What is actually happening under there.
Recovery is not a straight line from bad to good, and nobody warns you about the middle. A bruise looks worse on day three than on day one. Swelling usually peaks after you have already gone back to work. Knowing the shape of it in advance is the difference between a normal recovery and a panicked call to the clinic.
Below is the general sequence for the common aesthetic procedures, written plainly. Timings vary by person, by procedure and by how much was done — your provider's instructions always come first.
The injury you paid for
Every aesthetic procedure works by causing controlled damage and letting your body answer it. Blood vessels dilate immediately, which is the flush you see in the mirror before you leave the clinic. Where a needle crossed a capillary, blood is already leaking into the surrounding tissue. That is the bruise. It is forming right now, hours before you can see it — which is why the window that matters is the one most people sleep through.
Redness · warmth · nothing visible yetIt gets worse before it gets better
Swelling generally peaks somewhere in the first two days, often on the morning of day two rather than the night of day one. Pooled blood loses its oxygen and the mark turns from red to deep purple or blue-black. This is the stage people photograph in a panic. It is also, in most cases, exactly on schedule.
Peak swelling · purple stageThe green stage means it is working
Your body dismantles the trapped haemoglobin in steps, and each step has a colour. Purple gives way to green as it converts to biliverdin. Swelling starts to recede and the tightness eases. The skin barrier, however, is still short of the lipids it normally uses to hold water in — so it can feel dry, tight or oddly sensitive even as it looks better.
Green stage · swelling recedingYellow, then gone
Biliverdin becomes bilirubin, which is yellow, and immune cells carry the last of it away. For most people on most procedures this is the end of the visible story, and concealer covers what is left. If you bruise easily or a lot was done, add a few days rather than assuming something is wrong.
Yellow stage · clearingThe part that is different for darker skin
On Fitzpatrick I to III the story usually ends when the bruise does. On Fitzpatrick IV to VI it often does not. Pigment-producing cells answer inflammation by making more pigment, so where the bruise was, a brown or grey-brown mark can remain for weeks after the swelling and colour have gone. This is post-inflammatory hyperpigmentation, it is common, and it is not a complication — but sun exposure makes it darker and makes it last longer.
Fitzpatrick IV–VI · pigment windowThe result you actually came for
Neuromodulators reach full effect around two weeks. Filler settles as swelling resolves and should be judged at two weeks, not two days. Microneedling and resurfacing work on a slower clock still — new collagen is laid down over roughly one to three months, which is why the honest before-and-after is taken at week twelve, not week one.
Collagen remodelling · final resultThrough the acute window
- Sleep with your head elevated for the first two nights — gravity does real work on swelling.
- Cold compress in short intervals, never ice directly on skin.
- Keep the barrier supported with something bland, fragrance-free and non-active.
- Drink water and keep salt low; both show up in how puffy you look.
- Start broad-spectrum SPF the moment your provider clears topicals.
Not until you are cleared
- No retinoids, acids, vitamin C or exfoliation — this is the week to do none of it.
- No alcohol-based products on treated skin.
- No massaging or pressing filler unless your injector told you to.
- No saunas, hot yoga or strenuous exercise while swelling is active.
- No picking, peeling or pulling flaking skin.
- No blood thinners or supplements without asking the person who treated you.
This page is general education, not medical advice, and it is not a substitute for the instructions given by the clinician who treated you. Rejuvalis products are cosmetics — they are not intended to diagnose, treat, cure or prevent any disease, and they are not wound-care products. Call your provider if you have severe or one-sided pain, skin that turns white, grey or dusky, vision changes, spreading redness with heat, fever, or anything that is getting worse rather than better.
Now put your own dates on it.
Choose your procedure and the day it is happening. This becomes a real calendar with real dates — including the days it is supposed to look worse, so you are not the person googling at 2am.
General recovery guidance drawn from standard aesthetic aftercare. This is not medical advice and not a substitute for the instructions you were given. Timelines vary by individual, technique and depth of treatment. Always follow the direction of the clinician who performed your procedure, and contact them about anything unexpected.
The things you google at 2am.
Straight answers, including the ones that are not flattering to us.
For most people, visible bruising from injectables runs about five to ten days from red, through purple, to green and yellow before it clears. Lip filler and work around the eyes tend to bruise more and last a little longer, because the tissue is thin and the blood supply is generous.
If you bruise easily, or a lot was done in one sitting, add a few days rather than assuming something has gone wrong.
Because that is usually when it peaks. Inflammation builds over the first 24 to 48 hours rather than appearing instantly, and lying flat overnight lets fluid settle in the treated area. Most people leave the clinic looking better than they will the following morning.
Sleeping with your head elevated for the first two nights genuinely helps — gravity does real work here.
It depends entirely on what was done, and your provider sets the clock. As a general pattern: after injectables many clinics say a few hours to a day; after microneedling or a peel it is usually longer, because you are covering skin with open channels or a compromised barrier.
Ask before you leave the chair. If you forgot to, call and ask — it is a thirty-second question and they would much rather answer it.
No — not until you are cleared. Retinoids, acids, vitamin C and any physical exfoliation all work by provoking the skin, and provoking skin that is already inflamed is how you turn a normal recovery into a prolonged one.
This is the week to be boring. Bland, fragrance-free, barrier-supporting products only, then reintroduce your actives one at a time rather than all at once.
Honest answer: the evidence for topical arnica is mixed. Some trials on post-surgical and post-procedure bruising report a visible difference in how quickly discolouration fades; others find little or none. It is not a settled question, and any brand telling you it definitely works is overstating what the research supports.
What we will stand behind is the formulation logic: if you are going to use arnica at all, use it at a meaningful concentration, cold-processed so the extract survives, in a barrier cream rather than an alcohol gel that freshly treated skin cannot tolerate. That is what we make. Whether it outperforms time and patience for you specifically, we cannot promise.
Yes, and it is the part most aftercare advice skips. On Fitzpatrick IV to VI, the bruise itself can be harder to see, but the mark it leaves behind often outlasts it — pigment-producing cells respond to inflammation by making more pigment, so a brown or grey-brown patch can sit there for weeks after the swelling has gone.
That changes the priorities: start barrier care early, be stricter than you think necessary about sun protection through the whole pigment window, and be more conservative about reintroducing actives. Discuss treatment depth with your provider before you book, not after.
Call — do not wait for your follow-up — if you have severe or one-sided pain, skin that turns white, grey, mottled or dusky, any change in vision, spreading redness that feels hot, fever, or anything that is clearly getting worse rather than better after the first couple of days.
Normal recovery has a shape: worse, then steadily better. Anything that breaks that pattern is worth a phone call, and no good clinic will mind you making it.
General information only, not medical advice. Your provider knows what was done to your skin and how much — their instructions come first, always.
One formula. Six tones. Zero afterthoughts.
Melanin changes how skin recovers. A bruise reads vividly on Type I and clears relatively cleanly; on Types IV to VI it is harder to see but the mark it leaves can outlast it by weeks, because pigment-prone skin answers inflammation with pigment. That is not a footnote — it changes when you should start. Select a tone.
Built in a treatment room, not a marketing department.
Rejuvalis exists because a working aesthetics practice kept watching patients leave with a leaflet and the word ice. The formula was developed for that clinic, used on its own patients, and revised against what actually came back through the door on day three. Every protocol on this site is written from that — not from what tests well in a focus group.
Free consultation
Sit down with a practitioner before you commit to anything. No obligation, and no upsell — you will get an honest read on whether a procedure is the right route for what you are actually trying to change.
Book a consultationRefined Medical is a separate business and treats patients in Minnesota only. Rejuvalis does not perform procedures.
Rejuvalis and Refined Medical share common ownership. We say so plainly because it is the reason the formula exists — it was made for the clinic's own patients and used in the practice long before it was sold to anyone. It also means we are not an impartial third party recommending a clinic at random, and you should weigh our recommendation with that in mind.
Where this formula fits.
Everything above is free and always will be. The product is what we make for the acute window at the top of that timeline — arnica montana at four times standard concentration, cold-processed, in a barrier cream rather than an alcohol gel. You do not need it to use the protocol.
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