Bruising is a common and expected temporary side effect of lip filler injections. Understanding its nature and duration helps manage expectations and promote a smoother recovery.
Typical Bruising Timeline
Bruising following lip filler injections typically resolves within five to seven days, though some individuals may experience bruising that lasts up to two weeks. It usually appears within 24 to 48 hours post-treatment, sometimes peaking around day two. Discoloration may be dark, appearing as red, blue, or purple marks around the injection sites.
As healing progresses, the bruise changes color, often turning to lighter shades of green or yellow as the blood is reabsorbed. Most swelling and bruising significantly reduce by the end of the first week. By two weeks, nearly all bruising resolves.
Factors Affecting Bruising
The extent and duration of bruising can vary among individuals due to several influencing factors. Individual physiology plays a role, as some people are naturally more prone to bruising due to skin sensitivity or fragile blood vessels. The lips are highly vascular, increasing the likelihood of damaging a vessel during injection.
Certain medications and supplements can also increase bruising by thinning the blood, including aspirin, NSAIDs like ibuprofen, vitamin E, fish oil, ginkgo biloba, and ginseng. The injector’s technique, such as the number of injection points, the use of a needle versus a cannula, and the depth of injection, can impact tissue trauma and the degree of bruising. The specific type of filler product used may also influence the extent of bruising.
Tips for Bruise Management
Several proactive steps can be taken both before and after a lip filler procedure to help minimize bruising and support healing. Avoiding blood-thinning medications and certain supplements for about one to two weeks prior to treatment, with a provider’s consent, can reduce the risk of significant bruising. It is also advisable to avoid alcohol consumption for at least 24 to 48 hours before and after the procedure, as alcohol can dilate blood vessels and increase bleeding risk.
Post-procedure, applying a cold compress to the treated area for 10-15 minutes during the first 24 to 48 hours can help constrict blood vessels and reduce initial swelling and bruising. Keeping the head elevated, especially while sleeping, can also minimize swelling. Some individuals find arnica, either topical or oral, and bromelain (found in pineapple) helpful in reducing bruising and inflammation, but it is prudent to consult with your provider before using such remedies.
When to Contact Your Provider
While some bruising is a normal part of the healing process, certain signs and symptoms warrant immediate contact with your healthcare provider. Severe or escalating pain could indicate an underlying issue. Skin discoloration that is not typical bruising, such as blanching, mottling, or extreme pallor, may signal a more serious complication like vascular occlusion, where blood flow is obstructed.
Persistent and worsening swelling or redness, especially if accompanied by warmth or pus, could be signs of an infection. Lumps or bumps that persist beyond a few days or increase in size may require evaluation. Any symptoms of an allergic reaction, such as widespread itching or hives, should prompt immediate medical attention.