Jackson Juvederm doctors

Pramit Malhotra, MD Pramit Malhotra, MD
Ann Arbor Plastic Surgeon
2300 Washtenaw, Ann Arbor
2 answers
William H. Sabbagh, MD William H. Sabbagh, MD
Detroit Plastic Surgeon
32000 Telegraph Rd., Bingham Farms

Recent Answers

How to Fix Pigmentation Caused by Juvederm?

I had Juvederm injected in under eye area. I requested no numbing but the PS insisted on using an injectible block. This along with the Juvederm injections caused severe bruising which lasted 3 wks.

Now that the bruising is gone, there's a brownish stain where the bruise was. I contacted the PS and his nurse told me that it was pigmentation and to use Auroderm. I have been using this for 3 wks w/ no improvement.

How long before improvement? Would also like to have the Juvederm disolved, too puffy. Will this help w/ color? Thanks

A: Discoloration after Juvederm injection

The discoloration you are seeing is most likely a hemosiderin deposit, which is essentially some leftover products in blood that were in your bruise.

Typically they resolve with time, however it can take months.

The tear trough injections, injections underneath the eyes in the hollows, need to be done perfectly. I have seen several patients in my practice where they were injected too close too the skin.

The block was not the issue, in fact if it had epinephrine that it reduces bruising in half.

Pramit Malhotra, MD
Ann Arbor Plastic Surgeon
Juvederm vs Restylane

From what i can tell juvederm is maybe better than restylane because it lasts longer. Is this true? Are there other things i should take in to account before choosing juvederm or restylane?

A: Juvederm rated by FDA to last longer than Restylane

Juvederm has been rated by the FDA to last up to one year.

This does vary somewhat by location on the face. In areas with a lot of movement, like the lips, it may dissolve in 3-6 months but does leave a small amount of new collagen behind.

I only use Juvederm in my practice, and abandoned Restylane in the beginning of 2007.

There are some newer products coming out in the next six months that may be significantly cheaper and last almost as long.

Pramit Malhotra, MD
Ann Arbor Plastic Surgeon
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