What are the side effects of injectable fillers?

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Fillers are safe, especially in trained hands. Most patients experience some pain during the procedure and bruising and swelling right after. Long term complications, alhough rare, can include nodule formation (a hard knot under the skin from too superficial filler placement) or skin breakdown due to occlusion of blood supply. It's always best to undertreat and put more in later, than to overtreat and have to wait for the filler to dissolve.
Patricia Farris, MD
Dermatology

The biggest problem with fillers is bruising. Avoid aspirin and ibuprofen for at least a week before the procedure and make sure your dermatologist knows if you are on any prescription blood thinners. Even under the best of circumstances you are likely to get a few bruises. Some patients experience swelling after hyaluronic acid fillers. This is more of a problem when the filler is injected in the lips than elsewhere on the face. Both bruising and swelling should resolve in just a few days. 

Dr. Ellen Marmur, MD
Dermatology

You are guaranteed to get some degree of bruising and swelling where you were injected. There's usually more swelling with hyaluronic acid fillers, since they bind water in the skin, absorbing like a sponge on purpose. So for a few days you may look as if you've been in a bar fight. Sometimes fillers can create bumpiness underneath the skin. That's why the dermatologist will gently press the area after filling it, to make sure it's smooth and even.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.