Dr. Adam Summers

A hematoma after a facelift can result in discoloration of the skin that may be present for months. In rare cases, permanent discoloration can occur. If discoloration is still present a month after the surgery, you may be able to improve the situation with some laser or IPL treatments. Other skin care treatments (such as a lightening cream) may be helpful.

Small veins under the eyelid can certainly add to the appearance of "dark circles". It is appropriate to try and address this by "zapping" the veins. However, one or two laser treatments (rather than a series of IPL treatments) is likely to give better results. The "sharp jolt" you felt was most likely due to heat from the IPL. Since there is typically not much "cushion" between the skin of the eyelid and the underlying bone, the heat would bouncing off the bone and be reflected back into the skin. Any type of trauma can induce migraine. However, as long as your eyes were protected during the treatment, and as long as you did not develop a burn from the treatment, I would not expect any permanent problems to occur.

First of all, there is typically some swelling after a Juvederm injection. This tends to settle down within a few days, but in some cases the swelling is noticable for over a week. Second, in some cases, more swelling occurs due to concurrent bruising -- in this case, the swelling will not fully resolve until after the bruise has absorbed. The application of ice packs immediately after the injection can help reduce bruising and swelling, but after a few days, ice packs are unlikely to make any difference. Next, as you are probably aware, Juvederm is a temporary filler... Although there are reports of this filler lasting over 6 months, it is more realistic to expect that a significant amount of the injection will be absorbed over the next several months. If you find that your lip is still too large after waiting a couple of weeks, there are a couple of different things you can do to reduce the amount of Juvederm more quickly. 1. You can massage the upper lip...firm massage can help your body breakdown and absorb the Juvederm more quickly. Be careful not to massage too aggressively, or you will cause new swelling. 2. It is possible to "remove" some of the Juvederm. This is done by having an injection of hyaluronidase -- this enzyme will actually dissolve some of the Juvederm. Good Luck!