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Dermal Fillers

What Helps Bruising after Fillers

Filler injections offer a transformative touch to facial aesthetics, but the aftermath sometimes comes with an unwelcome companion: bruising. Understanding the science behind bruising post-fillers and adopting strategic measures can mitigate this common side effect. From pre-procedure preparations to post-care routines, this guide navigates the journey toward a smoother recovery. Delve into proactive steps before the injection, discover techniques during the procedure to limit bruising, and uncover effective remedies for quicker healing afterward. Empower yourself with insights and practical tips to navigate the world of fillers with confidence, minimizing the impact of bruises for a seamless post-filler experience.

Why Does Bruising Occur After Fillers?

Bruising is a natural response of the body to injury or trauma. When getting filler injections, the needle can cause small blood vessels to break, leading to blood pooling under the skin and the formation of bruises. While bruising might not always be avoidable, there are steps that can be taken before, during, and after the procedure to reduce its severity and duration.

Pre-Procedure Preparations

Avoid Blood Thinners

Certain medications and supplements like aspirin, ibuprofen, and fish oil can thin the blood, increasing the risk of bruising. Consult with your healthcare provider to determine if you should pause these before the procedure.

Arnica or Bromelain Supplements

Some individuals find that taking arnica or bromelain supplements before the treatment can help reduce bruising.

During the Filler Procedure

Skilled Injector

Choose an experienced and skilled injector. A professional who uses proper techniques can minimize trauma to the blood vessels, reducing the likelihood of significant bruising.

Cold Compress

Applying a cold compress during and immediately after the procedure can help constrict blood vessels, limiting bleeding and bruising.

Post-Procedure Care

Ice Packs

Apply ice packs intermittently to the treated area for the first 24 hours to reduce swelling and minimize bruising.

Arnica Gel or Cream

Topical application of arnica gel or cream can aid in reducing bruising and swelling. Gently massage it into the affected area a few times a day.

Avoid Strenuous Activities

Refrain from intense exercise or activities that increase blood flow to the face for at least 24-48 hours post-treatment to prevent exacerbating bruising.

Elevate Your Head While Sleeping

Keeping your head elevated slightly while sleeping can help reduce swelling and minimize the pooling of blood in the treated area.

Avoid Alcohol and Tobacco

Both alcohol and tobacco can slow down the body’s natural healing process. It’s advisable to avoid these substances post-procedure.

Advanced Techniques for Minimizing Bruising

Microcannula Technique

Introduction to Microcannulas

Microcannulas have gained popularity in the field of cosmetic procedures due to their unique design. Unlike traditional needles, microcannulas feature blunt tips and are more flexible, allowing them to navigate beneath the skin’s surface with reduced trauma.

Benefits of Microcannulas

These thin, flexible tubes can significantly minimize bruising by offering several advantages during the injection process. Microcannulas enable practitioners to access multiple treatment areas through a single entry point, reducing the need for numerous needle sticks. By gliding smoothly under the skin, they lessen the likelihood of damaging blood vessels, minimizing bleeding and subsequent bruising.

Precision Injection Methods

Layering Technique

Skilled injectors often employ a layering approach during injections. This method involves administering small amounts of filler gradually, layer by layer, to achieve a smooth and natural-looking result. This technique minimizes trauma to the tissues and blood vessels, reducing the chances of bruising compared to injecting larger volumes in one go.

Supraperiosteal Technique

This advanced technique involves injecting fillers directly onto the bone, bypassing blood vessels in the skin layers. By precisely targeting the bone structure, practitioners can achieve optimal results with reduced risk of bruising. It requires expertise and an in-depth understanding of facial anatomy to perform effectively.

Pre-Treatment Preparations

Tumescent Anesthesia

Some practitioners utilize tumescent anesthesia, a diluted local anesthetic solution. Apart from providing pain relief during the procedure, the solution contains agents that cause vasoconstriction, narrowing blood vessels. This vasoconstrictive effect can potentially reduce bruising by minimizing blood vessel trauma during injections.

Pre-Injection Cold Compression

Prior to the procedure, practitioners may apply cold compression to the treatment area. This technique involves using a cold pack or a cooling device to constrict blood vessels temporarily. Reduced blood flow can decrease the likelihood of blood vessel damage and subsequent bruising during the injections.

Technology and Tools

Vibration Devices

Vibration devices are increasingly used during injections to distract nerve endings and reduce discomfort. By gently massaging the skin, these devices may help to ease the discomfort associated with injections. Additionally, they can potentially reduce the sensation of pain, contributing to a more comfortable experience and potentially minimizing bruising.

LED Light Therapy

Post-procedure, some practitioners utilize LED light therapy to accelerate the healing process. Different wavelengths of light emitted by these devices can penetrate the skin and promote tissue repair. LED therapy may help reduce inflammation, accelerate cellular regeneration, and minimize bruising.

Expertise and Experience

Training and Skill of the Injector

Perhaps the most crucial aspect is the expertise of the injector. Professionals with extensive training and experience are adept at employing advanced techniques that minimize bruising. Their refined skills enable them to perform precise injections while minimizing trauma to the skin and blood vessels.

Customized Treatment Plans

Experienced injectors often devise customized treatment plans for each patient. By considering individual facial anatomy, skin type, and desired outcomes, they can design tailored injection strategies. Customized plans result in more precise injections, minimizing the risk of bruising and optimizing results.

When to Seek Medical Attention

Although bruising is a common side effect of filler injections, there are instances where it’s essential to contact your healthcare provider:

Excessive swelling, pain, or warmth in the treated area

Bruising that worsens over time

Development of lumps or nodules in the injection site


Bruising after filler injections is a transient phase in the journey towards facial enhancement. By adopting a proactive approach—ranging from careful pre-procedural planning to diligent post-care routines—individuals can significantly reduce the severity and duration of bruises. Empower yourself with these strategies and consult your healthcare provider for personalized guidance. With patience and strategic care, the road to post-filler recovery can be smoother and more manageable.

Charlotte Cremers