Bruising after cheek fillers?

Bruising and swelling is very common after any type of filler. I always ask my patients to come in 2 weeks after their initial treatment for a follow up to see their final result and how it settled. Kenneth Hughes M.D 

Bruising after fillers is usually not substantial especially in the cheeks.  The one exception is the lip area which tends to have more.   Bruising can be related to technique by the doctor or related to the patient.  In general, it is best to avoid anti-coagulants like aspirin, ibuprofen, alcohol, vitamin E and fish oil for at least 4-5 days prior to filler.  Pre- and post-treatment cold compresses can reduce the potential for bruising.  If a bruise occurs, some physician will have access to a vascular laser than can reduce bruises in 1-2 days.  Also, arnica montana can help to speed the recovery of bruises, and some patients who are bruise-prone will start taking it 1-2 days prior to treatment.

Lips will always swell more than other areas of the face.  You may get some swelling and bruising from any filler injections.  When we do the cheek injections, the needle goes deep under the skin.  There are a lot of small blood vessels there, so that in some cases you can get a bruise.  Try to avoid any supplements that can cause bruising for about a week before the injections. 

Thank you for your question.
Bruising is always possible with any injection. Although swelling occurs with
most injections, the lips often swell more than other areas. Everyone responds
differently to dermal filler injections, related to down time. Arnica Montana
is a recommended supplement to help diminish bruising and swelling with both
surgical and non-surgical procedures.

The lips are quite vascular and delicate and are prone to bruising and swelling.  Although bruising can still happen in the cheeks it usually isn't as bad.  It's best to avoid anything that can thin your blood for a week before having injections.