Should you Ice after Juvederm?

Hi! I had Juvederm injected into my nasolabial folds two days ago and now I’m experiencing redness and bruising around that area. Is there any way I can make it heal faster? I've heard cold compresses and gel packs are great at reducing swelling but I wanted to verify this with you first, just to make sure I’m not actually making it worse. I was planning to attend my best friend’s wedding next weekend which is why I’m so desperately searching for ways to minimize the side effects. Please help! Thanks.

vanesamary

F, 48, Massachusetts

Many patients who want to look their best for important social events undergo dermal filler treatments or Botox. Hyaluronic acid fillers like Juvederm can plump up areas such as the nasolabial folds, marionette lines and lips, providing the skin with a more youthful and revitalized look.

However, there are occasionally unwelcome post-treatment side effects that arise, such as swelling, inflammation in the skin, or bruising caused by mild trauma to the tissues or blood vessels. These symptoms commonly last for two to five days. After two weeks any evidence of these side effects should have disappeared completely.

In the meantime, there are a range of things you can do to address the swelling and redness that you are experiencing around your nasolabial lines. Anti-inflammatory medication such as aspirin or Advil can help to reduce swelling when taken forty eight hours after receiving your injections. Arnica gel is also recommended by some surgeons as a natural method of diminishing bruising, swelling and inflammation. Cold compresses are another very useful pre-treatment, and also helpful when applied to the skin regularly for a day or two following your procedure. Similarly you can try LED light, which is offered by many plastic surgeons and dermatologists and been shown to help resolve bruising and swelling more quickly.

Ensure that you always find a board-certified plastic surgeon or dermatologist to administer your filler injections. This helps guarantee the best possible results and minimizes the risk of any complications arising. As you continue to recover from your injections, you can conceal any remaining redness with makeup applied to the treatment area.

Juvederm is composed of hyaluronic acid, which is naturally found in the human body. As a result, it is a very safe dermal filler to inject into the skin as there is minimal chance of allergic reaction. That is not to say, however, that there are no side effects: swelling, bruising, pain, tenderness and redness can sometimes occur in the treated areas following injections. These usually take between two and four days to subside.

With respect to facilitating healing in the treated area, there are a number of things you can do to help speed up the process. Cold compresses and ice packs are very useful immediately before the injection and in the 48 hours following the injection. Ice constricts the blood vessels, helping to move blood away from the surface of the skin. Ice should be applied for 15-20 minutes each hour as often as you can, but never directly to the face. As more than two days have passed since your Juvederm injections, icing the affected area may not be as effective as a method of diminishing the swelling and redness. You could try Ibuprofen or another anti-inflammatory medication such as Naproxen to help minimize the swelling. Some surgeons also recommend trying Arnica Montana as a natural remedy to help relieve bruising or swelling.

You could also try sleeping with your head elevated on an extra pillow. When the injection site is elevated higher than the rest of the body, it helps any excess fluid to drain away more efficiently, therefore reducing swelling. Also ensure you avoid strenuous exercise and unnecessary heat (such as hot water on the face when showering) while your face is still red and swollen, as these will only exacerbate your symptoms.

The most important thing to remember is that swelling will not be as evident to anyone else as it is to you, because you know your face best. Most of your symptoms should have disappeared by the time you attend your friend's wedding next weekend. If there is any lingering redness, gently applied natural makeup can help to camouflage it.

Ice is very appropriate for the first couple says for reducing the swelling and bruising from fillers. After that time, actually massage and heat compresses can help

If that makes you feel better than YS ice area for 24 hours. 

You should call your doctor's office in case you're having problems, but you should also know that it's often to have symptoms like you've described.  Green tint (actor's) makeup is often helpful.

As, previously stated ice can be effective witin the first 24 hrs. Arnica gel can also be lightly applied to the treated area 3 times per day to reduce any bruising. 

Ice only works for the first 24 hours.  After that, warm, moist compresses will dilate the microscopic blood vessels and hasten the clearing of bruising.  Arnica Montana pills and cream are advocated by some, but others feel they have no real benefit.  My feeling is that Arnica works for some patients and not others, so there is no harm in using this product.  Massaging the bruised area may clear the bruising faster.  If the redness seems to be getting worse, contact your doctor.

GALTOX Education....

Should you Ice after Juvederm, submitted image.

Techniques for minimizing bruising includes using blunt needles. Icing the area before and after the treatment may also decrease bruising. With bruising becoming evidenced greater than 24 hours after the treatment you are more likely past the period where icing will alter your symptoms. In this case consider using arnica which you can get at any pharmacy. 

Ice is very effective for the first 24 hours to reduce swelling.  The bruising is blood which leaked at the time of injection which is making it's way to the surface.  V-beam laser is effective to rupture the red cells allowing the body to breakdown the leaked blood quickly.  Find a cosmetic surgeon who offers V-beam.  Adding moisture to the skin surface with light massage is effective to help decrease the bruise.  (Like teenagers massage a hickey away with a hair brush).   Monitor closely for signs of infection,  contact your injector for any progression. 

Dr. James White has 1 Filler to lip lines before & after:

Filler to lip lines before image performed by Dr. James WhiteFiller to lip lines after image performed by Dr. James White

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Ice is useful the first 24 hours or so. Try arnica pills and cream. If the redness or swelling increases, you may be getting and infection and need to see your physician.

Two days after the injection, ice will likely not have much of an effect anymore.  You can try arnica cream, which reduces swelling and bruising.  You can also find a medical spa that offers LED treatments, which also have been shown to be very effective at reducing swelling and bruising.

I think this is a question you should address to the physician who injected the Juvederm.

Ice can help prevent or lessen bruising from facial injectables if applied immediately after the injection. We find that arnica taken orally or in cream form is an excellent product to use post-injection to prevent bruising.

Dr. Robert N. Young has 3 Filler to lip lines before & afters:

Filler to lip lines before image performed by Dr. Robert N. YoungFiller to lip lines after image performed by Dr. Robert N. YoungFillers before image performed by Dr. Robert N. YoungFillers after image performed by Dr. Robert N. YoungFiller to lip lines before image performed by Dr. Robert N. YoungFiller to lip lines after image performed by Dr. Robert N. Young

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Just a few minutes of icing before during and after treatment with Juvederm family of fillers is perfect. Additionally, I recommend just a few minutes of icing before going to bed that evening and keeping your head elevated.