Tips on how to minimize the chances of bruising and swelling after injectables, and what to do if they happen.

Minimize bruising and swelling when receiving injectable treatments.

Treat Swelling after Dermal Fillers with the lymphatic drainage technique

Avoid Bruising with Fillers Before Treatment

To a large extent your results will depend on how well you and your injector are communicating about what you want and expect.  If you are both clear and realistic, treatments tend to go well.

Medications to possibly discontinue 7 days before treatment. Some of these may be needed for medical reasons so check with your doctor first.  The reason to stop these is that they make your blood less likely to clot (“thinner”) which can cause bruising.  If you are on warfarin/Coumadin or Plavix, stay on it!

  •  Aspirin
  • Exedrin
  • Ibuprofen (Motrin, Aleve, Advil)
  • St. John’s Wart
  • Omega 3 fatty acids
  • Vitamin E
  • Ginko Bilboa
  • Ginseng

If you need pain medication, Tylenol is always fine to use.

  • Stop drinking alcohol 1-2 days prior to injections.
  • No garlic 1-2 days before injections.
  • Try eating pineapple 2-3 times for 1-2 days prior to injections (anecdotal evidence only).  Bromelain supplements (pineapple extract) can have some serious side effects so we don’t recommend this.
  • Take Arnica Montana one-day prior or the morning of injections. You can find Arnica Montana at certain drugstores and often at WholeFoods.  Don’t take if you have high blood pressure or heart problems.
  • If you have ever had a cold sore around the mouth or near the injection site be sure to talk to your injector before treatment.  They may want to prescribe you Valtrex or another anti-viral medication to prevent an outbreak.

After injection Treatment instructions

Some common injection-related reactions may occur, such as swelling, bruising, redness, tenderness, itching, and discoloration at the injection site.  The intensity and duration of your filler or Botox side effects will depend on the treatment aggressiveness and your individual healing characteristics, but normally can last for one to two weeks after the treatment.

  • Remember it can take from 1-7 days for the results of cosmetic treatments to fully evolve (“settle in”).  Unless something is really off, most minor problems will resolve in that time by just being  patient.
  • Remember it takes Botox/Xeomin 3-7 days to fully take effect.
  • Try to avoid alcohol for 24 hours after treatment.
  • No exercise except for walking for 24-48 hours after the procedure.  Keep your heart rate under 100.  Do not do any inversions in yoga or do hot yoga.  Follow any instructions your injector gives you.
  • No excessive sun or heat until any initial swelling and redness have resolved.
  • Avoid squeezing or massaging the treated areas for several hours after treatment as this could subtly change the results. (If you were treated with the injectible Sculptra, please disregard this note and massage as you were instructed.)
  • Proper and frequent use of sunscreen is always important.  The sunscreen should offer broadband protection (UVA and UVB) and have a sun protection factor of SPF 30 or more.  Wear a hat when outdoors. I have created a list of some of my favorite sunscreens to help you find a good quality product.
  • No aspirin, Exedrin, ibuprofen, Aleve or Advil for 2 days after treatment. (Tylenol is always fine.)
  • If you have swelling, apply warm compresses to the treatment area for 5-10 minutes every hour.
  • If you have any pain, you may take Tylenol as necessary.
  • Occasionally, a treatment can trigger an acne flare. These side effects usually resolve naturally within 1-14 days after the treatment.  Call your doctor if you need medication for acne.
  • If you do get a bruise or redness, try to:

– Find good makeup to cover up, if the bruise is on your lip then lipstick should do the trick.
– Call your injector and ask if they have a pulse dye laser, as often this can help speed up the healing time after a bruise has formed.

If you have any more questions about how to avoid bruising with fillers please fell free to call the clinic at 206-93-5689 to schedule a consultation.