What to Do About Restylane Bruising?

If you still have bruising or discoloration 6 months after injections, it's possible that you have a condition called hemosiderin staining. We use q-switched lasers to resolve the dark discoloration.

It's also possible that you are experiencing the Tyndall Effect, which is caused by injecting dermal fillers too superficially (too close to the surface of the skin). In this case, it's possible to resolve with hyaluronidase. If you're worried about additional bruising you may want to find a different injector that has experience with reversing Restylane injections to decrease the risk of additional bruising.

In the future, 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 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.#Restylaneinjections  #bruisingwithinjections  #undereyebruising

It’s unusual for patients to develop bruising following the
use of injectable fillers. Never the
less, this complication may occasionally occur following these injections.Bleeding and bruising aren’t usually related
to the filler material, but instead are related to the injection technique and
the patients clotting mechanism.Six
months after Restylane injection lower eyelid discoloration is probably not
related to bruising. Although, in rare
situations hemosiderin deposits may cause this type problem, this is unlikely
as well.This
discoloration is most likely secondary to superficial deposits of
Restylane. This phenomena can cause a
bluish discoloration which can mimic bruising.Under these circumstances, Restylane can be removed by perforating the
skin with a needle and manually extracting the material.It can also be treated with the enzyme
hyaluronidase which dissolves hyaluronic acid.In
someone who’s afraid of needles and is unwilling to utilize these treatment
options, the only alternative is the passage of time.With time, Restylane will eventually resorb.It’s
therefore important to discuss your situation with your provider.Hopefully your provider can formulate an
alternative plan that addresses needle sticks and pain management so this
problem can be brought to a quick resolution.

Bruising can occur after cosmetic fillers such as Juvederm, Restylane, Radiesse, and Perlane. If you are prone to bruising, I would suggest over the counter medications such as Bruise Stick or Bruise Pak to reduce swelling and bruising after these procedures.

Hi Curious,

Your question is best evaluated in person where it can be determined exactly what is going on.

That having been said, to minimize bruising from Restylane or other fillers, it is best to not take any blood thinning products for about 2 weeks before your treatment. You may take oral Arnica Montana for a few days before the injections. At the time of the treatment, have your injector place ice over the skin immediately prior to the injection. Physicians need to note any bleeding immediately and apply continuous pressure for a few minutes. Avoid exercising, bending over, or lifting for about 36 hours.

You may be able to have carefully placed Restylane camouflage the areas that are bothering you.

Lastly, choose your injecting physician carefully, preferably someone who is trained and board certified in one of the cosmetic oriented specialties such as facial plastic surgery, ENT, plastic surgery, dermatology, or opthalmoplastic surgery.

Be well.

Dr. P