If I am prone to hyperpigmentation, will Juvederm Ultra Plus leave dark marks on my skin? I have had hyperpigmentation problems from laser treatments and often get dark marks from blemishes. I have medium complexion with olive tone. I am afraid that the marks from the needles may remain after the injections.
Will Juvederm Ultra Plus Cause Hyperpigmented Marks?
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Doctor Answers 5
Hyperpigmentation risk from injections with Juvederm
Postinflammatory hyperpigmentation can occur with laser energy that goes through the epidermis, or acne blemishes. Needles used for most fillers are small enough, that there is insufficient trauma to incite pigmentation. If it does develop, a lightening cream can be prescribed immediately. The risk exists, but it probably is very small.
Mention this to your Physician
Your propensity to develop post-inflammatory hyper-pigmentation (PIH) should be mentioned to your physician. While certainly, you will suffer much less of a problem compared to more injurious procedures such as lasers, this can be a slight problem.
If you mention this tendency to your physician, they will modify their technique by giving you less injections. For instance, instead of using what we refer to as the serial injection technique (in which there are many small sticks,) your injector might use a linear threading technique or fanning technique ( in which there is only one injection).
PIH is caused by the melanin dropping out of the epidermis where is is located and lodging in the dermis. Macrophages, the scavenger cells of the skin, is supposed to gobble up the melanin. It gradually does so, but sometimes, the system is not as efficient as we would like , and the pigment can remain permanently.
Will Juvederm Ultra Plus cause hyperpigmented marks?
RE - "I have had hyperpigmentation problems from laser treatments and often get dark marks from blemishes" - You are describing REACTIVE HYPERPIGMENTATION. As part of the inflammatory reaction to certain injuries (cuts, burns, lasers etc) the injured tissue reacts by darkening. Although this can be controlled and treated whenever resurfacing is done, I have not seen nor heard of reactive pigmentation seen with uneventful Juvederm or Restylane treatments.
Peter A Aldea, MD
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Hyperpigmentation after injections
Hyperpigmentation after injection is possible although pretty rare. This can be treated with topical creams.
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.