Bruising from Cosmetic Injectables

We have all heard the stories of people looking like they’ve been in the ring for a round with Mike Tyson after they’ve had a cosmetic injectable treatment.

‘Will I bruise’ is one of the most commonly asked questions and concerns that my clients ask at the beginning of each treatment. With any injections to the skin, there is always a chance of this happening, no matter how fine the needle, no matter how skilled the injector. When we look at the facial vascular supply, it is easy to see why. The skin is extremely vascular which makes it both more likely to bruise but also faster to heal than other parts of your body.

I have had clients bruise a little bit, a lot and then some not at all. Everyone is different. However, your pre-treatment and post treatment actions can help prevent and minimise bruising from cosmetic injectables as well has reduce the longevity of the bruise if they form.

A great acronym I use is to keep CALMA


Cold compresses are fantastic to use both before and after your treatment. These cold compresses help with vasoconstriction of the blood vessels. This will slow the blood circulation to that area and reducing the inflammatory response. It also assists with reducing muscle spasms and pain!

Prior to your treatment, 10 minutes of a cold compress to the area being injected can help with bruising. Post treatment, 5 minutes of alternative ‘on-off’ compresses will assist in the inflammatory response of the skin. I suggest doing this for as long as you can for the next 48 hours to help with swelling. * Pro tip – please don’t leave the compress on for longer than 5 minutes at a time. We still want to ensure blood is flowing to that area!


This is a big one. Blood thinners, alcohol and some herbal supplements are notorious for causing vascular leakiness which cause bruising. Where you are able to, please avoid prophalactically taking the below medications, ideally a week before  your treatment. Of course, for people on long term anti-coagulant therapies please consult your GP prior to ceasing any regular medications.

Medications – NSAIDs (Non-steroidal anti-inflammatory drugs) such as ibuprofen, advil, asprin, Naprosyn.
Beverages – Alcoholic drinks, green teas – at least 48 hours prior to treatment.
Supplements – Fish & Krill oils, Vitamin E, St John’s Wart
Herbs & Spices – Fenugreek, Ginger, Garlic, Ginko Biloba, Ginseng


At Aesthetic Allure, we use a prescription grade compounded topical anesthetic on the area being treated. This is made up of Benzocaine/Tetracaine/Liidocaine. Aside from numbing the area prior to injection, the cream is also a vasoconstrictor – which means that it again will help minimise the likelihood of bruising. Addtionally, majority of our fillers contain lidocaine for increased comfort for you during and after your treatment.

While this doesn’t prevent a bruise, make-up can definitely help hide the evidence of one. You can start using make up again within 4 hours after treatment as this will give the epidermis of the skin time to heal.

Arnica Cream

Arnica has long been known for its ability to prevent and reduce the formation of bruises. It comes in many forms, including pills and as a topical ointment. After any dermal filler treatment, Arnica ointment is massaged into the area. We also give you a take home kit with arnica cream for you to use over the next week. Even if you do bruise from your treatment, using the arnica cream twice a day will help prevent and reduce the swelling and bruising around your injection site.

Just know that it is 100% okay if you do bruise – it is all part of the game. Hopefully by following the above guidelines it will help you should you develop one after your treatment!

– C x