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It's quite unusual for a bruise from a filler injection to last as long as five months. Typically, bruises from injectable treatments resolve within a couple of weeks. If the discoloration remains after having the filler dissolved, it's possible that what you're seeing is not a bruise but rather post-inflammatory hyperpigmentation (PIH) or another type of skin reaction.
PIH can occur after an injury or inflammation to the skin and may take longer to fade. However, it is generally not permanent and can be treated with topical agents like hydroquinone, kojic acid, vitamin C, retinoids, or procedures like chemical peels or laser therapy, depending on the severity.
I recommend following up with your dermatologist or healthcare provider for an evaluation to determine the nature of the discoloration and discuss appropriate treatment options. They can provide the best course of action based on a thorough assessment of your skin.
Physician
It's not uncommon for the area around the injection site to experience swelling or puffiness after dermal filler treatments, especially in the delicate under-eye area. Here are a few steps you can consider:
Massage: Gently massaging the area can sometimes help distribute the filler more evenly, but it's essential to do this only if advised by your practitioner.
Cold Compress: Applying a cold compress can reduce swelling, particularly in the morning when puffiness tends to be more pronounced.
Antihistamines: Sometimes, puffiness can be due to an allergic reaction. Over-the-counter antihistamines might help if this is the case, but please consult with a healthcare provider before taking any medication.
Hyaluronidase: If the filler itself is causing the issue, an enzyme called hyaluronidase can be injected to dissolve hyaluronic acid-based fillers.
Follow-up Appointment: Schedule a follow-up appointment with the professional who performed your filler injection. They can assess the area and determine if additional treatments or corrections are necessary.
Lymphatic Drainage: Professional lymphatic drainage treatments or facial massages that include this technique can help reduce fluid buildup in the area.
Wait It Out: In some cases, the body may naturally metabolize the filler over time, reducing puffiness.
Physician
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