Bruising and Antiwrinkle injections

Bruising after wrinkle injections
Significant bruising after wrinkle injections

Why does bruising occur with antiwrinkle injections?

With any injections into the skin, bruising may occur. In some cases the blood vessels can be avoided when they can be seen under the skin, but this is not always possible, so bruising can occur.

How to Prevent Bruising with antiwrinkle injections?

Ice should always be used prior to injections.

With antiwrinkle injections, injecting very superficially can reduce the incidence of bruising.

The doctor should make sure with each injection site that pressure is applied to the area as quickly as possible and for as long as necessary to stop the bleeding. Ice should the be reapplied to the area that was bleeding

If given the OK from their prescribing doctor, the patient can make sure they have stopped any blood thinning drugs (including vitamins)  2 weeks prior to the injectable appointment.

Medications / Vitamins associated with increased bruising (ie blood thinners)

  • NSAIDs (non-steroidal anti-inflammatory drugs) eg aspirin, Naprosyn, Ibuprofen
  • Herbal supplements including fish oil, ginko, garlic and ginseng, St.John’s wort, danshen, don quai and feverfew

Many other medications / herbs are included, please discuss with doctor.

How to Treat Bruising from antiwrinkle injections?

Immediate pressure on the bleeding area until it stops, ice on the area after that.

Hirudoid topically to the bruise can reduce the number of days of the bruise.

Vascular laser or IPL at a vascular setting may be used the day after the bruise to treat the bruise

Dr Naomi Bruising Tips:

When you’re having your injections, always remind your doctor where you have had a big bruise in the past, as the doctor may be able to be more careful or avoid that area when possible. Often patients will get bruises in the same area.

Also, come a little early to your appointment and ask if you can sit somewhere quietly for a few minutes before the appointment with ice on your face.