The First 6 editions of the newsletter can be accessed here
To my fellow contrarians, disruptors and practitioners who’ve had enough of
recycled CPD slides, Instagram KOL worship and “certified” trainers with
more selfies than clinical sense—this is for you.
Each week in The Aesthetic Contrarian, I’m dragging industry myths into the light, exposing what’s working and torching the stuff that’s just KOL clickbait wrapped in ego and Botox memes.
Why am I telling you this? Because of confidence & credibility.
Instead, give patients the actual bruise reduction trifecta:
Bruising isn’t a skincare issue. It’s a technical issue.
Blunt cannulas, correct depth, minimal passes, slow injections—that’s your real prevention plan. Not herbal supplements.
Be the practitioner who explains why you don’t push gimmicks, not the one who quietly slips an Arnica gel sample in like a free mint. If you want better patient compliance, be bolder with the truth.
Bruising After Injectables – Can Arnica Montana Actually Help or Are We Just Selling Fairy Dust in a Gel Tube?
One study. ONE. That’s what exists looking at arnica specifically for
dermal filler bruising . Every other study is on surgery, not superficial
needle trauma. That’s like prescribing insulin based on a study about
fruit juice. It’s not irrelevant, but it’s not applicable either.
If arnica works at all, it’s marginal. MAYBE useful in the first 2–3 days post injection. But let’s stop pretending it’s some magic bruise eraser. This is not
Harry Potter. This is human physiology.
As for arnica? If it makes the patient feel better (aka placebo effect) and it’s not contraindicated, fine. Use it. Just don’t pitch it as a miracle. It’s more psychosomatic than pharmacologic.
Tell them bruising is common, usually mild and usually resolves in 5–10 days. Underpromise, overdeliver.
If you’re still dishing out arnica like breath mints, be honest about the mixed evidence. Don’t sell it as a “proven” solution when the best data says “maybe, kinda, not really.”
A proper prevention protocol should include:
Most are parroting advice they heard on stage 3 years ago. You’re not here to follow, you’re here to lead—with evidence, not ego.
Alright. You’ve made it through Part 1, where we ripped the magic carpet right out from under Arnica Montana’s overhyped ass. Now let’s talk brass tacks. Because if you’re still relying on pellets, prayer and petrolatum ointment to stop your patient’s periorbital patchwork, you need to stop Injecting and starting to read.
This is the real, evidence-backed, bullshit-free protocol for minimising bruising post-filler—aka how not to have your patient texting you photos of their purple cheeks the next morning like they just went ten rounds with Tyson.
Bromelain in pineapple can reduce inflammation (and tastes better than
sugar pellets in a blue tube). Tell them to hydrate well—blood vessels
don’t like dry tissue.
Most injectors do the hard bit (the jab) and then wave their patients off like they’re going to a picnic. Stop. The 10 minutes after treatment are as critical as the 10 minutes before.
Do your post-care instructions make sense to patients or are they reading your two-sentence WhatsApp message, wondering what “don’t overdo it” even means?
Email, printed card or WhatsApp PDF. Not a verbal mumble as they walk out the door.
It’s not arnica vs. evidence. It’s arnica vs. ignorance.
Let the others sell blue pellets and fairy dust. You? You’ll prevent bruising the
smart way—with clinical reasoning, better technique and protocols your
patients can actually follow.
How I Lost £100,000 And Found Out Who I Was.
Let me tell you something I’ve never really said out loud.
In 2014, I lost £100,000.
Gone.
Vanished.
Into thin air—and thinner promises.
Now, I didn’t lose it through a patient lawsuit, business overheads or a
volatile market swing. I lost it because I did what every smart person secretly
thinks they’ll never do:
I trusted the wrong person.
Even worse… I ignored the warning signs.
Let me paint the picture. Back then, I was deep in my property phase.
Buying multiple properties a year, systems humming, confidence high. I
wasn’t reckless. I was calculating. Strategic. Or so I thought.
Enter my mortgage broker—someone I’d worked with for years. A friend.
Trusted. We’d done deals together. He understood my goals. We spoke the
same language. So when he said:
“I’ve got a new investment scheme—loan notes, 10x return. I’m in myself…”
…I didn’t question it.
That one sentence—“I’m in myself”—short-circuited my critical thinking.
No spreadsheets. No risk matrix. No due diligence. Just a subtle nod from
my ego whispering: you’ve earned this shortcut.
So I signed. £100,000.
On the back of documents that looked like they’d been photocopied through
a windscreen. Cut-and-paste legal clauses. Blurry headers. Changed
solicitors halfway through. Stuff I’d normally flag as sketchy—but I didn’t.
Because I wanted it to be true.
And that’s the worst kind of blindness—when you want the dream more than
you want the truth. Of course, it all fell apart.
The solicitor went bust.
The company disappeared.
The mortgage broker?
Ghosted. Phone off. Emails bounced. Never heard from them again.
In a moment, I was alone with the consequences. A gaping hole in my
savings. Rage simmering under my skin. Shame settling in like mold in the
walls.
And here’s the worst part: I didn’t tell a soul.
I kept it bottled up.
Because that’s what men do, right? Especially professionals. Especially the
ones who are “meant to know better.” We don’t admit we got mugged. We
just bury it, self-flagellate and pretend everything’s fine.
I called the SRA—the Solicitors Regulation Authority—hoping for a lifeline.
Know what they said?
“Since you haven’t suffered financial hardship, we can’t help.”
Losing £100K doesn’t count unless you’re eating soup out of a tin
under a railway bridge. Good to know.
But here’s what I learned—the real cost wasn’t just financial. It was
emotional trust bankruptcy.
I didn’t trust myself after that. I second-guessed everything. I closed up.
Stopped taking risks. My appetite for opportunities turned into paranoia.
Even the good ones. I started assuming everyone had an angle.
And the sleepless nights? They weren’t panicked over the money. They were
from shame. I kept replaying the same scene in my head, over and over:
“You should’ve known. You did know. You ignored it. You let greed talk
louder than instinct.”
That voice doesn’t sleep easily. But in time—slowly, messily—I started to unpack it.
I realised that what got me into that mess wasn’t stupidity. It was trust
without verification. Loyalty without boundaries. And ego dressed up as
confidence.
I’ve spent years coaching and mentoring other professionals and I see this same pattern repeats.
Every. Single. Time.
Someone they trust offers them a shortcut.
They don’t ask hard questions because they don’t want hard answers.
They invest—not just money, but faith.
And when it goes wrong, they don’t just lose capital.
They lose confidence in themselves.
So let me share the real lesson—not some LinkedIn fluff about “learning from
failure.” No. I’m telling you this:
If you don’t do the work before the deal, you’ll do the suffering after it.
And the suffering costs way more than the money.
And I talk to people.
That’s key.
I don’t bottle it anymore.
Because the moment you speak your shame out loud, it starts to shrink. It
loses its power.
Do the documents hold up to scrutiny? Or do they look like they were whipped up during lunch break?
Has anyone you actually trust done it? Not said they would—done it.
Ask yourself: “If this went to zero, would I regret the decision—or the process I used to decide?”
If you can’t pass all three? Walk away.
Final Reflection
Sometimes the most expensive education doesn’t come from courses, but
consequences.
I paid £100,000 to learn that lesson.
What’s the most costly lesson you’ve ever had to buy?
And what would your future self say to you before you sign the next deal?
Bruising After Fillers: How to Reduce It Without Selling Magic Beans. Alright, you’ve survived the Arnica takedown and the evidence reality check.
Now let’s make it practical. This section isn’t about what might work. It’s about what it does. What can you do tomorrow in your clinic to reduce bruising and stop your WhatsApp from being flooded with “OMG, is this normal??” messages from patients who look like they’ve done three rounds with Tyson?
No fluff. Just results.
Stop NSAIDs, fish oils, gingko, vitamin E, turmeric and St. John’s Wort. Yes, turmeric lattes included.
No alcohol. No green tea. Hydrate like you’re prepping for a marathon.
No caffeine. Yes, your 3pm flat white needs to sit this one out.
Ice compress for 5 minutes pre-injection. Not a frozen sausage roll. Actual cooling pack.
Smaller gauge needle if appropriate. Precise technique. Slow. Aspirate in high-risk zones (even if imperfect).
Immediate gentle ice again. No rubbing. No “can I just massage it a little?” from patients. Shut that down.
Verbal = forgotten. Written = followed (sometimes). But at least there’s a paper trail.
Give every patient a one-pager with:
Follow-up isn’t customer service—it’s clinical quality control.
24-48 HRS LATER: Message them. Ask for a photo if they mention bruising. Use a bruise scale if you’re fancy.
MANAGE: If bruising is mild, reassure. If moderate, suggest Arnica as a comfort measure, not a cure. If severe—act accordingly. Don’t ghost them. Consider LED therapy or PDL laser only if indicated. Not to sell an upsell package.
Topical Arnica: MAY help early bruising. Apply gently, max 3x day, for 2–5 days.
Oral Arnica: Almost certainly placebo. But hey, placebo’s powerful—so long as expectations are set.
Never substitute it for actual vascular event protocols. You’d be surprised how many practitioners do.
This isn’t about binning Arnica or becoming a purist. It’s about stepping up.
Every time a bruised patient leaves your clinic, they walk into a world of Instagram horror stories, WebMD catastrophes and WhatsApp aunties suggesting coconut oil and witchcraft. You need to be the calm in that chaos. Your patients don’t need another “just try Arnica.” They need a plan. A protocol. And most of all? They need a practitioner who doesn’t chase myths but owns the science.
The industry says cannulas are safer. The evidence says maybe. Reality?
Depends who’s holding it. I break down the stats, the lies and the lethal
complacency behind the cannula cult—and show you why your technique,
not your tool, is what keeps patients alive.
Confession time. I don’t fear complications—I fear complaints. In this raw breakdown, I open up about the deep-rooted people-pleasing that made me overdeliver, undercharge and nearly burn out trying to be everyone’s favourite injector. If you dread refunds more than revisions, read this.
If you’re going to worship the cannula, at least learn how to wield it like a
surgeon, not a kebab vendor. Five ruthless, evidence-backed tactics to stop
overfilling, avoid occlusions and master the blunt tool without blunting your
brain.
P.S. Got a colleague who thinks they know what they’re doing but still handing out Arnica like it’s gospel? Forward them this newsletter—IF they can handle the truth (cue Jack Nicholson voice: “YOU CAN’T HANDLE THE TRUTH!”).