53% bruising reported in 7 studies; 3 techniques to reduce bruising due to dermal fillers

“I bruise so badly after filler injections that I am embarrassed to return to work. I don’t want my co workers to know I had any work done. I had to make up a crazy story to try and explain my bruises. I don’t think I can have more filler again because I don’t want to go through that again”  Lisa P, Indianapolis, IN

78% bruising reported in Juvederm Ultra Plus package inserts

53% bruising due to dermal fillers is the average reported by top injectors in 7 studies (Ref 1-7)

Technique matters, Dover (7) reported that single puncture/thread and multiple puncture can decrease the bruising to 20%.  In this study, the single puncture/fanlike technique had a bruising rate of 58%.  In addition, the average volume and injection rate was lower for injections without bruising.

Patients who bruise are forced to delay their appointments until they can fit in a few days of hiding into their schedule.  Patients who delay appointments is a huge cost to your practice each year.

Yearly, you lose $100,000 for every 100 patients who delay treatment one month.

We recommend the following:

  • Ask every patient if they bruise and use OcuMend tcearna - satisfaction guaranteeo reduce bruising. (Remember, you can’t see secondary bruising in the office.)
  • Use OcuMend on all new patients to prevent them from getting into the habit of delaying treatment.

One returned patient will pay for an entire month of OcuMend. 

  1. Taylor SC, Burgess CM, Callender VD. Efficacy of variable- particle hyaluronic acid dermal fillers in patients with skin of color: a randomized, evaluator-blinded comparative trial. Dermatol Surg 2010;36:741–9.
  2. Narins RS, Brandt F, Leyden J, Lorenc ZP, et al. A randomized, double-blind, multicenter comparison of the efficacy and tolerability of Restylane versus Zyplast for the correction of nasolabial folds. Dermatol Surg 2003;29(6):588–95.
  3. Hede´n P, Fagrell D, Jernbeck J, et al. Injection of stabilized hyaluronic acid-based gel of non-animal origin for the correction of nasolabial folds: comparison with and without Lidocaine. Dermatol Surg 2010;36:775–81.
  4. Brandt F, Bank D, Cross SL, Weiss R. A lidocaine-containing formulation of large-gel particle hyaluronic acid alleviates pain. Dermatol Surg 2010;36(suppl 3):1876–85.
  5. Weiss R, Bank D, Brandt F. Randomized, double-blind, split-face study of small-gel-particle hyaluronic acid with and without Lidocaine during correction of nasolabial folds. Dermatol Surg 2010;36:750–9.
  6. Narins RS, Coleman WP 3rd, Rohrich R, Monheit G, et al. 12- Month controlled study in the United States of the safety and efficacy of a permanent 2.5% polyacrylamide hydrogel soft-tissue filler. Dermatol Surg 2010;36(Suppl 3):1819–29.
  7. Dover JS, Rubin MG, Bhatia AC. Review of the efficacy, durability, and safety data of two nonanimal stabilized hyaluronic acid fillers from a prospective, randomized, comparative, multicenter study. Dermatol Surg 2009;35(Suppl 1):322–31.