This is a question that I answered for a patient who had Facial Fillersto the under eye area by another doctor who developed a large hematoma under the eye and what options she had to help the situation:
Bruising is a natural consequence that can happen after any procedure that enters the skin. This can be a procedure that involves injections or any surgical type procedure. Any doctor that tells you that he doesn’t get bruising is not telling the total truth. I think only God can assure no bruising.
The swelling and the difference will eventually get better. Your body does a lot to heal and make things better. Your doctor will help you through this and be there for you.
Some of the ways to avoid bruising and bleeding are to avoid blood thinners 2 weeks before and 2 weeks after your procedure, which include, but are not limited to:
- High dose vit E
- Aspirin
- Anti inflammatories
- Herbal medications or supplements
Local anesthesia with epinephrine can shrink the vessels in the area of injection and make less likely to manipulate blood vessels that can lead to bleeding. Genetics play a factor in how someone is likely to bleed, and this can be something that cannot be changed in a person many times.
There are some medications that can help certain bleeding disorders. But there are a lot of factors that can affect bleeding in ones genes that still need to be discovered and not likely can be changed through medicine.
In terms of the swelling that is asymmetric, this will eventually go down things that could help it include oral steroids for general swelling, pressure in that particular area (which could be done by a full facial compression garment with more gauze in the area of swelling the other side, or localized injections of steroids. You can also improve the swelling from the bruising through limited exercise that will bring blood flow to the area and help remove some of the residual inflammation and swelling.
Dr Young is located in Bellevue near Seattle, Washington