As with all treatments that involve cosmetic injections, the most likely negative outcome from a Restylane or Juvederm injection (and any treatments involving cosmetic dermal fillers) is the development of bruising. This is not considered an “adverse reaction” – only a common negative side effect.
Avoiding certain supplements or medications ten days prior to dermal injections will help minimize this risk of bruising. However, some prescribed medications should not be stopped until discussed with your physician. The products most commonly responsible for pronounced or delayed bruising are: Ibuprofen, Aspirin, (any non-steroidal anti-inflammatories), Ginko Biloba, St. John’s Wort, Fish Oils, and Vitamin E greater than 200 IU per day. The effects from these products and other prescribed medications may last as long as ten days in the body so stopping them the day before will not help avoid the issue. Some patients find value in taking Arnica tablets prior to their Juvederm or Restylane injections. At Celibre, we apply topical Arnica gel following injectable treatments. Diligent use of ice packs is also beneficial in avoiding bruising from dermal injections like Restylane and Juvederm.
There are also certain techniques or areas that make bruising a higher probability and these should be discussed with your injection practitioner. Make certain that your practitioner involves you in the treatment plan to discuss methods of minimizing any potential negative side effects of dermal injections.
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Lori Haney, RN, MEP-C
Certified Laser Medical Safety Officer