How to prevent bruising from Botox

07/10/2012 12:00 AM

07/09/2012 4:27 PM

Injectable fillers like Juvéderm and Restylane and wrinkle-relaxers like Botox and Dysport are sure-fire ways to eliminate lines and furrows, but bruising can be a normal side effect. (It happens when capillaries are injured, which causes them to leak blood into the surrounding areas.)

The good news is that taking a few steps before and after injectable treatments can keep bruising to a minimum, so you can enjoy your new and improved look sooner.

What to avoid before injections

Certain medications and supplements increase the chances of bruising, which is why it’s important to avoid certain things for 10 days before your appointment. NSAID pain relievers like aspirin, Advil, Aleve, Motrin and ibuprofen can thin the blood, so switch to Tylenol (acetaminophen) before your appointment. Supplements can also make bruising worse, so stop taking gingko biloba, ginseng, omega-3, St. John’s Wort and vitamin E as well. And although green tea would seem harmless, it can increase the chance of bruising as well, so I recommend laying off of this drink for 10 days prior to treatment.

24 hours before treatment

Before you reach for that glass of wine (or any alcohol for that matter), you may want to think twice if you have an appointment for injections the next day.

Supplements that can prevent bruising

While you’re taking a break from your usual supplements, there are a few that have been shown to help prevent bruising, including arnica and bromelain. Take one arnica tablet the morning of your appointment, and every six hours after your injections, until you’re bruise-free.

The pineapple-based enzyme bromelain also helps, and you can take 500 mg. three times a day for three days after you get injected.

About Dr. Leslie Baumann

Dr. Leslie Baumann


Dr. Leslie Baumann founded the University of Miami Cosmetic Medicine and Research Institute at UM in 1997 and served on the faculty, most recently as a Professor.

Join the Discussion

Miami Herald is pleased to provide this opportunity to share information, experiences and observations about what's in the news. Some of the comments may be reprinted elsewhere on the site or in the newspaper. We encourage lively, open debate on the issues of the day, and ask that you refrain from profanity, hate speech, personal comments and remarks that are off point. Thank you for taking the time to offer your thoughts.

Terms of Service