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Is Bruising After Juvederm Injections Normal?

Two months ago, I had Juvederm injections under my eyes. Unfortunately, I did not get any results from the procedure. The doctor has no idea where the filler went, since it failed to fill the intended area. I did get puffiness though at the corners of my eyes (the Dr tried to smooth them out manually). My problem now is a persisting bruise right under one of my eyes (although it is smaller than what I had immediately after the injection). The doctor says it will go away, but he is vague as to when it will happen. Is this bruising normal after Juvederm injections? How long does it usually last? I would appreciate your opinion. Thanks.

Asked 37 months ago by dali in los angeles, CA

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Bruising or Tyndall effect

Hello, It must be determined whether this an actual bruise or small deposits of Juvederm. The latter can cause a Tyndall effect, which is a back scattering of light, causing the substance to appear to have different colors depending on the depth; in the case of Juvederm and that particular depth, blue. Extrusion with an #11 blade, if superficial, and Hyaluronidase, which melts the Juvederm if deeper. This is a vascular area and Juvederm, which is prone to bruising per se, can cause a... more

Arnold R. Oppenheim, MD

Virginia Beach Dermatologist

Bruising with Juvederm

I have also seen some cases of bruising with both Juvederm and Restylane that have taken over 2-3 months to resolve. It sounds like you may have had some Juvederm injected into the pre-septal space. Injecting Juvederm "under the eyes" is very difficult if the injector does not really understand the surgical anatomy in this area. Trying to fill the "depression" or tear trough directly is a mistake. I recommend always seeking out a Board Certified Plastic Surgeon for... more

Daniel Reichner, MD

Newport Beach Plastic Surgeon

ASPS

Juvederm bruising for two months is atypical

Dali, While it is possible to get bruising after Juvederm and other injectables, two months is a long time for it to go away. Is it truly bruising or just a bluish discoloration? There is an effect of the HA products when injected in large amounts or superficially which give a bluish hue to the skin. Could this be what is going on? If so, it won't go away until the Juvederm is resorbed by the body. If it is bruising, then you may need ultrasound or laser treatments to help it go away... more

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David Shafer, MD

New York Plastic Surgeon

ASPS

Juvederm bruising lasting 2 months is unusual

A hematoma (essentially a blood clot) can take several weeks to resolve fully on its own (2 months or longer depending on its size). Alternatively, Juvederm in the under-eye location can also can appear bluish, similar to the appearance of a bruise. The bluish hue has to do with light reflecting off the Juvederm located a at a certain depth under the skin, called the "Tyndall Effect." If this is in fact what is going on with you, small volumes of hyaluronidase can be... more

Bryan K. Chen, MD

San Diego Dermatologist

Eye bruising after Juvederm injection

Hi Dali, Bruising from bleeding under the eyelid may take a while to resolve. It is most unusual for bruising to be present 2 months after Juviderm injections particularly if you did not have a large bruise immediately following your treatment. Try warm compresses a couple of times a day to help resolve the discoloration. It is always better to examine a patient in answering a question like yours. Good luck and be well. Dr. P

Michael A. Persky, MD

Los Angeles Facial Plastic Surgeon

Bruising after Juvederm injection

Juvederm is an excellent hyaluronic acid based injectable that can be used effectively for facial contouring. Juvederm is commonly used around the lips, the smile lines, the marionette lines, under deep wrinkles, under deep scars, and even under the area of the eye. Out of all the areas that can be treated, the area under the eye is the trickiest because the skin here is the thinnest in the body and there is a very high concentration of blood vessels. It is common to have... more

B. Pat Pazmino, MD

Miami Plastic Surgeon

ASAPS ASPS

Improving tear trough discoloration after injectable fillers

Injection of facial fillers in the lower eyelid and tear trough can accentuate previous discoloration resulting from hemosiderin deposits and melanin; and can cause persistent bruising. I often see this in my office when I consult on patients who have previously received injections from other practitioners. There are several effective strategies to improve the discoloration and persistent bruising. I begin with periprocedural application of bruisestick that I offer in my office. For the... more

Raffy Karamanoukian, MD

Los Angeles Plastic Surgeon

Under eye bruising after fillers does not usually last 2 months

A bruise under the eye that has lasted for 2 months is not normal. This may have been the result of a hematoma that has slowly been resolving over the past 8 weeks. It sounds like it is getting better, but I would just watch it at this point. It may take a few more weeks or so to resolve.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Juvederm bruising can last more than 6 weeks

I have seen that swelling and bruising can take more than 6 weeks to resolve. It is rare but, could still happen. I agree with your doctor, and wait a little more. Arnica and smiliar products might also help (oral works better than the gel). Good luck!