Removing Discoloration After Juvederm Injection on Darker Skin?

asked 2 years ago by virginia402 in Virginia Beach
Latest answer by Steven Wallach, MD
Question viewed 1,129 times
Tags: under eyes, female, discoloration, dark, dark circles, injection, skin, stained

Hello, I received a Juvederm injection under my eyes 3 weeks ago. One week later, I noted a perpetual blue-brown pooling/circle like ring around one eye. And more like a line down another. I have attached a picture.

My injecting doctor, well-known in this area has attempted to used a little hyaluronidase to take away some of the Juvederm. This has done little to improve it, and said it might be hemosiderin staining. What can be done about this, as I was told some lasers are unsafe on darker skin? Is this permananent?

5 answers to Removing Discoloration After Juvederm Injection on Darker Skin?

Discoloration after filler

The bluish hue is formthe tyndall effect of the product being too superficial. If hyaluronidase did not help, you may need the product extracted with a needle.

Steven Wallach, MD
Manhattan Plastic Surgeon

This is called the TYNDALL effect

Injecting Hyalouronic acid fillers superficially can cause this bluish discoloration called the TYNDALL effect This is generally treated by extracting the product with a small needle (DONE BY YOUR PHYSICIAN) and injection of Hyaluronidase. This treatment may have to be repeated for this material to dissolve totally.

Nissan Pilest, MD
Irvine Dermatologic Surgeon

Discoloration after hyaluronic acid

I do not see an attached photo, sorry. Regardless, if the darkness is related to the product, then more hyaluronidase may be helpful. If there is product that is felt as an excess when the skin is squeezed between two fingers, then it might e extracted by making a very small needle prick or incision, by the doctor. Please don't try this yourself as it may cause a bad infection without the sterile supplies. hemosiderin is rare to last long on the face, but post inflammatory... more

Ronald Shelton, MD
Manhattan Dermatologist

Removing discoloration after Juvederm injection

I agree with you. Find an injector who can use hyaluronidase. so you can help alleviate some of the discoloration. Otherwise IPL treatments could help in some. Regards and Good Luck.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Tyndall Effect

When HA fillers are injected superficially, the hyaluronic acid looks blue under the skin. This is the Tyndall effect. It is unlikely this is hemosiderin unless you had a bruise from the injection. Darker skin does NOT do well with the visible light lasers used to fade hemosiderin. Your doctor might try nicking the skin and milking out some of the filler, or repeating the hyaluronidase injection. It is unlikely this is permanent, but untreated it can last more than a year....

Mary Lupo, MD
New Orleans Dermatologist

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