Dermal fillers are perfect for treating wrinkles or loss of volume in the face which causes a saggy, tired appearance. Nothing makes the face look as tired and old as the volume loss that occurs in the upper cheeks as you age. This process slowly changes the “triangle of youth” where the widest part of the face is the cheekbones into the “pyramid of age” which refers to a flattened central face with more prominent jowls. The change is responsible for the common patient lament “my face is melting!”

Bruising After Dermal Fillers

Dermal fillers restore the lost volume in the mid face and lift the jowls to create a more balanced and youthful appearance. It is unusual to have significant bruising in the affected regions following a procedure, however, and many patients still ask for advice on managing and minimizing this side effect so they can quickly return to their everyday lives.

Before Treatment

Before undergoing your treatment, it is important to let your doctor know if you experience frequent cold sores. They may need to be treated before you can have a dermal filler injected into the area. There are several steps you can take to prepare your body for the upcoming treatment in order to prevent or reduce swelling and bruising afterwards:

  • For one week prior to treatment avoid using aspirin or NSAIDs such as ibuprofen, Aleve, or Motrin. You should also avoid St. John’s Wort, Vitamin E, multivitamins, krill oil, flaxseed oil, omega-3s, gingko, ginseng, garlic, and glucosamine during this period.
  • Buy a fresh pineapple – not frozen or canned – and eat half the day before your treatment. Pineapple contains bromelain which is thought to reduce bruising. Eat one quarter before you go in for treatment and finish the final quarter afterwards.

After Treatment

  • For two days following the procedure, continue to avoid aspirin and the above-mentioned medications and herbal remedies.
  • You can try Arnica which you can get from a pharmacy or health food store. It should be applied five times a day for the first two days after treatment, beginning about 30 minutes after your treatment.
  • In patients who have experienced bruising in the past, a LED or IPL treatment immediately after the injection may help to heal the area and prevent initial bruising and swelling.
  • Cold packs can be used during the first eight hours to reduce swelling but you should otherwise avoid touching the area as much as possible.

It is essential to follow all instructions from your doctor following this type of procedure in order to minimize the risk of complication and infection. If you feel lumpy areas inside your mouth or on your lips for the first week following treatment, do not fret! This is normal and should pass as the area heals completely.