IPL or Tri-Luma for Under Eye Hemosiderin Stain After Juvederm?

asked 3 years ago by Rian in CA
Latest answer by Harold J. Kaplan, MD
Question viewed 4,556 times
Tags: under eyes, bruising

Does IPL or Tri-Luma help correct hemosiderin stains? I ended up with severe bruising after Juvederm injections under my eyes. Thanks.

6 answers to IPL or Tri-Luma for Under Eye Hemosiderin Stain After Juvederm?

Auriderm or PDL

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 compound. IPL also would not be helpful in this situation since iron does not act as a chromophore for IPL. What might work is topical Vitamin K Oxide gel, Auriderm. A recent study by... more

Arnold R. Oppenheim, MD
Virginia Beach Dermatologist

Eyelid discoloration after Juvederm

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 chemical peeling, Retin A, and topical Vitamin C. This generally improves the discoloration. The Q switched laser can also improve hemosiderin deposits.

Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon

Bruising under the eyes

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...

Edward Buckingham, MD
Austin Facial Plastic Surgeon

Juvederm Under the Eyes and Bruising

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

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

Under eye bruise after Juvederm injections

We agree with Dr. Buckingham and use the pulsed dye laser for under eye bruises after injections. Normally these bruises can be resolved within 2-3 days after treatment whereas without treatment, they may last for months.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

Triluma helps melanin, not hemosiderin

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 circulation to the face is so excellent. I'd be sure this is indeed the problem before you do something that could have other complications.

Mary Lupo, MD
New Orleans Dermatologist

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