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Dermal Fillers

How Long Does Bruising Last After Fillers

Dermal fillers are a popular cosmetic treatment to enhance facial features and rejuvenate the skin, but one common concern is the possibility of bruising after the procedure. Bruising can be a temporary side effect, leaving many individuals wondering how long it will last and how to minimize its appearance. In this comprehensive guide, we’ll explore the typical duration of bruising after fillers, factors that influence healing, and expert-recommended tips and remedies to help you navigate the post-filler bruising journey.

Understanding Post-Filler Bruising

Before diving into the duration and remedies, it’s essential to understand why bruising can occur after dermal filler treatments. Bruising is a natural response of the body to injury or trauma, and while dermal fillers are minimally invasive, they can still cause tiny blood vessels to break. This can lead to localized bruising at the injection site.

Typical Duration of Bruises After Fillers: What to Expect

The duration of post-filler bruises can vary from person to person and may depend on several factors, including:

Treatment Area

The location of the filler injection can affect how long bruises last. Areas with more blood vessels, like the lips, may experience more prolonged bruising.

Injection Technique

The skill and precision of the injector can influence the risk of bruising. Experienced injectors often minimize the chances of significant bruising.

Individual Response

Each person’s body responds differently. Some individuals naturally bruise more easily than others.

In general, post-filler bruises can last anywhere from a few days to two weeks. They usually start as a deep red or purple color and may gradually change to green or yellow as they heal. Fortunately, there are steps you can take to expedite the healing process and reduce the visibility of bruises.

Different Types of Fillers and Bruising

When it comes to dermal fillers, not all products are created equal. Different types of fillers have unique characteristics and properties, and these differences can influence the likelihood and severity of bruising after treatment. Here are the various types of dermal fillers commonly used and how each may impact the occurrence and duration of post-filler bruising:

Hyaluronic Acid Fillers

Common Brands

Restylane, Juvéderm, Belotero, and others.

Bruising Potential

Generally, hyaluronic acid (HA) fillers tend to have a lower risk of causing bruising compared to other filler types. HA is a naturally occurring substance in the body, and these fillers are well-tolerated by most individuals.


HA fillers are smooth in texture and are often formulated with lidocaine, a local anesthetic, which can help reduce discomfort during injection. Their compatibility with the body’s own HA makes them less likely to provoke significant bruising.

Calcium Hydroxylapatite Fillers

Common Brands


Bruising Potential

Bruising is possible with calcium hydroxylapatite fillers, but the risk is generally moderate. The gel is thicker, which may slightly increase the chance of causing bruising.


The thicker consistency of these fillers allows them to provide longer-lasting results, but it may also make them more likely to affect blood vessels during injection.

Poly-L-lactic Acid Fillers

Common Brands


Bruising Potential

Poly-L-lactic acid fillers have a moderate risk of causing bruising, similar to calcium hydroxylapatite fillers.


These fillers stimulate collagen production over time, resulting in gradual volume improvement. The injection technique and the depth at which they are administered can influence the likelihood of bruising.

Polymethyl Methacrylate (PMMA) Fillers

Common Brands


Bruising Potential

PMMA fillers have a moderate risk of causing bruising due to their thicker, more viscous texture.


Bellafill, for example, contains microspheres that are not absorbed by the body, providing long-lasting results. However, the thickness of the filler can increase the chances of bruising, especially if not injected carefully.

Non-HA Biostimulatory Fillers

Common Brands

Sculptra and Ellanse.

Bruising Potential

These fillers are known for a moderate risk of bruising, similar to calcium hydroxylapatite and poly-L-lactic acid fillers.


Biostimulatory fillers work by encouraging the body to produce collagen. The injection technique and depth can affect the potential for bruising.

Collagen-Based Fillers

Common Brands

Zyderm and Zyplast.

Bruising Potential

Collagen-based fillers have a low to moderate risk of causing bruising.


While collagen-based fillers have been largely replaced by HA fillers, some individuals may still receive them. Their thinner consistency can reduce the risk of significant bruising.

Fat Injections

Common Procedure

Fat grafting.

Bruising Potential

Bruising is possible with fat injections, as the procedure involves harvesting fat from one area of the body and injecting it into another.


The risk of bruising can depend on the technique used during both the fat removal and injection phases of the procedure.

Tips for Minimizing Bruise Duration and Appearance

Pre-Treatment Precautions

Some measures taken before your filler appointment can help reduce the risk of bruising. Avoid blood-thinning medications and supplements like aspirin, ibuprofen, and fish oil for a week before treatment, if possible. Also, avoid alcohol consumption for a few days prior.

Post-Treatment Care

After receiving fillers, your injector may apply gentle pressure and ice to the treated area to minimize bruising. Follow their post-treatment care instructions meticulously.

Arnica Montana

Arnica is a natural remedy known for its potential to reduce bruising and inflammation. Arnica gel or cream can be applied topically to the bruised area.

Vitamin K Cream

Vitamin K is believed to help with bruise healing. Look for creams or serums containing vitamin K and apply them to the bruised area.

Avoid Heat

Avoid hot showers, saunas, or intense physical activities for a few days post-treatment, as heat can exacerbate bruising.

Over-the-Counter Products

Some over-the-counter products, such as bromelain supplements or topical creams containing ingredients like bromelain or kojic acid, may help reduce the appearance of bruises.

Cover-Up Makeup

Cosmetics specially designed to conceal bruises and blemishes can be used to mask the bruised area temporarily.

Time and Patience

Most importantly, allow your body time to heal naturally. Bruises will gradually fade, so be patient during the process.

When to Seek Medical Attention

In most cases, post-filler bruises are a temporary and harmless side effect. However, there are instances when you should consult your injector or a healthcare professional:

If the bruise is exceptionally painful or shows signs of infection.

If the bruising persists beyond the usual two-week timeframe.

If you notice any unusual or severe reactions.


Bruising after dermal filler treatments is a common but temporary occurrence. By understanding why it happens and following expert-recommended tips and remedies, you can minimize bruise duration and visibility, allowing you to enjoy the desired results of your filler treatment more quickly. Remember that everyone’s body responds differently, so patience is key as your skin naturally heals.

Monika Wasserman