Risks associated with the insertion of pellets include minor bleeding or bruising, local discoloration of the skin, infection and extrusion of the pellet. Apart from a slight and passing bruising and skin discoloration, these complications are very rare. The more common side effects from BHRT, sometimes avoidable with decreasing doses of therapy, are increased hair growth and skin breakouts after the first round of therapy. This is because the body needs to get used to the increased oil production in the skin, especially if the hormonal imbalance has been the norm for a long time. You may want to change your skin care routine from heavy anti-aging products to lighter, oil-free skin care lines as your skin now can provide this anti-aging skin care naturally.