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Q & A with Dr. Hoenig:

how to minimize bruising

"What can I do so that I'm not bruised from Restylane or Botox injections?"

To reduce the chance of bruising from a cosmetic injection such as BOTOX, Restylane, Radiesse, Sculptra, etcetera, steer clear of the following for 2 weeks before your treatment, and do let your injector know if you have taken any of the items below: Prescription medicines to thin the blood such as Coumadin, Heparin, and Persantine. ALWAYS ask your doctor first prior to stopping these medications as they are preventing dangerous blood clots in your body. (You will only be allowed off of these for a few days, if at all). Over the counter medicines that thin the blood such as aspirin or aspirin-like products (e.g. Advil, ibuprofen, Motrin). This includes medications that relieve pain due to headache, arthritis, and menstrual cramps. Tylenol (acetaminophen) or Extra Strength Tylenol by itself is okay, but be careful, as some Tylenol products are used in combination with blood-thinning medications, such as Tylenol Migraine or Tylenol Arthritis. Herbal supplements and vitamins that thin the blood, such as Vitamin E, Gingko Biloba, Feverfew, Ginseng, Red Clover, Fish oil, and garlic supplements. If you dont want to take any chances, stop taking your multi-vitamin also if it contains more than 40 IU (units) of vitamin E. To further decrease your chance of brusing, apply ice or cold compresses as soon as possible after (or during) your treatment; let your injector know of any obvious veins to watch out for, and go to a trusted and experienced injector who knows how to inject carefully and precisely, while avoiding as many blood vessels as possible. Even if you follow all the advice above, it is still possible to bruise. If you have an important event or photos coming up, allow at least 2 weeks for recovery so you won't be disappointed.

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