What Vitamins and Herbs Could Cause Excess Bruising or Bleeding with Restylane Injections?

As you can see, there are numerous over the counter supplements that may lead to excessive bruising/bleeding with injection treatments.  We also recommend that our patients avoid alcohol 24 hours prior (red wine seems to be a culprit especially) with the fish oil/omega supplements also being problematic.  

Realistically, most patients forget to stop these daily regimens in time to make enough of an impact on potential bruising.  Planning ahead will help if this is a significant concern for you.  You may also ask your practitioner for a list of recommendations pre-treatment.

Because bruising is always a potential even with the best technique or avoidance of the above supplements, you may ask about a options to clear the bruise much quicker.  For example, we use a pulsed dye laser to treat bruises which helps clear the bruise within 24-48 hours (generally) if done at the right time.

 

 

It is simple to avoid unnecessary bruising with Restylane or Juvederm injections ! The  best way to minimize bruising
- especially for sensitive areas like lips or under the eyes, is to avoid
medications such as aspirin, Ibuprofen ( Motrin and Advil) and non-steroidal
anti-inflammatories such as Alleve or Naprosyn that might be taken for sports
injuries . Other culprits of bleeding and bruising tendencies are green tea,
flax seed oil, Omega -3s, garlic supplements and alcohol or caffeine intake the day before
your treatment!
Arnica oral tablets are an easy remedy to reduce
the degree and length of time of bruising and can be taken 3 -5 days following
the treatment.#bruisingwithinjections   #Restylanesideeffects  #avoidingbruising

Thanks for the question. It is such a problem and we all have issues with bruising and fillers. The key is trying to prevent it. I've recently wrote an editorial discussing research into this area. Perhaps it would be of help? There are so many things out there that are misunderstood. I hope this article helps clearify some confusion with respect to what can and can not cause/help bruising. I go over alot of information so hopefully it helps in the future!James P. Bonaparte, MD, MSc, FRCSCHead and Neck Surgerypracticing in Facial Plastic and Reconstructive SurgeryAssistant Professor, University of OttawaOttawa, Ontario, Canada

There are many medications, vitamins and supplements that can put you at an increased risk of bruising and/or bleeding during injectable procedures.  A comprehensive list can be obtained through your doctor, but some of the more common ones are Vitamin E, fish oil/omega3 fatty acids, ginkgo biloba, and garlic.  Non-steroidal anti-inflammatory medications (NSAIDs) such as aspirin, ibuprofen and naproxen also place you at an increased risk.

There are some injection techniques that can be done to minimize bruising if that is a big concern for you.  Your injector could add a little bit of lidocaine with epinephrine to the filler. The epinephrine will tend to constrict blood vessels and reduce bruising.  Also, the filler could be injected through a blunt cannula rather than through a sharp needle, which reduces the risk that the needle will lacerate a blood vessel and cause a bruise.  Finally, I like to use a topical anesthetic ointment which contains lidocaine and prilocaine.  The prilocaine will cause some vasoconstriction/blanching of the skin prior to treatment which may help to reduce the risk of bruising.