What to Do with Bluish Tint and Puffy Bags Below Eyes After Juvederm?

asked 2 years ago by LYNN42396 in BOSTON
Latest answer by Shepherd G. Pryor, MD
Question viewed 2,719 times
Tags: under eyes, female, blue, eye bags, puffy eyes, Tri-luma Cream, tyndall effect

I had Juvederm and botox injection 4 weeks ago and I'm still suffering from a bluish tint under the eyes. The bags ARE HUGE now and I look like a football player. I since went back to surgeon and she recommended Tri-Luma which still made me look bruised, bluish and NOW SEVERLY SUNBURNED. I'm at my wits end. I need some suggestions on how to proceed. I have posted after photos. I just wanted to look fresh not deformed!

9 answers to What to Do with Bluish Tint and Puffy Bags Below Eyes After Juvederm?

Consequences of Superficial injection of a hyaluronic Acid Filler (JUVEDERM) along the lower eyelid Tear Trough

As the cheeks sag lower and lower they both uncover the inferior ledge of the eye socket but are also associated with prominence of the lower lids and their bags. The result - a convex outward filling lower lid bagginess on top of a gentle U or V shaped concavity located between the lower lid and cheek mass referred to as The TEAR TROUGH or nasojugal line. This are CAN be filled and flattened resulting in a much more rested and youthful look BUT several precautions must be undertaken:-... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Blue Color after Juvederm injection

Too much and too superficial. I disagree that Restylane is the only choice here. Juvederm works wonderfully in my hands at the tear trough, but it should be injected in very small volumes (0.2cc per side typically) and all the way at the level of the bone. Superficial injections are safe and effective in the lips and nasolabial folds but around the eyes it needs to be placed deeply, allowing your normal soft tissue to elevate delicately and soften the hollows. Make... more

Shepherd G. Pryor, MD
Scottsdale Facial Plastic Surgeon

www.valleyfacialplasticsurgery.com

Blue color after filler

The blue color may be from the product being injected just underneath the skin. This can be dissolved with hyaluronidase. The swelling could be from the product. Some people are more prone to swelling.

Steven Wallach, MD
Manhattan Plastic Surgeon

It might be the product and that can be dissolved by your doctor

If these bags did not have a bluish tint or were not puffy before, it might be the product, and that can be dissolved by your doctor. If you just had treatment, it may be minor swelling from the injections and will go away on its own.

Joseph A. Eviatar, MD
Bronx Oculoplastic Surgeon

Blue Color After Juvederm Injection

A bluish-color after the injection of a hyaluronic acid filler, such as Juvederm, is known as the Tindle Effect. This usually occurs when the product is injected very superficially in the skin. In time the body will degrade the filler itself and the color will likely improve. However, the use of hyaluronidase will quickly dissolve the product. You should contact your Dermatologist or Plastic Surgeon for an evaluation.

Joshua Zeichner, MD
Manhattan Dermatologist

Swelling from hyaluronic acid in lower eyelids/tear trough

If you had times where you noticed that your lower eyelids swelled before your injections, then it is common to be very swollen after. The injected product, blue color and swelling can significantly be improved in many people with the use of hyaluronidase injected into the area. I would not continue the TriLuma if there is no hyperpigmentation but only the bluish color from the filler. The redness should decrease some time after the TriLuma is stopped.

Ronald Shelton, MD
Manhattan Dermatologist

Tear trough correction with hyaluronic acid fillers

This is a common problem with superficial injection of a hyaluronic acid gel filler (Juvederm or Restylane) in this area. The filler sounds like it was injected just under the thin lower eyelid skin and is showing through with the bluish tint (tindle effect) and the edema. All of these fillers absorb water and can cause this swelling. The good news is you can have it reversed with the injection of hyaluronidase which dissolves the product. You may need more of this with Juvederm as it is... more

Andrew P. Trussler, MD
Dallas Plastic Surgeon

Juvederm

The blue discoloration is the Juvederm. Have the juvederm disolved.Then wait and see if this improves. otherwise see a BOARD CERTIFIED PLASTIC SURGEON. Triluma is not the treatment

Samir Shureih, MD
Baltimore Plastic Surgeon

Bluish Tint and Puffy Bags After Juvederm in Lower Eye Lids

Hi Lynn, Too late now, but in the future only have Restylane injected in lower eyelid area as Juvederm sometimes has too robust of a response in this delicate area. Your physician may consider injection of hyaluronidase to attempt to dissolve some of the Juvederm. Otherwise it will just take time for the swelling to resolve. Good luck and be well. Dr. P