hi guys my name is dr. Sarah Tonks I'm a
cosmetic doctor oh my god that's my f
guys my name is dr. Sarah Tonks I'm a
cosmetic doctor in London do you know
how many emails I get every week from
patients whom have had something
injected like Botox or fillers something
like that and they are like totally
freaking out because they've got a
bruise
yeah it's quite a lot it's quite a lot
and of course yeah yeah we always have
that conversation you might bruise that
it's a risk that this could happen we
are sticking a needle into your face
after all you don't really know where
all the blood vessels are or the little
ones anyway so there is a risk that you
could get a bruise you need to prepare
yourself for that eventuality so what do
we do if somebody does get a bruise and
you can either see it coming like when
you've done the treatment you just see
like it's starting to form underneath
the surface of the skin or if it shows
up even like maybe two or three days
later is there any hope for these people
well first of all I would say number one
don't panic because it's normal if you
jabbed yourself in the thigh with a
needle
you might get a bruise as well so don't
be surprised if there's some bruising
after you've had a treatment and don't
make the mistake either of kind of thing
oh well you know when I had it with
such-and-such three years ago I didn't
get a bruise because do you know what so
what the anatomy you don't know where it
is such-and-such was lucky last time
they treated you maybe this time you're
unlucky so it's not necessarily an
indicator of skill on the part of the
injector whether or not you bruise
obviously if you're seeing like the
butcher of Blackwall and they're like
you know
hacking away and jimmy-ing it round like
this and you know really going for it of
course yeah you are more likely to get
bruising and swelling after that happens
but you know if you're being injected by
somebody you can see that they're being
careful you know that they're using all
the right size needles and you know
they've been respectful of the tissues
and then you get a bruise then I am
sorry but it's just bad look it's just
one of those things how long does
a bruise last? well kind of depends on you
so for example if you're kind of fit and
healthy and you're sort of youngish what
about 10 days if it's something
significant and you'll see it go through
that normal through cycle where it goes
dark like a purple color possibly even
like a Blacky purple color and then
you'll see it goes a bit greeny and then
yellow and then slowly starts to fade so
what can you do to try and speed up that
purple black green yellow cycle I'm
gonna take you through my favorite
things that you can do at home
afterwards
so first up is the old Arnica versus
bromelain debate I know a lot of people
like arnica I'm more of a bromelain girl
the reason for that is it's got more
evidence behind it so in a review study
done recently they found that five out
of seven clinical papers have found a
positive effect of bromelain and 4 out
of 13 found a positive effect for arnica
so the figures are better for the
bromelain that's oral by the way not
topical so this is the one I like to use
it's a higher nature
bromelain it's a pineapple enzyme it's
very good for taking down swelling as
well so
if you're feeling a bit puffy after
you've had treatment done maybe you're
thinking you might get a bruise or two
start necking down the bromelain it can't
hurt you and you take one of these three
times a day
works a treat if you want to take it
alongside arnica then totally be my
guest
go for it knock yourself out speaking of
arnica I do have one Arnica cream in the
clinic which is this teoxane
post-procedure
fluid I say fluid it's basically a cream
it just as fluid on the front I think to
make it sound a bit fancy and the reason
that I like this one is it contains
arnica and a bit of aloe vera but also
some cool hexadiene as well which is an
antiseptic so it's quite good if you
know when you've had a treatment done
and you need to do a little bit of
massage just sort of you know molds the
product gently into place well I tend to
do it with this they're not always
sometimes I do it with this
but yeah this is definitely something
which is more clinic based you probably
could use it at home but by the time
that you've gone home you probably don't
really need to use anything with core
hexa diene it this one or a derm
X over this is vitamin K cream so that's
not as much evidence for vitamin K cream
but there was one study looking at
people who have had laser treatment and
whether or not use of topical vitamin K
could speed up the bruising after the
laser treatment and the answer was yes
it could again sometimes I will use this
in the clinic but this is probably more
appropriate for you to use at home as
well it's cheapest chips you just buy on
the internet it's by a company called
Oregon international last up we've got
bruise MD cream it pretty much does
what it says on the label so it's for
prevention and treatment of bruising so
with this one it's quite interesting
because if you see a bruise forming just
one are over to the cupboard without the
bruise MD cream and slather that on
because the glycerol inside the product
makes the capillaries close off a little
bit because it causes a tiny bit of
swelling there you you have to wait
until the treatment has finished before
you use that because otherwise you can't
really see you know what you're doing
and it's that swelling caused by the
cream like what is it whatever who knows
um but basically it stops the flow of
blood being quite as much to that area
thus reducing the bruising so you can
also use it once a bruise has formed as
well should you wish to though to be
fair I would probably if you're gonna do
it at home I probably use the oral
bromelain and the vitamin K cream I
think you know to really pack the sort of
double punch there what if you want to
be like totally extra about this like
topicals it's not enough for you taking
a tablet is not enough you need to push
it to the next level what do you do then
well my friends you have a laser or IPL
so sometimes if somebody has an event
coming up and it's like a super
important saying we'll have them come
back to the clinic and use some laser on
them normally if it's a purple or a
black bruise then we'll go with the
nd-yag laser if it's kind of going like
green yellow IPL works better for that
but you can also use a KTP laser as well
and a pulsed dye laser - it just happens
that they're the ones that we have in
the clinic and in my experience if
you're treating when the bruise is at
the purple or black stage you probably
cut that healing time in half roughly
I'm sure the rest on things out there
for bruising that I haven't mentioned
yet I'm just talking about the products
that I tend to use in the clinic if you
have got any amazing tips or tricks for
bruising up your sleeve then please let
me know
I haven't talked about people who use
garlic or any vitamin E supplements or
any anticoagulants or anything like that
because now if you're taking an oral
medication to stop your blood from
clotting it's kind of important you kind
of need to keep taking that you
definitely wouldn't stop taking that
just because you're gonna have a
cosmetic procedure even if you're taking
warfarin you can still have injectables
done so don't be worried about that I'd
rather that you bled a little bit then
had a stroke so yeah guys if you've got
any tips that I haven't mentioned let me
know in that comment section below we're
gonna start doing a bit of a feature at
the end of these Wednesday videos now
where you ask me a question and send in
a picture of yourself saying should I
get this this or this done oh you know
what do I suggest or something like that
so if you want to be on one of the
videos and ask me a question like that
and you don't mind being like roasted a
little bit then drop me an email I'd
love to hear from you okay guys so
that's it for this week I hope you
enjoyed it and found it illuminating
please join me again next week where I
will be talking about more of the same
stuff and I promise next week a hundred
percent for sure
that video of me reacting to celeb
fillers and other work it will be out it
will be out I just haven't quite nailed
it yet okay so I'll see you then Tara