Brown Discoloration from Juvederm

The discoloration you have after the filler was dissolved may be the result of hemosiderin or retained blood products after some bruising. This usually improves over time.

Juvederm is an excellent hyaluronic acid based injectable that can be used effectively for facial contouring. Juvederm is commonly used around the lips, the smile lines, the marionette lines, under deep wrinkles, under deep scars, and even under the area of the eye. Out of all the areas that can be treated, the area under the eye is the trickiest because the skin here is the thinnest in the body and there is a very high concentration of blood vessels. If you have darkness in this... more

Hi Lyn, It's a bit unusual for discoloration like you are describing not to be present immediately after the injections if they are related. Bruising from injections usually occurs immediately or very shortly after injections. In some cases some longer term discoloration (hemosiderin staining) occurs, but is preceded by bruising. For discoloration to appear only at the end of the Juvederm duration period makes us wonder if this is unrelated. Have you evaluated your before pictures to... more

Lyn, It sounds like what you are describing is the result of the inflammation created by the Juvederm dissolving. This is called post inflammatory hyperpigmentation. It persists around the eyes longer than in other areas of the face. Make sure that you use a strong (30 spf UVA and UVB) on a daily basis. Post inflammatory hyperpigmentation usually resolves over time. It may take many months, but if you avoid the UV exposure it should go away. Good luck!

Special lighting and examination would be needed to make this determination. Don’t give up hope. Most pigmentation is temporary but it can last a long time. If you haven’t asked the physician who dissolved the Juvederm, you should, and if you have and didn’t get a good answer, you can seek a second opinion.

Without a picture it is very hard for us to comment on your case specifically. It is best that you discuss this with your doctor. Also, you may want to see a dermatologist. If you had the Juvederm in 2007, it should be long gone. It may be possible that your symptoms are only coincidental. In any case, follow up with your doctor and they should be able to help you.

A considerable amount of time has elapsed since the Juvederm injection in August of 2007.  Perhaps the brownish discoloration and little white bumps (?milia) are totally unrelated to the Juvederm injection.  I would consult with a board certified dermatologist in your area. Good luck.