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Can Facial Hemosiderin Stain Become Permanent?

asked 1 year ago by Nasus
Latest answer by Jacqueline Calkin, MD
Question viewed 1,644 times
Tags: female, bruising, hemosiderin staining, laser, permanent, smile lines, timing

Got juvederm by my smile line and somehow the Dr hit a nerve or overfilled and cut off blood to one side of my nasal/cheek area and left it with deep brownish reddish bruises. I hear that if i don't treat it then it can possibly leave a permanent stain?? Its been about 3 weeks since it happened im wondering how soon i can start getting laser treatments? And if so what type of laser would be best for asian skin in this situation? thank you~

8 answers to Can Facial Hemosiderin Stain Become Permanent?

+1

Permanent skin staining with hemosiderin pigment rare

While skin staining with hemosiderin pigment can be permanent...this happens very rarely.  You cay try Papain enzyme, arnica 12 C and arnica gel topical in an effort to break up the pigment sooner.  Before the next injection, be sure to avoid asprin, advil, Vit C and E and other known sources that thin the blood.  It might be best to avoid that particular area with fillers for a year in case there was some vascular compromise from the injected filler.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon

drfrancispalmer.com

+2

Hemosiderin Stains and Vascular Occlusion Following Facial Filler Injection

Hi Nasas, It appears as if you suffered from having the filler injected into a blood vessel causing occlusion and vascular compromise to the area of your lateral nasal wall and nasolabial fold.  Warm compresses should help at this point.  Fortunately it appears that it will eventually heal without serious problems.  Good luck and be well. Dr. P
Michael A. Persky, MD

Los Angeles Facial Plastic Surgeon
+2

Hemosiderin Stain

It appears you had some bleeding secondary to the Juvederm injection. This should resolvewith time - careful make-up application can hide this inthe interim. I suggest you be patient and avoid any additional treatment  right now.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

This is not bleeding but vascular compromise. Lasers may help, especially Vbeam

This is the picture of vascular compromise. It occurs when a dermal filler is incidentally placed within a blood vessel or compressing a blood vessel. When this develops you should be treated with hyaluronidase to get rid of the filler as well as warm compresses, nitropaste and close follow up in case the skin breaks down. The good news in your case is that there seems to have been no skin breakdown. It is possible that some laser treatments may help the prolonged mottling, however, you must... more
Jacqueline Calkin, MD

Sacramento Dermatologic Surgeon
+1

Capillary development and bruising after fillers

Hemosiderin staining is not uncommon in the lower legs but is rare on the face. This comes from the iron leaking out of red blood cells into the dermis.  Post inflammatory hyperpigmentation is a darker brown color that comes from your pigment cells or melanocytes.  This typically occurs after trauma such as a burn, lasers, chemical peels and even irritation with medication creams.   You need to be evaluated to determine if your condition is an abundance of new blood... more
Ronald Shelton, MD

Manhattan Dermatologist
+1

Can Facial Hemosiderin Stain Become Permanent?

Yes there is a small chance of a permanent staining. I recommend seeing a boarded derm or PS to advise and treat. Try bleaching creams, peels or evan laser therapies, NOW!. Good luck and thanks for the posted photo. It is important to understand even minor injections have risks. From MIAMI 
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

This does not look like hemosiderin staining, but even if it is you don't need laser!

First, if a nerve was hit, you get temporary or permanent numbness (the latter if a large enough nerve branch is severed by the needle tip--quite unlikely), you don't get bruising or discoloration. If a blood vessel was hit, you get a bruise. Also relatively uncommon, but much more common than hitting a nerve, and the size of the vessel determines the size of the bruise (also, an arteriole will bleed more than a vein). If a blood vessel is large enough to inadvertently puncture... more
Richard H. Tholen, MD, FACS

Minneapolis Plastic Surgeon
+1

Hemosidrin

I am not sure that what you have is a Hemosidrin stain. hemosidrin stain comes after red blood cells come out of the vessel and the iron causes the stain. In your case the mechanism is different. You should consult a plastic surgeon now and be under their care. Wait a long time before any treatment is instituted especially any agressive treatment. the skin has been injured and you do not want another injury. It might and will improve with time only. after 6 months to one year... more
Samir Shureih, MD

Baltimore Plastic Surgeon

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