I have bruising under my eyes after Belotero fillers was used and I have a shadow after 9 weeks. What can be done to fix it?

Thank you for your question .
There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will be the best long term. However, non invasive less downtime options such as fillers, lasers, (Plasma pen) microneedling/(RF/)PRP, cosmelan peels and stem cells can all help give some improvement. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.
Please see the link provided that takes you to emeragecosmetics.com where we do free skincare consultations and offer medical grade products​

Looking at your photos, more than a bruising, seems that you have a Tyndall effect from the filler, you can see a small bump with light discoloration. If the injection is recent, like less than 2 weeks, you can just wait a couple of weeks to see if it goes down, if is more than a month from the injection, the best will be to inject some hyaluronidase so the filler goes away and also the Tyndall effect.

I do a great deal of under eye injections in this delicate area. It appears from the photos that you have the Tyndall effect from the fillers that is making your under eye area appear dark.  I would consider having the product dissolved since bleaching creams won't lighten it up. Please consult an expert in under eye fillers for the best cosmetic results.  Best, Dr. Green

Without seeing the before photo, it is hard to tell if the darkness is caused by a remaining bruise or it is a shadow from over filling. If it is a bruise, then treatments with MP2 (or magnetic pulse) with Venus Versa and Arnica cream can help. If it is a shadow from overfilling, then I would recommend for you to get the filler reversed and start over. Typically, Belotero has very low to no risks of the bluish Tindell effect so it doesn't appear to be the product causing the discoloration.
To avoid risk of bruising when doing any injections, remember to stop aspirin, ibuprofen, Aleve medications 5 days before injecting. Also fish oil and alcohol can increase the risk of bruising. Finally, you have to choose a skilled injector.

There are a couple of reasons you could get dark circles after filler. Hyaluronic acid fillers can cause what is called a Tindell effect in thin skin, where the filler reflects blue light and looks like a bruise. If that is the case, you would have to dissolve the filler to see if the dark circle goes away. The other effect is caused by blood under the skin leaving hemoglobin breakdown products called hemosiderin. These often lighten up over time as the body breaks them down. Lasers can be used to improve this kind of discoloration, but it is a tricky place to use a laser because it is so close to the eye. Topical lightening agents can also help. My first treatment choice would be to dissolve the product and see where you are after it is gone. As always, it helps immensely to have good before/after photos for your injector to see so they can determine the cause of the problem. Good luck! -Dr. Jenny

if there was some discoloration underneath the eyes before the filler was placed then it may be related to pigment changes from micro hemorrhage under the skin. The skin under the eye is very thin and translucent and so the best fillers are the smallest molecule fillers like Belotero.  Larger molecule fillers can scatter blue light and get a bluish discoloration under the skin (Tyndall effect). At this point my guess is that there is some pigmentary changes from heme deposits  and it would be best treated with a Q switch laser. These are used for tattoo removal, but at our practice we use the StarWalker by Fotona and have had good results.