Dear Nessy, Slow down. I understand the concern with the bluish tint for juvederm under the eyes. It is clear that synthetic fillers may be poor substitutes for fat injections into the tear troughs under the eyes. But at this point you have to slow down and review what has happened. The Juvederm gave you a bluish hue, the hyaluronidase removes the juvederm but also removes some of your own hyaluronic acid - keep in mind that your skin is 40% hyaluronic acid. The loss of the juvederm and your own HA leads to deeper darker circles then you had before you had any treatments at all. On a positive note, your own HA will return once the hyaluronidase is out of your system. On another positive note, any residual juvederm is only temporary. On the most upbeat note, Fat injections can relieved the whole process. So relax and enjoy the great Hawaiin weather.
Slow Down!
Robert M. Freund, MD answers: How do I get rid of the bluish tint that Juvederm left under my eyes?
I was injected with so much Juvederm under my eyes that I could barely see out of my left eye. I got 5 hyaluronidase treatments and have been left with dark circles and small bags under my eyes. I just want to be normal again. Do you think I should get another treatment? It is better but not back to normal! Please advise.
Contact the doctorA: No easy answer
There are many factors involved here.
How long ago did you have the hyaluronidase treatments? There may still be some Juvederm left under your eyes that looks like the bags you describe.
The dark circles could be bruising. As blood is absorbed by the body, sometimes there is brownish pigment leftover. Also, pigment can develope due to inflammation from the original injections or the hyaluronidase treatments.
Depending on how full the skin was, it may have stretched and you may need to start a retinoid or glycolic acid treatment to encourage collagen formation and skin tightening.
Lastly, sometimes the best thing to do is nothing. The skin has a remarkable capacity to heal itself, and you may need to just wait a couple of months. I wouldn't recommend any surgical interventions until a few months have passed. It's probably OK to start a retinoid or glycolic acid, but you need to see a dermatologist for a full evaluation.
A: Just give it some time
Residual swelling and some bruising from treatments around the eyes is not uncommon. The hyaluronidase that has basically melted the filler can still cause inflammation in the area and may take some time to resolve. I would wait it out and do nothing more at this point.
