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

If you are unhappy with your results - and I think I agree with your assessment that there are some blue lumps although online photos are difficult to fairly evaluate - you can simply have some hyaluronidase injected and the unwanted product will dissolve nicely. My preference is Restylane under the eyes - I find Juvederm gets to "puffy" or full. Good luck - I think you will do great with the hyaluronidase injection!

   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.