Facial fillers like Sculptra, Juvederm and Restylane are a popular way to restore lost volume, smooth fine lines, and enhance facial features. However, many patients worry about post-treatment bruising and swelling. If you’re in San Francisco or the Bay Area and want to minimize downtime after your filler injections, follow these expert tips from Dr. Caren Campbell MD, FAAD to prepare for your appointment and reduce the risk of bruising.

How to Prepare for Filler Injections

Proper preparation is key to ensuring a smooth and comfortable experience. Here’s how you can get ready for your appointment:

1. Avoid Blood Thinners – At least two weeks before your treatment, avoid aspirin, ibuprofen, naproxen, NSAIDs, blood thinners, fish oil, Vitamin E, garlic, and gingko, as these can increase bruising. If you’re on prescribed blood thinners, consult with your doctor before stopping any medication.

2. Skip Alcohol & Caffeine – Alcohol and excessive caffeine consumption can dilate blood vessels, increasing the likelihood of bruising. Avoid them for at least 24-48 hours before your appointment.

3. Take Arnica & Bromelain – These natural supplements help reduce swelling and bruising. Start taking arnica montana or bromelain a couple of days before your treatment and continue for a few days after. Take arnica tablets prior to your procedure: 1 tablet each of the two days leading up to treatment and 2 tablets the day of treatment.

4. Stay Hydrated & Eat a Healthy Diet – Drinking plenty of water and eating vitamin-rich foods, especially those high in vitamin K (like leafy greens), can help support healing and reduce bruising risk.

5. Skip Strenuous Exercise – Avoid vigorous workouts for at least 24 hours before your treatment, as increased blood circulation can contribute to swelling.

6. Schedule Wisely – If you have an important event, plan your filler appointment at least 1-2 weeks in advance to allow any swelling or bruising to subside.

7. Know the Restrictions – You cannot be pregnant or breastfeeding during treatment. Avoid dental work two weeks before or after filler. No alcohol 24 hours pre- or post-procedure.

How to Minimize Bruising & Swelling After Fillers

Post-treatment care is just as important as preparation. Here are some key ways to reduce bruising and swelling after your filler injections:

1. Bruising – Some bruising is normal and may last for 5-7 days. Aspirin, Vitamin E, and NSAIDs may worsen bruising. Arnica and bromelain may help to reduce it.

2. Swelling – Swelling is normal and may be uneven, particularly under the eyes, and is usually worst two days after treatment. Minimize swelling by:

   • Sleeping with your head elevated the first night using extra pillows.

   • Applying cold compresses for 15-20 minutes, 3-4 times a day if needed.

   • Taking an antihistamine or Arnica Montana/Bromelain supplements, available at local pharmacies.

3. Lumpiness – Some lumpiness is normal as fillers integrate into your skin. Allow 2-3 weeks for everything to settle. Avoid massaging or putting pressure on the area for several hours after treatment to maintain the desired shape.

4. Redness – You may experience mild redness after treatment. Makeup can be applied immediately to minimize redness.

5. Tenderness/Pain – You may experience minimal discomfort for a day or two. Tylenol is recommended as a safer alternative to NSAIDs.

6. Avoid Strenuous Exercise & Alcohol – Avoid heavy workouts and alcohol for at least 24 hours post-treatment to prevent excessive swelling and bruising.

7. Additional Treatments – Some patients may require more than one treatment for optimal results.

Where to Get Expert Filler Treatments in San Francisco

Choosing an experienced injector is crucial to achieving beautiful, natural-looking results while minimizing risks. In San Francisco and the Bay Area, it’s best to visit a highly trained board-certified dermatologist or plastic surgeon who understands facial anatomy and advanced injection techniques. The best source is a happy friend or colleague, but if this is not an option look for a  board-certified dermatologist with years of experience and consistent results administering Sculptra, Juvederm, Restylane, and other top-tier dermal fillers.  We are always happy to share Before & Afters during our consultations.  Seeing a doctor's Before & Afters photographs ensures your aesthetics are aligned and the doctor has achieved good-looking, natural results on their other patients.  

Book Your Appointment Today

If you’re looking for expert facial filler treatments in San Francisco, schedule a consultation with Dr. Caren Campbell MD, FAAD who prioritizes safety and natural results. By following these preparation and aftercare tips, you can enjoy a smooth recovery with minimal bruising and swelling.

For personalized recommendations and treatment options, contact our dermatology practice in San Francisco today at 415-839-8118 or email us at hello@carencampbellmd.com