More and more people are becoming patients of aesthetic medicine specialists. Keeping youth, no one wants to risk their appearance and fall out of an active social life for a long time.
In this regard, doctors are constantly looking for methods that will help minimize bruising and swelling after the application of fillers so that the patient can return to their usual activities immediately after the procedure.
On estet-portal.com, read what you should pay attention to in the patient's history to reduce the risk of complications, and what to do during and after the procedure in order to minimize the occurrence of bruising and swelling.
- Frequency of swelling and bruising after filler
- The effect of drugs on the likelihood of post-procedure bruising
- Patient position also is important
- Technical features of contouring: how to to avoid complications
Frequency of swelling and bruising after filler
According to the American Society for Dermatological Surgery, contouring and botulinum toxin therapy are two of the five most common aesthetic medicine procedures. The most common side effects are local reactions at the injection site - primarily bruising and swelling.
Before any aesthetic procedure, proper history taking and patient preparation can help reduce the risk of bruising and swelling.
One study on injectable fillers reported bruising in 19-24% of patients, while others reported 68% of cases.
Influence of drugs on the likelihood of post-procedure bruising
Drugs that are among the most commonly used cardiovascular medications, namely aspirin, clopidogrel and warfarin, can cause increased bleeding and bruising. Other drugs that increase the risk of hematomas and ecchymosis include dabigatran, enoxaparin, ticlopidine, and dipyridamole.
Since anticoagulants are often necessary to prevent the occurrence of embolic and thrombotic events in patients with atrial fibrillation, coagulopathy, and other conditions, it is not recommended to stop taking these drugs. However, the patient should be informed of the increased risk of bruising.
If aspirin is not medically necessary, the patient should avoid the use of non-steroidal anti-inflammatory drugs for five days prior to aesthetic correction.
The use of herbal supplements and vitamins is becoming more and more common. Many of these can increase the risk of bruising. In particular, high doses of vitamin E, ginkgo biloba, and garlic may increase the risk of bruising. Many doctors recommend that patients stop taking them two weeks before the start of any procedures.
Patient position also matters
The position of the patient during the procedure is important: he must sit in a chair that reclines by 30 °, while the head must be firmly rested in a strong headrest. The doctor's hands should be pressed against the patient, thus preventing any unnecessary injury if the patient moves unexpectedly.
The patient's skin should be clean so that cosmetics do not mask the vessels.
Complications after botulinum toxin injections: treatment and prevention
The room and the patient should be well lit, it is also recommended to use a side light to better visible vessels.
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Technical features of contouring: how to avoid complications
To minimize the risk of swelling and bruising after contouring, you must:
• carefully avoid blood vessels during injection;
• avoid the rapid administration of large volumes of the drug;
• use small size needles;
• compress and apply ice after the procedure.
And, finally, one more paradoxical advice – one author suggested asking patients questions about food at the end of the procedure, since when a person thinks about food, there is a relative vasoconstriction of the skin, which can minimize minor bruising and bleeding.
Warned – means armed: complications after the introduction of collagen fillers
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