Bruising is a common, unwanted side effect of injectables. A bruise is a collection of blood beneath the skin resulting from vessel injury and leakage of blood. Bruising is a possibility any time a needle punctures the skin. Most bruises are initially “black and blue”, turning red-brown and finally yellowish in color as the hemoglobin in the red blood cell is broken down into bilirubin. Most bruises resolve within a week, but some may last longer. Certain medications and substances can increase the likelihood of bleeding. Common culprits are medications like anticoagulants, antiplatelets including ibuprofen (Advil), steroids, antibiotics, antidepressants (SSRIs), and substances such as alcohol, vitamin E, St. John’s wort, garlic, and ginkgo biloba.


A bruise can be tender and look unsightly. Fortunately, there are some things that can avoid them and/or speed up the healing process. Our injectors use a vein illuminating light to avoid bruising the skin. Discontinuing certain aforementioned substances that can contribute to bruising 3 to 5 days before treatment is advisable. Do not discontinue any medications unless directed by your health care provider. Arnica is a popular homeopathic therapy that can reduce inflammation and swelling, the tablets can be started 3-5 days before treatment and the topical ointment can be applied directly to the bruise. Arnica is available for purchase at Luxe.


The application of an ice pack to a fresh bruise will help the blood vessels reduce the amount of blood that leaks into the surrounding tissue. This can help reduce discoloration and swelling. After 24 hours of cooling the bruise switching to heat will promote healing by boosting circulation and blood flow to the area.