IPL or Tri-Luma for under eye hemosiderin stain after Juvederm?

5 answers to “IPL or Tri-Luma for under eye...”

A: Eyelid discoloration after Juvederm

By Raffy Karamanoukian, MD - Los Angeles Plastic Surgeon

The eyelid discoloration after Juvederm was most likely present to some degree before the Juvederm injection, but highlighted after filliing of the area. The pigmentation is a combination of hemosiderin and melanin. I generally treat these with Hydroquinone for the melanin pigmentation and a combination of... more

A: Bruising under the eyes

By Edward D. Buckingham, MD - Austin Facial Plastic Surgeon

Pulsed dye laser is your answer. It works remarkably well for bruising. Some physicians are not familiar with this technique. The settings are 10 mm spot size, 6 ms pulse duration and 6 mj of energy. You won't see much change immediately, but within a few days you'll see the bruising... more

A: Auriderm or PDL

By Arnold R. Oppenheim, MD - Virginia Beach Dermatologist

Tri-luma would not be helpful in this situation. Its strongest ingredient, hydroquinone, works by limiting the activity of tyrosinase, the enzyme that allows the melanocytes ( the pigment-producing cells) to make melanin. Tri-luma plays no role in decreasing hemosiderin, which is an iron containing... more

A: Triluma helps melanin, not hemosiderin

By Mary Lupo, MD - New Orleans Dermatologist

If that is indeed the problem (hemosiderin) a laser that targets blood might be best. IPL is non-coherent and has some absorption by blood. Triluma bleaches melanin and is excellent for sun damage and melasma. Frankly, I have never seen filler cause hemosiderin stain, even with severe briusing, since the... more

A: Juvederm Under the Eyes and Bruising

By Michael A. Persky, MD - Los Angeles Facial Plastic Surgeon

Hi Rian, I would allow time to take its course. Use warm compresses twice a day. If after a few months you still have a problem, then consider alternative treatments. Use Arnica before your next injections. Be well. Dr. P