Journal of Clinical and Aesthetic Dermatology

FEB 2017

An evidence-based, peer-reviewed journal for practicing clinicians in the field of dermatology

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JCAD JOURNAL OF CLINICAL AND AESTHETIC DERMATOLOGY February 2017 • Volume 10 • Number 2 E 1 Introduction Cosmetic treatments amounted to £2.3 billion in the United Kingdom in 2010, and this amount was estimated to reach £3.6 billion in 2015 with 9 out of 10 of these procedures being nonsurgical and generating 75 percent of the market share. 2 However, downtime following a cosmetic procedure is an important consideration for patients prior to undergoing a treatment. Bruising is often a tell-tale sign that a patient has had something done and can lead to some embarrassment and unsolicited questions. 1 In addition to the negative cosmetic effect of a bruise, facial bruising may also lead some to assume spousal abuse. 3 Incidence Localized reactions such as bruising are by far the most common adverse event encountered with procedures such as dermal filler or botulinum toxin injections. The incidence is variable and dependent on many factors. One study 4 reports the incidence of bruising following dermal fillers to be between 19 and 24 percent, and another study 5 reports the incidence as high as 68 percent. Minimizing the Risk (A) Patient factors. Many factors can influence the risk of bruising; therefore, it is important to take a full medical history prior to undertaking treatment with particular reference to previous treatments and susceptibility to bruising, haematological and liver disease, coagulopathies, and medication, including prescribed and over the counter. Older patients with thin and The Management of Bruising following Nonsurgical Cosmetic Treatment Martyn King, MD Definition A bruise, also known as a 'contusion' or 'ecchymosis,' is a small haemorrhagic spot that results from extravasation of blood; it is found in the skin or mucous membrane and presents as a non-elevated, rounded or irregular, blue or purplish patch. 1 JOURNAL OF CLINICAL AND AESTHETIC DERMATOLOGY Aesthetic complications Guidelines

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