Minimize Bruising After Cosmetic Fillers

Today’s Question: I want to have cosmetic filler injected to replace some volume I have lost in my face, but I’m concerned about bruising. Is there anything I can do to minimize any bruises that might occur? Ellen, Mentone

A. Ellen, it’s normal to be concerned about what you will look like following a dermal filler procedure. Dermal fillers such as Radiesse®, Juvederm® and Restylane® can be used to treat smile lines, restore facial volume, and contour your face for a more youthful look. While the procedure itself isn’t painful, it can cause some bruising and swelling. However, there are several steps you can take before, during and after the treatment to help minimize the bruising and swelling.

1. Avoid Certain Medications, Vitamins and Herbal Supplements

Before your filler procedure, you will want to avoid alcoholic beverages and anti-inflammatory medications for at least 48 hours before the treatment – 7 to 10 days is ideal. These products thin the blood and can cause you to bruise more. Some examples include: Advil, Aleve, ibuprofen, aspirin, fish oil, Gingko Biloba and Vitamin E. Before stopping any medication, be sure to check with your doctor.

2. Take Arnika Forte

arnikaArnika Forte is a homeopathic supplement that prominent cosmetic surgeons have used for years to help their patients’ bruises diminish faster. I recommend patients start taking the product two days before their procedure and continue taking it for five days afterwards or longer if needed. Along with Arnica Montana, it also contains Bromelain, which can help with swelling and bruising as well.

3. Ice The Area

Icing the treatment area before, during and after your procedure causes the blood vessels to constrict and can help minimize bruising to the area. Icing for 48 hours following a procedure will also help decrease the swelling.

4. Eat Pineapple

pineappleEating fresh pineapple can help minimize bruising as well. According to the Centers for Disease Control and Prevention, “Fresh pineapple juice contains many nutrients, including the enzyme bromelain. Bromelain is a naturally occurring anti-inflammatory that can decrease swelling, point tenderness and pain. Pineapple juice may help reduce the recovery time from bruising, sprains and strains.” Just remember it must be fresh!

5. Camouflage With Makeup

Look for a concealer kit with several colors that will take you through the stages of a bruise. Many medical spas and plastic surgery offices carry post-procedure corrective kits designed specifically to conceal treatment bruising. When used correctly, they are extremely effective and no one will ever know you had anything done. I recommend jane iredale’s Corrective Colors kit.

filler bruising web

The selection of your injector is also very important as some injectors are much more skilled and experienced than others. Ellen, even if you follow all of the above advice, it is still possible to bruise following your filler treatment or you may not at all. If you have an important reunion, meeting or photos coming up, I would recommend allowing two weeks for recovery, just in case. If you have any questions about cosmetic injections and bruising, be sure to talk to your medical skin care professional.

Jennifer Kauffman is a Board Certified Nurse Practitioner, practicing in Warsaw and Ft. Wayne. She is a sought after speaker at medical conferences such as the American Academy of Plastic Surgeons. Jennifer is a member of American Academy of Nurse Practitioners and Coalition of Advance Practice Nurses of Indiana. She received her Nursing and Nurse Practitioner degrees from Goshen College, and Indiana Wesleyan University. Jennifer is a Clinical Instructor nationally to physicians and nurses on Botox, fillers and sclerotherapy.

Do you have a question for Jennifer, about this article or another cosmetic skin care issue? Please call Vein Institute & Medical Spa at 574-267-1900 to have your questions answered and considered for future columns. Questions can also be submitted online at