Juvederm: Q&A

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Swelling and Discoloration 3 Weeks Post Juvederm

I had bruising after injection that went away. Now it looks lumpy and I have reddish bluish areas going down at the inner corners of my mouth. This is my third time using juvederm.No problems before.

9 Doctor Answers | Asked by Ingrid in Lincoln,Ne. in Lincoln, NE
+3

Swelling and discoloration 3 weeks after Juvederm is from reabsorbing bruise.

Filler injections (regardless of which ones) into the lips can inadvertently hit tiny arterioles or veins that can bleed somewhat more than the "usual" needle stick. Since multiple sticks are utilized for the usual filler session, there is always the possibility that a vessel might be hit and bleed a bit more than "average," causing a small bruise (or slightly larger one) that can turn into scar tissue or just harmlessly reabsorb. Avoiding ANY aspirin or ibuprofen... more
+2

Bruising after Needle-based Treatments

Restyalne, Juvederm and all needle based treatments can cause bruising.  At 3 weeks, these should be resolved. You should be seen by the MD that did the filler treatment to be sure this is just bruising and not a prolonged sensitivity reaction or vascular compromise.  If it's just bruising, it will eventually go away and you can ask the MD if it's OK to use homeopathics like Arnica 12-C to spped that up.  Avoid all blood thinners before your next Restylane treatment. more
+1

Bruise after Juvederm may not be a bruise

The Tyndall effect involves the way light reflects off surfaces and can create a bluish coloration when the Juvederm or Restylane is injected close near the surface. I have seen this near the corners of the lips. It can be expressed by the doctor, or dissolved with hyaluronidase. see video

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+1

Swelling and discoloration 3 weeks after Juvederm

It is possible that you may have had persistent slow bleeding causing thebluish discoloration. As the blood is absorbed, it also degrades chemically, causing a purple, then blue then yellow discoloration After 3 weeks, if this was persistent bleeding, I would expect also a little yellowish color. There may even be a slight leakage of the color downwards. As to blood thinners, they are often prescribed to patients in the age group that seeks Juvederm... more
+1

Some lasers can speed the resolution of discoloration

If the persisten discoloration is from the bruising you developed, there are lasers such as the Vbeam and other pulsed dye lasers, as well as some good IPL systems that can help to clear the hemosiderin (pigments from blood). Check with your physician to see if he/she offers those treatments. Also be sure the blue color is not the Juvederm placed too superficially in the skin as this can be easily treated with injections of hyaluronidase.
+1

Bluish discoloration and lumpiness with Juvederm injections

Bluish discoloration and lumpiness with Juvederm injections can both be avoided by not injecting too superficially in the skin while trying to erradicate a tough or persistent wrinkle. The bluish discoloration is classic for Juvederm or Restylane injection too close to the surface of the skin. Lumpiness is another technical issue where possibly too much was place in one spot or too superficial or both. Better to accept a few fine lines than trying to push the... more
+1

Bruising after Juvederm

Ingrid Although bruising after an injectable treatment is not uncommon, it sounds as if you have discoloration that has persisted longer than normal. I would make an appointment to see the physician who did the injections and discuss the issue with them. You would want to make sure you are not having a reaction to the product.  Lumps are not uncommon, though can usually be avoided by careful injection technique to avoid placing product too superficially in the skin. If the lumps... more
+1

Bruising after filler injections

It is possible for the bruise to develop or continue developing for several days after an injection, especially if any blood thinner was taken within 10 days of injection.  If you are on any blood thinners on the advice of your physician, you should not discontinue any of them without consulting with your prescribing physician first.  Discontinuing prescription blood thinners can be dangerous. Over the counter bBlood thinners include aspirin, NSAIDs like ibuprofen or naproxen,... more
+1

Blue after juvederm

I agree with all of the above but would like to add one more comment. If Juvederm is injected too superficially, especially in areas with thin skin like under eyes, you can see it , or it can reflect light,  through the skin(tyndall effect). this might be the BLUE. 
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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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