Black Eye After Juvederm Injection

Question

Why do I have a black eye after a Juvederm injection to put volume into my cheeks? I had a Juvederm injection on Friday. That evening and the next day I had a headache and felt unwell, and Saturday I awoke to find severe bruising of a red/purple colour under my right eye. Left eye is fine. Is this normal? Could the headache and feeling unwell be a side effect of Juvederm also?

Harold J. Kaplan, MD · Answer

As the panel members stated, all injectable treatments come with the possibility of bruising.  Although there are simple measures to take before the treatment to minimize this potential and steps to follow to manage the bruise, it will always be a potential with these treatments.  The reason why the bruise developed under the eye although the cheeks were treated is because bruising will tend to follow the path of least resistance...the orbital area.  Rest assured, it will improve with each passing day.  However, based upon your concerns and your other symptoms, it is always recommended to address this with the one that did your procedure so that they may properly monitor your progress.

	See the below link for measures to take before these treatments to minimize the potential of bruising.

Lorrie Klein, MD · Answer

I tell my patients they have a very high chance of bruising with fillers, especially if injected near the eyes. I can't answer your question about you feeling unwell without knowing more about your symptoms, but I can tell you that bruising under the eye is common, usually not a problem, and will go away in 3-10 days.

Ron Shelton, MD · Answer

any time there is an injection, the needle could cause a bruise even if you can't see a vein in the area. The minute bleeding could occur as a result of a tiny vein being nicked that is not visible. The slight blood cells travel underneath the skin and reach distant sites, and are visible in the thinnest areas the soonest. It is not unusual to see the bruise develop two to three days after the procedure.

Steven Wallach, MD · Answer

Unfortunately, any injection can cause bruising. It can happen from some food, blood thinners, anti-inflammatories to name a few.

Darryl J. Blinski, MD · Answer

This is a known side effect of injecting fillers. Please call the injector for care protocol and treaments or even to be seen ASAP.

	From MIAMI Dr. B

R. Stephen Mulholland, MD (retired) · Answer

Any soft tissue filler, juvederm, restylane, teosyal, perlane, etc can cause bruising. When using the soft tissue filler to enhance the volume and proportion of the cheek, the injections are often made deeply, just above the bone. There are many deep veins in this region of the cheek and if the cheek volume injection traumatizes a deep vessel, that bruising and swelling can track along tissue planes to show up as a bruise of the lower lid pad and region 1-2 days later. Cool compresses, NSAIDS, Arnica and Bromelain have all been advocated in reducing swelling and resolving bruising. Feelling unwell with a headache and malaise may be unrelated to the injection but, can occur after an injection that was somewhat traumatic can occur, as the bruising and swelling release a number of chemical mediators that can lead to malaise, lethargy and headache. As the bruise and swelling subsides, so should your symptoms. Always see your physician in person for assessment after any online information.

Richard P. Rand, MD, FACS (retired) · Answer

The face is a very vascular region and in any patient there can be bruising from the needle hitting a tiny blood vessel. This is made worse if you hadn't been told to stop aspirin, motrin, vit E etc a week or so before the procedure as these meds make your blood thinner and make you bruise more easily.

Black Eye After Juvederm Injection

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