, MD · Answer

This appears to be a regular bruise, which is common after filler injections. It can take up to a day for a bruise to show up and it usually resolves in 1-2 weeks. Necrosis of the skin or an embolism leading to blindness is caused by injecting filler into a blood vessel, which is a rare complication. It is associated with severe pain, purple discoloration of the skin and the development of small bumps or blisters. Your picture shows no evidence of this, but I would recommend following up with your provider for further evaluation.

Susan Van Dyke, MD · Answer

Filler often creates bruising and fortunately it is almost always benign, no complications.  In a very rare situation a blood vessel is compromised and the skin surface can suffer.  When this occurs most people feel pain, see little pustules or blisters or crusting in the area.  Usually patients are aware that it is not a normal bruise withing a day or so.   After a week, with no pain, no disruption in the surface of the skin it is highly unlikely that there is a problem.  As always call your provider and have them evaluate you in person.

Kouros Azar, MD · Answer

This looks like a bruise. I don't think it necessitates a trip to the ER but I would schedule an appointment with your surgeon on Monday to have it examined. Try warm compresses and arnica to speed up the healing process.

Bruising 1 week after tear trough injections? (Photo)

Answers (8)

More Voluma Questions

WE SEND PRETTY
EMAILS

Answers (8)

More Voluma Questions

If I get 0.5ml in my lips, will anyone notice?

I had 1 syringe of Voluma XC done on my cheek bones and now I'm having heart palpitations, is this related to the filler?

Can you wash your face as you normally do after having Voluma treatment? I read you are not to massage your face.

Can you have voluma injections while you are taking eliquis 5mg twice a day?

Why are fillers done more on the left than right? I had Voluma in my cheeks and she injected more on my left than right.

Bad bruising and blood in eye post-under eye-trough Voluma HA filler? (Photo)

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS