How Do I Get Rid of the Bluish Tint That Juvederm Left Under my Eyes?

Nessy: Many of the comments made by the other physicians are spot on. The blue tinge (tindle effect) is usually due to the Juvederm being injected too superficially into the skin. Juvederm (hyluronic acid) is best reversed or by injection(s) of hyaluronidase or removed by my small needle puncture and manually expressing the material out. The dark circles and heavy lower eyelid bags are complex problems. Because of this, you need to be evaluated by a board certified physician who is... more

Greetings~ I'm sorry to hear about your unfortunate results after Juvederm injections. If there is any remaining Juvederm causing the bluish tint or Tyndall effect then further hyaluronidase treatments may help to eliminate it. If some of the discoloration is staining in the skin after bruising after the procedure then further injections will clearly not help and you may consider some type of under eye cream or other mild Vitamin K based cream to help with the... more

Complications from filler injections occur, though fortunately not with great regularity.  If a filler is injected superficially you can get a blue tinge to the skin known as the Tyndall effect . This is due to light refraction from the injected tissues. Any hyaluronic acid filler can be reversed with hyaluronidase.

Juvederm is an excellent hyaluronic acid based injectable that can be used effectively for facial contouring. It is possible that you may experience some bruising after the use of Juvederm. It is not the dermal filler that is causing the bruising but the technique that is used as well as the characteristics of the tissue where the filler is being injected. Your best bet is to work with a board-certified plastic surgeon who has a great deal of experience in facial rejuvenation and... more

Hi Nessy, The question about whether or not to return for Hyaluronidase injections depends on a few things. 1. How long has it been since the last hyaluronidase (Vitrase) injection? 2. Does your practitioner believe that the bluish tint is bruising or the Tyndall effect from superficial Juvederm? 3. Did the previous hyaluronidase injections produce results? If it's been at least 7 days since the last injection, the bluish tint is a product of superficial Juvederm and the previous... more

Agree with the suggestions above. The blue discoloration is secondary to the Tyndall effect (light scattered back by the particles of Juvederm). Patience is the answer here. I would wait for awhile and then if there is still a bluish color retreat with hyalurnidase. If what is present is dark discoloration or puffiness, and the blue is absent, try one of the many excellent under eye creams available: Revale is the one I prefer, but Replenix, Teamine Eye Complex, and Oil of Olay's... more

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.

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... more

Aloha Nessy, Sorry to hear about your bad experience. Time should get you back to normal again. If the dark circles under your eyes are newly formed after your injections then they may be due to residual bruising. In that case, warm compresses once an evening may be helpful. I also agree with everything that Dr. Gilman has advised. Be patient, time is your best friend. When you get the chance, please take a swim in that beautiful Hawaiian ocean for me. Mahalo and be well. Dr. P... more

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... more