Tear troughs still blue after dissolving juvederm

Question

I had juvederm injected in my tear trough area. I had the Tyndall effect so my doctor dissolved it on two occasions and added boletero. I still notice the area being blue. She said the juvederm is gone and it's blue because the skin is thin. Can anything be done to resolve this?

Martin Jugenburg, MD · Answer

Thank you for your question. There is a possibility the area still contains product and needs to be dissolved. Sometimes hyaluronidase treatments need to be repeated in order to obtain full results. Best,

Nelson Lee Novick, MD · Answer

Without the benefit of a photo, it is difficult to say what at the root of the bluish discoloration in this particular instance. Assuming that appropriate and adequate doses of hyaluronidase were used, residual filler is unlikely to be the cause. Likewise, Belotero Balance, which possesses a negligible chance of  causing the Tyndall Effect is unlikely to be a factor. If indeed, it is the thinness of the skin reflecting the underlying blood vessels and muscles around the lower portion of the orbit, then combining Belotero with a small amount of Radiesse may be helpful.Ordinarily, Radiesse, as a sole treatment is ill-advised for treating the undereyes. However, when injected in a tiny amount combined with Belotero, its whitish color helps to lighten undereye darkness without engendering the risks it would have in this area if used as a monotherapy. Consultation with an experienced aesthetic core physician is essential to ensure the best outcome possible.

Tear troughs still blue after dissolving juvederm

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