Ways to reduce swelling and bruising after Restylane?

What are the best ways to help reduce swelling and bruising after Restylane injections? I know it will probably last a few days, but I would greatly appreciate any recommendations (other than just using ice) that might help speed up the process.

wendy1189

F, 28, Utah

Whether you have filler injections (Restylane, Juvederm, etc.) to plump areas of your face or injections to reduce wrinkles (i.e., Botox), you'll likely follow similar pre- and post-procedure instructions. This includes avoiding certain medications for a number of days before and after the procedures, icing the treated areas with a cold pack to reduce swelling and/or bruising, and waiting a few days before exercising. It may be suggested that you sleep in an elevated position for a few days afterwards as well. Some doctors recommend taking Arnica to help reduce pain and swelling. Arnica comes in pill form or as a cream.

Some people wait until right before an event before going for a dermal filler treatment. However,  you should schedule your treatment well in advance to make sure that any swelling and bruising that occurs will have subsided, though makeup can work in a pinch.

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Fillers, Laser Resurfacing before image performed by Dr. Lawrence BroderFillers, Laser Resurfacing after image performed by Dr. Lawrence Broder

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Almost any area of the face can be treated using a dermal filler like Restylane. Restylane treatments are most commonly used in areas like the lips, fine lines on the face, sagging under the eyes, etc.  It’s one of the safest cosmetic procedures performed, but there are still medical considerations that you should discuss with your provider (dermatologist or plastic surgeon) during your consultation.

We generally recommend that patients avoid taking medications that can thin the blood (aspirin or ibuprofen) prior to and after their filler injections. If you use blood thinning medication on a daily basis, ask your provider for information on when to stop and and when it will be safe to take it again.

Your provider will employ techniques to minimize soreness, swelling and bruising near the injection site. With most individuals, the aforementioned side effects should abate in about 7-10 days. You'll be instructed on how long to apply cold compresses to the treated areas and other post-procedure do's and don'ts. Some patients find taking Arnica or Bromelain supplements help reduce bruising and swelling associated with cosmetic procedures, but again, I would speak with your provider about this, as there is some debate as to their efficacy.

I reiterate what the other docs on here have said:

Arnica, ice (in the first 24-48 hours), elevation of the head, avoiding meds that thin the blood, avoiding heavy exercise for the first few days. There's also a medication called Bromelain that can be helpful.

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We recommend patients not take blood thinning medications for 10 days before and avoid raising blood pressure / workout for 24 hours after injections.

Ice is the best way to reduce swelling and bruising.  You may also want to try Arnica Montana, you can find this at places like GNC, Whole Foods and Trader Joes.  It comes in a cream as well as little pellets that you take orally.   My recommendation to patients is to take it 48-24 hours prior to the injection and then for the next 3 or 4 days after injection.