Will Juvederm Ultra Plus Cause Hyperpigmented Marks?

If I am prone to hyperpigmentation, will Juvederm Ultra Plus leave dark marks on my skin? I have had hyperpigmentation problems from laser treatments and often get dark marks from blemishes. I have medium complexion with olive tone. I am afraid that the marks from the needles may remain after the injections.

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5 Doctor Answers | Asked by Reese O in Orlando, Fl

Doctor Answers (5)
Community Comments (1)

Hyperpigmentation risk from injections with Juvederm

Postinflammatory hyperpigmentation can occur with laser energy that goes through the epidermis, or acne blemishes. Needles used for most fillers are small enough, that there is insufficient trauma to incite pigmentation. If it does develop, a lightening cream can be prescribed immediately. The risk exists, but it probably is very small.

Mention this to your Physician

Your propensity to develop post-inflammatory hyper-pigmentation (PIH) should be mentioned to your physician. While certainly, you will suffer much less of a problem compared to more injurious procedures such as lasers, this can be a slight problem. If you mention this tendency to your physician, they will modify their technique by giving you less injections. For instance, instead of using what we refer to as the serial injection technique (in which there are many small sticks,) your... more

Arnold R. Oppenheim, MD

6 reviews

Virginia Beach Dermatologist

Will Juvederm Ultra Plus cause hyperpigmented marks?

RE - "I have had hyperpigmentation problems from laser treatments and often get dark marks from blemishes" - You are describing REACTIVE HYPERPIGMENTATION. As part of the inflammatory reaction to certain injuries (cuts, burns, lasers etc) the injured tissue reacts by darkening. Although this can be controlled and treated whenever resurfacing is done, I have not seen nor heard of reactive pigmentation seen with uneventful Juvederm or Restylane treatments. Peter A Aldea, MD... more

Hyperpigmentation after injections

Hyperpigmentation after injection is possible although pretty rare. This can be treated with topical creams.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Juvederm doesn't cause hyperpigmentation

Juvederm is an injectable filler and doesn't burn your skin like a laser and should not be able to cause hyperpigmentation. A little bruising can result in some prolonged darkness in the skin but this is not hyperpigmentation.

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Comments (1)

Brit_B 1 Aug 2012

I have had filler done on nasolabial folds and after it healed. It left dark lines on the injection area. Looked like the lines are inside my skin where the injection went in.

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