Unfortunately, anytime a needle is used to inject something, there is a risk of bruising and bleeding afterwards. When Botox and/or dermal fillers like Juvederm are injected, sometimes the needle may nick a small blood vessel. This may produce a small bruise that will resolve on its own. However, there are some things we can do to prevent this annoying side effect.
Look for an injector that has a great deal of experience with injectables like Botox and Juvederm. They have seen the complications like bruising and know how to avoid them. But even the best injector will still sometimes get some bruising! Common dermal filler side effects include bruising, swelling and mild tenderness.
Avoid Certain Medications
Any medications that you are taking that interfere with your body’s ability to clot, can lead to bruising no matter how careful the injector is. These include medications like Aspirin, Vitamin E, St. John’s Wort, Coumadin, Heparin, and Fish Oil. If you are taking some of these supplements on your own, we would advise holding them for at least a week before your injections. If your are taking them under the direction of a physician, please discuss holding them first with your provider.
Supplements to Prevent Bruising
Certain supplements are commonly used to prevent bruising. These include Arnica Montana and Bromelain. They are both easy to find in your local pharmacy. They can be taken before and after your injections to prevent bruising. Bromelain is found naturally in pineapples!
Avoid Trauma to Injection Sites After Botox Injections
This means not rubbing or touching in any way your injection sites. This also means not running or lifting weights for a few days. If you do anything to increase your blood pressure, you can make any of those injection sites bleed and bruise.
Do not immediately lay down after these injections. This will increase blood flow to these areas and cause bruising.
Yes cold compresses work! Not too hard though, as trauma will cause bruising.