Download How to Avoid Bruising with Fillers and Botox

How to Avoid Bruising with Fillers and Botox
Firstly, please be aware that even the best injectors in the country can give a
patient a bruise, red spot or temporary bump with any of the cosmetic
injectables.
There are virtually millions of blood vessels beneath the skin of the face, and
avoiding them is virtually impossible.
Plan Ahead
It is always best to avoid planning any important work or social events for 27 days after treatments. If you bruise easily, you may need to plan for 2
weeks to heal. Most bruises can be covered fairly well with make-up, but not
all. If you have an extremely important event like a wedding or a reunion,
we would recommend having fillers done 3-4 weeks before the big day, as
sometimes bruises can last for up to 14 days.
Before Treatment Tips
 Discontinue the following medications 7 days before treatment. 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!
o Aspirin
o Exedrin
o Ibuprofen (Motrin, Aleve, Advil)
o Any anti-inflammatory, such as Celebrex, Arthrotec, etc.
o St. John’s Wort
o Omega 3 fatty acids or any Fish Oil Product
o Vitamin E
o Ginko Biloba
o 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. (We
sell kits on our G Store).

If you have ever had a cold sore around the mouth or near the
injection site please request a prescription of Valtrex or acyclovir to
prevent an outbreak.
During Treatment
 If you are very prone to bruising, ask Dr. Griffin to apply a numbing
cream about 20 minutes before starting the injections, that will
constrict blood vessels slightly to make bruising less likely. You will
also be more comfortable!
 Ask for an ice bag to apply at the end of treatment.
 If the doctor sees a spot start to bleed during the injection, she will
apply immediate pressure and then ice for a few minutes to help
prevent bruising.
After Treatment
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 7-14 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/Dysport/Xeomin 2-7 days for its onset of
action and 10-14 days for its full effect.
 Try to avoid alcohol for 24 hours after treatment, since it vasodilates
and may increase bruising.
 Avoid vigorous 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. Increased body heat will cause vasodilation
which will increase the risk of bruising and swelling.
 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.
 No aspirin, Exedrin, ibuprofen, Aleve or Advil for 2 days after
treatment. (Tylenol is always fine.)
 If you have swelling, apply cold 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 significant bruise, try to:
o Find good make-up to cover up. If the bruise is on your lip then
lipstick should do the trick. (We have many tester shades
available in our office.)
o
If you are not sure, take a “selfie” photo of yourself and email it
to us with any comments. After that we can schedule either a
laser treatment or a VenusFreeze (radiofrequency) treatment,
per Dr. Griffin’s recommendation, as either one may help speed
up the healing time after a bruise has formed.