Dermatologist Heidi A. Waldorf, M.D., doesn’t guarantee that patients won’t bruise post-injectables or other treatments, but she knows that by taking certain steps she greatly reduces bruising risk among her cosmetic patients.
And whether it’s to reduce bruising after an injectable or post-surgery, Manolis G. Manolakakis, D.M.D., F.A.C.S., has a toolbox of options that he recommends to patients before, during and after cosmetic procedures. The natural options, he says, are harmless and go a long way to reduce, even banish, bruises.
Drs. Waldorf and Manolakakis share their favorite post-procedure bruise fighters with The Aesthetic Channel.
Bruise Prevention Starts Days, Weeks Before Procedures
To reduce bruising risk, Dr. Waldorf tells her patients to avoid all non-essential prescription and over-the-counter anticoagulants and alcohol for 10 days before the treatment and two to three days after.
“It takes seven to 10 days for platelets to recover,” she says.
Her advice to patients also is to avoid cardio exercise right before treatments and for two days after to avoid excessive vasodilation. The same goes for hot yoga or any activity where a patient’s head hangs downward, according to Dr. Waldorf.
Dr. Manolakakis, who has a facial surgery practice in New York City and Shrewsbury, N.J., and directs the facial cosmetic surgery fellowship at the RWJ Barnabas-Monmouth Medical Center, also instructs patients to avoid supplements and medications known to promote bruising, as well as alcohol, a week or two before procedures, including surgery. He adds green tea, ginger and garlic to the list of supplements to avoid.
“These are things that can cause a tremendous amount of bruising from just a simple injection,” Dr. Manolakakis says.
Put it On Ice
Both doctors are fans of cold or ice compresses.
Dr. Manolakakis ices the treatment area prior to injection of any type of filler or neuromodulator, in order to shrink area blood vessels, he says.
Dr. Waldorf uses ice immediately after injections.
“We provide the patients with what I call ‘applause gauze.’ We freeze wet gauze in a Ziplock and slide that into a glove, clap them together to say ‘Yay, you are done!’ And then use them on the affected area for 10 to 20 minutes an hour while awake, up to 48 hours,” Dr. Waldorf says. “Unlike ice, they don’t melt or drip, and they can be re-frozen.”
This option costs the practice pennies and patients don’t have to hide applause gauze as they might a ice gel pad with the practice’s logo, she says.
Dr. Waldorf is on the medical advisory board for Cearna Aesthetics. Dr. Manolakakis reports no conflicts of interest.