Of course, you won't have any bruising… famous last words.
If you’ve gone to a doctor or injector in Brunswick, New Jersey and they tell you that you will definitely never get a bruise, they are lying to you! The truth of the matter is that if you cut the skin or poke needles or cannulas through it, there is a chance you can bruise. Makes sense. Rest assured though Dr. Smita Ramanadham, has ways that can ameliorate this.
There are a few tips and tricks that can diminish bruising and decrease the amount of time that you are bruised.
- Avoid NSAIDs (ibuprofen, aspirin, aleve) for 7-10 days before any injectable procedure. If any of these are prescribed by your doctor for a heart condition, then check with them prior to stopping. In a nutshell, NSAIDs inhibit your platelets making your blood thin. This puts you at risk for bruising during the procedure.
- Avoid certain herbal supplements for at least 2 weeks prior to the procedure. Ginko, garlic, ginseng, and fish oil are among some of the herbals that may make you prone to bruising. There is little scientific data on the exact time frame to stop these medications so you might hear varying requirements but 2 weeks is a safe bet. These supplements may come in pill, powder, or even tea form so make sure you check the ingredients.
- Avoid alcohol 2-3 days before the procedure. Alcohol vasodilates (makes your blood vessels widen) which can increase bruising.
- Avoid exercise the day of and for one day after injection. Exercise also vasodilates your blood vessels.
- Applying ice during the procedure and for 1 day following it, vasoconstricts (makes the vessels narrower) and can decrease bruising
- Apply arnica gel to the injection sites. This is an anti-inflammatory and can decrease bruising. Can use for 1-2 weeks after the injection.
- It is generally safe to restart NSAIDs or herbal supplements after 1 week following your procedure or after the bruising has resolved.
- See a specialist who is well-trained and knowledgeable about the procedure and underlying anatomy. .
- Last but not least, if you have a big event or will be photographed, plan accordingly. You want to get your botox at least 2-4 weeks in advance so that it is working and you have time for any touch-ups to take effect. Fillers should be done 1-2 weeks in advance so that swelling and bruising can resolve before the big day.