I had cortisone injections 2 months ago that left me with dents. I had them filled with juvederm and one has turned blue with what looks a doughnut around the atrophy. I met with another injector at the office that did my procedure and he said that the bluish tint can stay even if I have it dissolved, so I should just leave it alone. Should I wait to get the Juvederm dissolved? Will I damage my skins natural healing process with hyaluronidase? Will my dents continue to heal over the juvederm?
May 27, 2014
Answer: Juverderm discoloration Hello,The problem you are describing can be a common side effect from superficial injection of hyaluronic acid fillers such as Juvederm. Dissolving the filler with hyaluronidase should resolve this problem very quickly. If the steroid induced depression in your skin persists after that, there may be other options for correcting the defect such as fat injections or observation for several months.Good luck.
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May 27, 2014
Answer: Juverderm discoloration Hello,The problem you are describing can be a common side effect from superficial injection of hyaluronic acid fillers such as Juvederm. Dissolving the filler with hyaluronidase should resolve this problem very quickly. If the steroid induced depression in your skin persists after that, there may be other options for correcting the defect such as fat injections or observation for several months.Good luck.
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May 22, 2014
Answer: Juvederm/steroid discoloration There several possible causes for discoloration, some related to the filler, some related to your skin and at least one related to the steroid. The Tyndall effect is seen after very superficial deposition of the Juvederm or other filler material and is due to the light scattering effect of the Hyaluronic Acid (HA). Many times most of this can be eliminated by pricking the skin and milking out the material. Done slowly I think it can be mostly eliminated by injecting very small amounts of Hyaluronisase, the enzyme that breaks down the HA.Sometimes in a situation such as this the discoloration can be related to the excess vasculature which can be caused by the inflammatory response to the filler or the steroid injection. This will respond to laser or IPL treatment,. It can be related to the atrophy of the dermal collagen after steroid injection similar to the bluish discoloration of striae distensae (stretch marks). This may improve after many months or even a few years. Fractional laser treatments may help this but requires several treatments.
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May 22, 2014
Answer: Juvederm/steroid discoloration There several possible causes for discoloration, some related to the filler, some related to your skin and at least one related to the steroid. The Tyndall effect is seen after very superficial deposition of the Juvederm or other filler material and is due to the light scattering effect of the Hyaluronic Acid (HA). Many times most of this can be eliminated by pricking the skin and milking out the material. Done slowly I think it can be mostly eliminated by injecting very small amounts of Hyaluronisase, the enzyme that breaks down the HA.Sometimes in a situation such as this the discoloration can be related to the excess vasculature which can be caused by the inflammatory response to the filler or the steroid injection. This will respond to laser or IPL treatment,. It can be related to the atrophy of the dermal collagen after steroid injection similar to the bluish discoloration of striae distensae (stretch marks). This may improve after many months or even a few years. Fractional laser treatments may help this but requires several treatments.
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