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How Can I Prevent Bruising from Restylane or Juvederm?
Of course much of the chances of getting significant bruising after injection can be technique dependent. Avoiding major arteries, staying in the appropriate plane and using proper injection technique can help to avoid bruising. We use cool compresses prior to injection to constrict the blood vessels and decrease the amount of bleeding. Also, careful history taking to make sure our patients aren't on aspirin or other blood thinners. Even small things like making sure our patients are comfortable and confident (which lowers stress, lowering blood pressure and lowering chances of bruising) can make a big difference. Find a good practitioner who has good experience and you feel comfortable with. The process should never feel rushed.
Clinical Context
Bruising risk depends heavily on where the filler is placed. The lips and under-eye area have thin skin over a dense network of small blood vessels, making a bruise more likely there than in thicker-skinned areas like the cheek or jawline. Using a blunt-tipped cannula instead of a needle can lower the odds by pushing vessels aside rather than piercing them, though it doesn't eliminate the risk. Certain medications and normal skin changes with age can also make bruising more likely or more visible.
