Juvederm: Q&A
Ask a QuestionJuvederm Ultra in Tear Troughs Gone Wrong?
Straight after injection I bruised up severely. I believe injector hit a vein. Today, i went to see her (a month exactly) and she is now telling me that possibly, I always had this vein but now with the fillers it's more defined! I'm thinking, or actually hoping it's the bruise still healing. What do you think? If it really is a nerve what treatment could I get to make it less noticeable.I actually look worse now then what I did prior to the fillers!
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11 Doctor Answers |
Asked by
faye from Australia
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Filler in tear trough
Fillers placed in the tear trough area can be very dramatic. I will say that it is the norm to have some bruising in the tear trough region after injection because the tissues are very vascular and very thin
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Tear trough filler problem
It is common to have bruising when the tear trough is injected...best to wait 2-3 weeks to let it all resolve. If the area looks worse than original, then best to consider hyaluronidase to dissolve some or all of the filler. Dr. Benjamin Barankin, Toronto Dermatology Centre.
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Juvederm Tear Trough injections
There are several reasons for the bruise-like look you descirbe. The simplest way to find out if it is the Juvederm itself that is causing it, is to inject a little hyaluronidase in the area. Very quickly you will know if the product was causing a tyndall effect, the blue discoloration. This is the most likely case since a bruise would likely have resolved in this area within a week or 2.
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Juvederm Bruising in Tear Trough
Juvederm injection to the tear trough has the potential to create bruising no matter the injector. The bruising should resolve. If there is an excess of Juvederm product, some can be dissolved with hyaluronidase. Restylane may be a better choice, particularly if there is a problem with swelling of Juvederm in the tear trough. Kenneth Hughes, MD Los Angeles, CA
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Consider tyndall effect
If you are not pleased the results of your filler one month after injection, you should consider dissolving the material with hyaluronidase. This is because fillers, while temporary, can last a long time in the tear troughs (greater than a year for some). Another reason to consider dissolving the filler is that the blue "vein" may actually be filler material. The tyndall effect causes the HA fillers to appear blue when placed too superficially under the skin. Bruising one month after the...
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Juvederm in tear trough
The points made are very true and valid and unfortunately the skin there is very thin and bruising or the product itself (if overinjected) can cause this type of discoloration or may make a vein more visible. Most likely it is the bruising which will take some time to resolve.
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Juvederm in Tear Trough with Bruising
It may help to post a photo, but if you bled into the skin and bruised, the lesion could be a resolving hematoma. On the other hand, a blue nodule could also be the Juvederm product. And finally, there is a possibility that the vein was pushed closer to the skin surface making it more prominent. If it were to be one of the last two options, then hyaluronidase could potentially dissolve the product and resolve the problem.
I personally use the cannula technique, which...
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Juvederm Ultra in Tear Troughs Gone Wrong
A few things here, and possibly a combination actually. 1. A vein absolutely could have been hit that is causing long-term discoloration. Since we are all human and every person is different, sometimes even the best injectors will hit a vein when injecting into thin-skinned areas. The bruising will go away, but it's a disappointment that it happened. 2. Juvederm can have a bluish tinge to it, especially when injected into thin-skinned areas. This is why a number of injectors don't like it...
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Juvederm filler in tear trough bruising problems
Faye- the tear troughs can be a vary challenging area to fill properly. Personally, I use blunt cannulas to inject which greatly reduces both complications and pain. In terms of your bruising, certainly a vein can be damaged during injection. I am not sure what your injector meant by stating that the filler made the vein more defined. I have not seen such an event occur. A month is a long time to have a bruise. I would first try alternating warm then cool compresses for a few days to see if...
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Reversible
One of the pluses of hyaluronic acid fillers is that they are reversible with an enzyme injection, so that is the silver lining.
It is not unusual to hit a deep vein during injection. It is an unfortunate side effect from the injections since we cannot see these veins during the injection. The bruising from such an event will eventually fade.
Now if you now see the outline of that vein more clearly, this may be due to the volume effect of the filler. It may be that the volume of the...
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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