Bruises after filler treatment: how to prevent | SkinViva Training

Bruises after filler treatment: how to prevent

by Dr Tim Pearce MB ChB BSc (Hons) MRCGP

Clinical Director, Founder of SkinViva & SkinViva Training

Bruises that appear after dermal filler or anti-wrinkle injections are one of the most common side-effects after an aesthetic treatment. For your patients, bruises can have a negative psychological effect on their life. They will need to explain the bruise to many concerned friends and colleagues and it’s not exactly easy to cover a bruise on your face.

How do bruises after filler treatment happen?

bruises after dermal fillerAt its core bruises after dermal filler or anti-wrinkle injections are blood that escaped the vascular system into the tissue. Aesthetic practitioners should aim to prevent traumas by keeping the following in mind:

Alcohol can cause a temporary increase in heart rate and blood pressure. This ultimately increases cardiac output. Since the blood flow is higher, if a needle or cannula damages any artery or vein the chance of bruises to appear is higher.

Risk factor 2: Heat

Similar to alcohol, heat can directly affect bruises caused by filler or anti-wrinkle treatments. Heat dilates the blood inside the cardiovascular system and makes veins and arteries easier to penetrate with a needle.

Risk factor 3: Exercise

Exercise and physical activity also temporarily increases heart rate and blood pressure even more so than alcohol.

Risk factor 4: Medicine

Certain types of medicine can cause the dilation of cardiovascular vessels as well as increase blood pressure. The decision to stop any medication should be taken in the wider context of the patient’s health, not with a narrow focus on reducing bruising.

Risk factor 5: Needle control

The factor that you as a clinician can impact the most is the control of your needle tip. The next time you see an experienced injector observe their whole body not just the needle. Reducing trauma all starts from the perfect control of your needle.


There are many ways a clinician can reduce bruising before, during and after the procedure. It is important to keep the factors discussed in mind in order to better assess your technique and take the decision whether or not to commence the procedure at a given time. Remember that a bruise is very important for your client; it’s a story which others may tell about them. When you do get a bruise explain to your patient what has happened and why. Take the time to listen to their concerns and show that you care. Offer explanations and clear expectations of what will occur next. This can be the moment your patient decides to become a recurring client for your business!

Dr Tim Pearce is a fully-qualified and experienced doctor specialising in non-surgical aesthetic rejuvenation. He has extensive experience in cosmetic medicine and has performed thousands of treatments, as well as training many delegates who have gone on to establish their own careers in the aesthetics business.

Dr Pearce’s expertise in BOTOX®, dermal fillers such as Juvederm ULTRA, Radiesse, Teosyal, Restylane, Beletero and skin resurfacing treatments has garnered him a loyal UK client base. He is now a well-known leader in the medical aesthetics training industry.

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