Bluish Puffy Eyes After Juvederm

I had juvaderm 7 months ago. So I had under eye surgery and the problem is still there. What do I do? I thought surgey would get rid of it.

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10 Doctor Answers | Asked by phoenix1970 in hawaii

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Bluish from juvederm

The bluish color is the tyndall effect from the product being close to the skin. You can possibly dissolve it with hyaluronidase.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Blueish color from Juvederm

There is no definite answer as to why this happens, but it is probably due to the physics of light travelling through the colloidal medium of hyaluronic acid (HA) suspension. The light gets scattered by the HA particles in the liquid giving it a bluish look. This is called tyndall's effect. Obviously if you have bruising that would explain it as well. However, the filler can be dissolved with the hyaluronidase enzyme, which I would recommend for you to do.

The eyelids can become puffy and have a bluish color after Juvederm

The eyelids can become puffy and have a bluish color after Juvederm. If it’s injected superficially there’s something called the Tyndall effect which is the way light reflects off the product. This can be treated usually with a medication called hyaluronidase which will actually dissolve the product. For more information about Juvederm visit my website.

Fillers

What did you discuss with your surgeon before the surgery? Did he see the PUFFY BLUISH discoloration? It would be difficult to do a lower lid blepheroplasty with Lids full of juvederm and puffy and bluish. That should have been dealt with first by disolving the juvederm, see the eye lid as is then decide on the surgery. You still can disolve the juvederm and get rid of the bluish puffy lids. This is due to juvederm injected superficial.

Bluish puffy eyes after Juvederm

HA fillers like Juvederm need to be injected deeply around the eye. If they are not, there is a bluish hue, called the "Tyndall effect." I do feel surgeons who operate around the eye and know the anatomy are more comfortable with these deep injections. Juvederm is hydrophillic like all HA fillers. In English, this means it attracts water. You have to wait for a couple weeks after injection to figure out what is due to swelling from an injection... more

Lower lids may look blue for a number of reasons

I would agree with the other physicians that juvederm, placed too superficial in the skin, can be the source of the blue hue (Tyndall effect). If you did not have the blue color before, but did after the injection, then its the juvederm. And if that is the case, the surgery would not have had a chance to change this color, it's just not the nature of that surgery. But the injections of hyaluronidase mentioned by others would be quickly curative. One issue I... more

Superficial Juvederm will make ANY eyelid Blue

All Hyaluronic Acid fillers (Juvederm, Restylane) when placed close to the skin will give a bluish hue due to the way light is reflected back. This is known as a Tyndall Effect. For this reason such fillers are best injected deeply close to the bony ledge of the eye socket. Due to associated swelling, many Plastic surgeons have stopped using Juvederm along the lower lid. While Juvederm attracts more water molecules, this feature is best used in the lips than in the lower lids where it... more

Juvederm

If you have lumps or bumps after Juvederm injection, then there is another injection that you can have to melt the remaining product. Just talk to you plastic surgeon and they should be able to help. Good luck.

Bluish eye color may be due to the Juvederm

Juvederm injected too superficially or if you have very thin skin and muscle in the area injected, could create a puffy blue color. Veins can also look like this. Have an expert in fillers examine you and if he/she feels it is due to Juvederm he/she can dissolve it with hyaluronidase.

Lorrie Klein, MD

145 reviews

Laguna Niguel Dermatologic Surgeon

www.ocdermatology.com

Under eye puffiness from Juvederm

If you are puffy and bluish truly from the Juvederm, despite having had surgery to clear it up, ask your doctor to consider trying hyaluronidase (you might have a skin test first, and don't have it if you're allergic to bee stings). The enzyme may break up any residual Juvederm, and if that is the cause of your puffiness and bluish color, then it might improve.