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 t
o 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 patients will pay for an entire month of OcuMend.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
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Tags:
Bruising,
dermail filler,
dermal filler,
Juvederm,
plastic surgery,
Restylane