Is the downtime for water light injections severe? Symptoms and how to deal with them are explained.

The downtime for hydroxyapatite injections is terrible."
After the water-light injections, I'm covered in blood."

Do you have these concerns about aquatic light injections?

Hello. This is Aesthetic Dermatology and Smart Skin Clinic.

The "mizu-ko" in mizu-ko injections refers to "mizu-ko skin," which has a shimmering sheen and elastic firmness. Although this treatment is designed to give you beautiful skin, some people may be concerned about the impact on their daily lives if the downtime is severe.

In this article, we will follow the course of the downtime of water light injections and explain from a medical standpoint why they are considered "terrible" and what can be done to avoid the terrible symptoms.


 What is Aquatic Light Injection?

Hydrophotoluminescence injection is one of the skin texture improvement treatments.

A special injecting device with multiple ultra-fine needles is stamped into the skin to directly deliver the medication for the problem deep into the skin.

The effect of water light injections is brought about by "the skin's natural action to repair needle wounds" and "the ingredients of the drug". Popular formulations such as JUVELUX and REDURAN can also be injected.

For more information on aquatic light injections, please see the following article.

Is the downtime for the water light injections severe?

It is sometimes said that "the downtime of suiko-injections is terrible." However, the downtime of the commonly practiced Suiko-injections in Japan today is relatively light.

Receiving the appropriate treatment and engaging in proper aftercare can reduce downtime symptoms.

Why is the downtime of water light injections so terrible?

There are several possible reasons why people say, "the downtime of hydroxyapatite injections is terrible."

Because the "hand-hammering" (napage method) used to be the most common method.

One of the reasons why the downtime of hydroxyapatite injections is said to be so severe is technical problems.

In the past, the mainstay of the Aqueous Light Injection procedure was "manual injection by a physician. This technique, known as the "napage method," uses an ultra-fine needle to inject intensively into areas of concern, and requires a high level of skill due to the complexity involved in the injection location, depth, volume, speed, and pressure. In the case of insufficient skill, downtime symptoms may be more pronounced.

Today's water-light injections are basically performed using specialized equipment, which is less likely to cause technical problems than manual injections. The use of equipment allows the needle to be set at the desired depth of injection and the drug to be injected more accurately and evenly, with the advantage of less downtime.

Because overseas methods of administering water light injections emphasize effectiveness rather than downtime.

Currently, it is unlikely that the downtime will be severe if you receive a water light injection with a specialized device in Japan. However, in the past, deep injections were performed following the practice overseas, which sometimes resulted in prolonged downtime. In Japan, procedures that require less downtime are popular, so the procedure has been improved to minimize the downtime as much as possible.

However, if you undergo hydroxyapatite injection at an overseas clinic, there is a possibility that the downtime will be severe. This is because in some cases, overseas clinics perform the procedure based on the idea of "priority on effectiveness and even if the downtime is severe, it is acceptable.

If you stick the needle in too deep, you'll bleed badly and there will be a lot of blood.

Because the water light injection is basically a needle insertion procedure, it involves some bleeding. However, severe bleeding is rare in the current procedures performed in Japan.

As the depth of the needle increases, bleeding tends to increase. If you are overseas, you may end up with a bloody mess as a result of a deeper prick for effect.

Because the skin is bumpy and swollen.

The downtime of hydroxyapatite injections is sometimes referred to as "swollen and bumpy skin.

In some cases, the bumps may be noticeable for a few days, depending on the suction pressure and needle holes, but in most cases they will gradually settle. However, those with keloidal conditions should refrain from the procedure, as the needle scars may remain raised.

Downtime period, symptoms, and progress of water light injections

This section describes the downtime period, symptoms, and progress of water light injections.

Downtime period for aquatic light injections

Downtime for hydroxyapatite injections is about 2 to 3 days.

Downtime Symptoms of Water Light Injection

Downtime symptoms include redness, swelling, pain, edema, internal bleeding, and temporary bumps at the injection site, which in most cases return to normal in about 24 hours. If internal bleeding occurs, it will gradually fade over 10-14 days.
Symptoms are mild and can be covered with makeup, but should be adjusted if you have important plans.

Note that the downtime symptoms of mesotherapy are described in the following paper and are temporary.

To compare the efficacy of mesotherapy with the drug tranexamic acid and 0.9% saline for melasma (omitted), the drug was injected twice a week for 12 weeks on each side of the face. (omitted) In both cases, erythema, swelling, and heat were observed as temporary side effects. Tranexamic acid (TA) mesotherapy appears to be the most cost-effective, safe, and directly observable treatment for melasma.

 Sana Kaleem, Rabia Ghafoor, Sidra Khan.Comparison of efficacy of Tranexamic Acid Mesotherapy versus 0.9% normal Saline for Melasma; A split face study in a Tertiary Care Hospital of Karachi. Pakistan journal of medical sciences. 2020 Jul-Aug;36(5);930-934. doi: 10.12669/pjms.36.5.2379.


The needle is inserted while suctioning the skin for water-light injections. Suction pressure and needle puncture may cause redness and swelling at the treatment site.

Symptoms subside in approximately 1-5 days, depending on the depth of the injection.

needle mark

The needle hole may remain red immediately after injection. This can be covered with makeup such as foundation.

Symptoms subside within a few days.

internal hemorrhage

If the needle damages blood vessels that pass through the skin during injection, internal bleeding may occur. Internal bleeding is more likely to occur in areas with thin skin, and care should be taken around the eyes and neck, but it can be covered with concealer or other makeup.

Symptoms subside in a few days to about 10 days.

Downtime course of hydroxyapatite injection

The following is a progression of downtime symptoms of water light injections.

Immediately after treatment

immediately following

Symptoms such as redness, swelling, internal bleeding, tingling, petechiae, and injection scars may appear.
Petechial bleeding will subside quickly. Skin may feel bumpy and rough.

If symptoms such as redness and swelling are painful, they can be relieved by cooling.
Avoid makeup, bathing, and alcohol consumption.

1 hour later
3 hours later

From the day of treatment to the next day

Redness and bumps usually subside by the end of the day.

Makeup can be applied the next day.

next day
2 days later

3 days after treatment

Needle holes and bumpy sensations disappear, and other symptoms gradually subside.

Itching may occur during the healing process of the wound, but avoid touching it. Cooling can alleviate symptoms.

4 days later

One week after treatment

Most symptoms subside. If symptoms do not improve or intensify, infection or allergy may be present. Medical attention is required and should be consulted at the clinic.

Internal bleeding, if present, may remain for up to 10 days after surgery.

Also, depending on the drug, some people experience skin beautification effects at this time.

1 week later

One month after treatment

Even after the visible symptoms subside, the skin is still in the process of recovering, so be sure to keep it moisturized and protected from UV rays.

How to spend and take care of yourself to avoid prolonging the downtime of water light injections

Here are some tips on how to avoid prolonging the downtime of hydroxyapatite injections and how you can take care of yourself.

Do not touch the treatment area

The skin after the procedure is scarred by the needle and should not be touched. In addition, the inside of the skin is in the process of repair. Touching the skin may cause the wound to heal poorly and risk aggravation of symptoms, inflammation, or infection.

Cool the area to be treated.

If pain, swelling, or itching occurs at the treated area, cooling the area will help alleviate symptoms. Wrap the coolant in a clean cloth and apply it intermittently to the affected area. Direct application or continuous over-cooling may risk frostbite.

Avoid activities that stimulate blood flow

For approximately 48 hours after surgery, avoid activities that stimulate blood flow, such as bathing, drinking, and exercise. Increased blood flow is likely to cause more swelling and pain.

After 48 hours, light bathing, drinking, and exercise are allowed, but avoid the following activities that excessively stimulate blood flow.

  • Bathing for long periods of time or at high temperatures
  • hot spring
  • sauna
  • moderate drinking
  • Massage and esthetics
  • strenuous exercise

Try to use non-irritating skin care and makeup.

Makeup can be applied the day after surgery, but heavy makeup will require a high cleansing power makeup remover, which may wash away even the moisture-retaining components of the skin. Please be careful not to scrub the skin during skin care.

Use a towel against the skin to remove water.

Ensure moisturizing and UV protection.

Because of the needle holes in the skin after surgery, the skin barrier function is reduced, leaving the skin dry and vulnerable to damage. Dryness can trigger a variety of skin problems.

Moisturize more thoroughly than usual with lotion, milky lotion, cream, packs, etc., and use sunscreen, parasols, hats, etc. to protect yourself from ultraviolet rays. Ultraviolet rays can pass through window glass. Remember to apply sunscreen even indoors.

What you can do to avoid terrible results from the downtime of water light injections

Here are some things you can do to avoid terrible results from the downtime of water light injections.

Receive treatment at a clinic in Japan

Although overseas clinics may be able to fulfill your wishes, if there is a difference in the way they think about downtime, you may feel that the downtime is worse than you expected. If you are uncertain, have the procedure performed at a Japanese clinic.

Choose a clinic you can trust.

Please look at the case results posted on the clinic's website and social networking sites, and select a reliable clinic that suits your needs by referring to word-of-mouth reviews.

Since cosmetic medicine is free treatment, fees vary from clinic to clinic. It is recommended that you confirm whether or not there are additional fees and the total amount. It is also important to make sure that the fees are neither too high nor too low, and that they are easy to continue.

Confirm downtime and aftercare during counseling.

The type and amount of drug, the extent of the treatment, and the depth of the needle can be adjusted according to your needs. During the consultation, share your concerns and ideals, confirm indications, and choose a treatment that you are comfortable with.

It is also important to check the downtime process and aftercare until the ideal condition is achieved, so that you will not be driven by unnecessary anxiety.

Have the syringe settings adjusted.

Although the type of equipment varies from clinic to clinic, if you are concerned about downtime symptoms, you may be able to reduce the possibility of severe symptoms by asking the clinic to adjust the needle length, suction pressure, and other settings.


Does too much water light injections leave marks?

Observe the frequency of receiving water light injections. If the next procedure is performed before the wound has healed, it may leave a scar.

Does the water light injections make my skin bumpy?

In some cases, depending on the suction pressure and needle holes, the bumps may be noticeable for a few days, but in most cases they settle gradually.

Is the downtime for the water light injections severe?

Downtime for aquatic light injections is mild in most cases with proper treatment and aftercare.

For water light injections, go to Smart Skin Clinic.

Although it is sometimes said that "the downtime of hydroxyapatite injections is terrible," the actual downtime is light.

Not only does Smart Skin Clinic offer a variety of drug options for water light injections, but we are also able to suggest the right formulation, range, and needle depth for each patient's condition.

If you have any questions or concerns about the downtime of the water light injections, please feel free to contact us. Counseling is free of charge.


 Sana Kaleem, Rabia Ghafoor, Sidra Khan.Comparison of efficacy of Tranexamic Acid Mesotherapy versus 0.9% normal Saline for Melasma; A split face study in a Tertiary Care Hospital of Karachi. Pakistan journal of medical sciences. 2020 Jul-Aug;36(5);930-934. doi: 10.12669/pjms.36.5.2379.

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