Minimizing Bruising from Botox and Fillers: Expert Tips and Techniques

Bruising of the treated area from Botox and dermal fillers is one of the biggest concerns people have before receiving aesthetic injectable treatments. Bruising occurs when small blood vessels are punctured during the injection process, leading to the leakage of small amounts of blood into the surrounding tissue. Potential bruising will subside naturally, but the following tips can help keep any possible bruising to a minimum.

How You Can Prepare Before and Plan After Your Treatment

We offer SkinadeMD INsupport, which is a specially formulated product to enhance the results of injectable treatments and to reduce social downtime, including from bruising and swelling. You can purchase this and all our in-store products on our product order form.

Prior to your treatment avoid taking supplements with blood thinning effects. Some of these include fish oil, garlic, ginger, ginkgo biloba, ginseng, green tea, and vitamin E, which may increase the likelihood of bruising especially if you’re taking blood-thinning medications such as non-steroidal anti-inflammatory drugs (NSAIDs). There such supplements should be discontinued seven days prior to your appointment.

Also avoid non-essential medications such as aspirin, Advil (ibuprofen) and Aleve (naproxen), which also have blood thinning characteristics. If possible these should be stopped for several days before, and one day after, your appointment. If you are taking prescription blood thinners such as Coumadin or Plavix, or are prescribed any of the aforementioned, please consult with your healthcare provider for specific recommendations as these guidelines do not constitute medical advice.

Short-term Lifestyle Modifications

• Don’t drink alcohol 24 hours prior to your treatment. Alcohol has anti-platelet effects and increases your chances of bruising.
• Discontinue exercise for 24 to 48 hours after treatment. Physical activity increases your heart rate, blood pressure and blood flow. Minimal blood flow allows damaged capillaries to repair faster.
• If the lips were treated do not put pressure on them with a straw, water bottle nozzle, etc. for one week.
• Do not put significant pressure on treated areas for one week (like lying face down on a massage table cradle).
• To prevent blood from pooling and minimize bruising, elevate your head while sleeping by using an extra pillow. This slight elevation helps improve blood circulation and reduces the chances of excessive blood accumulation in the treated areas.
• Should bruising still occur it may be covered with your usual makeup.

By following these post-appointment care guidelines, you can support the healing process and maximize your chances of achieving a beautiful and bruise-free outcome.

Finally, plan accordingly prior to your treatment and afterwards. Even by following all these tips, bruising can still occur. An important part of getting cosmetic injections is timing. Try to make your appointments at least two weeks prior to a big event just in case you do have swelling or bruising.



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Kirsten S.
Linda and staff are amazing. I am always very happy with my treatment results. It is apparent that she researches various technologies and techniques. The applications are always evolving with new and improved products. Highly recommended.
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Excellent service and an overall pleasant experience. Victoria was professional and knowledgeable. She proposed treatments addressing both my anesthetic and medical concerns.. I could not be happier with the results. Also, the Receptionist, Mattie, was pleasant and efficient. I look forward to future treatments.
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Lisa M.
Hayes Valley is the best! Kate did an incredible job with Dysport removing the wrinkles from my forehead, Sandra gave me great abs and glutes with Emsculpt, and Linda gave me my youthful facial structure back with Sculptra. These women are truly amazing. So glad that I found them!
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Gene V.
I love Hayes Valley Medical and Esthetics! I've been coming for a while now for Botox and filler treatments. Linda is AMAZING! She knows just the right amount of product needed in all the right places to bring out my best facial features. I feel more handsome every time!!

The front desk staff are super sweet and helpful. They always ask exactly what I want and I never feel like I'm being 'upsold' or encouraged to do anything other than what I came in for. I would highly recommend HVME to anybody that is on the unsure about trying some of the services they offer. You won't be disappointed. Thank you!!
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Julie S.
This was my first experience with any filler/injection treatment and it was very pleasant, professional and everyone there made me feel safe, welcome and I felt very knowledgeable coming out of my treatment about what to expect. I will absolutely be back!
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Tina B.
Diana at the front desk is so sweet, the medical assistant was amazing & personable and Kate who did my procedure is my favorite! As I walked out and met my husband, I told him how much I enjoy being there & what a good vibe Hayes has.
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Cher B.
Sheila and Linda took great care of me and I look younger and vibrant.  I do not trust anyone else for injectables.  Linda is careful, thoughtful, and respectful of one’s budget. I have followed her from Marin into SF and I will continue to follow her where ever she practices.
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Emily N.
I highly recommend Hayes Valley Medical & Esthetics!! All the front desk staff are warm, friendly and professional and Denise is the best for laser, she goes above to make you feel comfortable and at ease. Andrea is exceptional at explaining the services they offer. They are the best in SF in my opinion and I do my research!
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Excellent customer service, advice, and care. Botox and Microneedling. Melonie is a gem. She is extremely knowledgable, sincere and honest. Everyone here is helpful, They carry a fabulous array of skin products too. I am so pleased with my results!
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