Blue Tint After Juvederm a Year Later? (photo)

Thanks for the question and photos. There appears to be an excess of Juvederm in your under eye hollows, also called the tear troughs. I would recommend having the product dissolved with Vitrase (hyaluronidase) and replaced with Restylane. Restylane is a thinner product than Juvederm and the molecules are less cross-linked, which makes it less likely to be visible as a bluish hue (Tyndall Effect) under the thin skin under the eyes. Elsewhere in the face, I inject Restylane and Juvederm pretty much interchangeably, but in the tear troughs, Restylane is my filler of choice. 

Correction of this area requires a detailed understanding of the anatomy and great technical skill, so be sure to have the treatment done by an experienced injector. 

Best regards,

Dr. Mehta

   Juvederm in the tear troughs may not be the best choice.  An enzyme can be used to degrade the Juvederm.  Give this a few weeks before switching to Restylane if necessary.

Dear Ranny,

Thanks for sharing your story. As you have read the blue tint is called the Tyndall Effect. I agree with many of the answers posted- you would benefit from a treatment with hyaluronidase to dissolve the Juvederm. I also think that Restylane is a good choice for the tear troughs. That being said, even with Restylane success with tear trough treatment is technique dependent. There are multiple layers of tissue even in that thin, delicate area. One option is to place the filler just over the bone to achieve a natural contour and minimize the chance of pigmentation issues or superficial irregularities.