Blue Tint After Juvederm a Year Later? (photo)

Thanks for posting your concern. The bluish color you may see under the eyes is called the Tyndall effect.  This is the result of light scattering by the filler material (hyaluronic acid gel, or "HA") when it is very close to the skin surface.  The immediate way of treating this is with a small injection of an enzyme that dissolves the HA -- hyaluronidase, marketed as Vitrase or Wydase. In the future, the choice of fillers for specific areas of the face is really important. Different filler materials have different thicknesses and other properties.  For the tear-trough region (where you have the bluish discoloration), I recommend Restalyne. It is thinner and less likely to cause this issue.  A knowledgeable plastic surgery or dermatology expert can help you with filler choice.

The blue tint is what we call the Tyndall effect.  It occurs when the Juvederm is placed too superficially or in an area with very thin skin such as tear troughs. This can take years to go away on it's own.  I would see a skilled provider and have it dissolved with a small amount of Hyaluronidase that will break it down and remove the blue tint. You will be much happier. In the future you may want to try   Restylane or Belotero for that area. I have found it to be a better choice!