How common is bruising after filler?

Downtime is an important consideration for patients undergoing a cosmetic procedure. "Will I bruise?" is one of the most frequent questions asked of Aesthetic Practitioners, and for good reason. Multiple studies have shown varying differences in bruising rates for patients being injected with dermal filler or botulinum toxin. One study reported that 19-24% of patients had bruising, whilst another study indicated that 68% of patients experience bruising. Whilst bruising is considered a minor complication of a cosmetic procedure from a medical perspective, it can have significant impact on the patient's confidence and satisfaction with their results.
 
What medications cause bruising?

Whilst localised reactions such as bruising are by the far most common adverse reaction after a cosmetic procedure, the incidence of bruising can be attributed to several patient and clinician factors, some of which may be preventable. Patients should always undergo a thorough assessment by their clinician prior to the procedure, and it is important that past medical history and current medications are discussed as this can have significant impact on the incidence of bruising. Anticoagulant medication such as clopidogrel , warfarin and dabigatran can lead to an increase risk of bleeding and bruising. These medications should not, however, be stopped prior to a cosmetic procedure unless advised by a Medical Practitioner. Some over the counter herbal medication such as St John's Wort, fish oil and non-steroidal anti-inflammatory drugs such as ibuprofen can also increase the risk of bruising and bleeding post-procedure. These should be avoided where possible, as should alcohol.

What factors increase the chance of bruising?

In addition to patient factors, skill and confidence of the injector can also impact on the incidence of bruising. Ensuring your practitioner has good knowledge of venous and arterial vessels, positions you correctly to 30 degrees and uses the smallest gauge needle possible for the product and procedure may reduce bruising. Environmental factors such as ensuring adequate lighting to visualize the injection site as well as ensuring the room is not too hot may reduce the risk of vasodilation. Some studies also suggest that the use of a cannula technique may reduce bruising due to a reduction in entry points.

How to reduce the chances of bruising after cosmetic procedures?

Applying Arnica montana in conjunction with a cold compress prior to and after injection has shown some reduction in bruising due to vasoconstriction. Arnicare’s range of arnica-based products offer a unique formula created specifically for use in aesthetic medicine. The Arnica Healing Balm also contains hyaluronic acid, which has innate anti-thrombotic qualities and is perfect for use on the lip area due to its hydrating properties. Furthermore, avoiding vigorous exercise and excessive heat following your procedure may further reduce your bruising risk.

How long does bruising take to go away after lip filler?

Bruising should resolve within 10-14 days, your practitioner will always review this at your follow up appointment as if this has not resolved it may indicate an underlying medical condition that needs further assessment. If 10-14 days seems like a long time, try our arnica healing balm or cream. Our cosmetic injectors note that downtime is reduced by up to 50% when using after cosmetic procedures like lip filler.
 
Reference:
“The Management of Bruising following Nonsurgical Cosmetic Treatment An Aesthetic Complications Expert Group Consensus Paper.”