Can I correct the discoloration that Juvederm caused when placed in my acne, atrophy from cortisone? (photos)

The blue tint is most likely the product sitting under the skin. You can have the product dissolved which may help the blue tint to diminish or you can choose to wait and allow the filler to dissolve over time. The choice is yours and depends on how badly you want it to go away. Hope this helps.  

I disagree that the bluish discoloration will stay after dissolving it with hyaluronodase. However, it will also fade with time. Tinning of your skin from the steroid injection made this complication more likely to happen. Sorry you are having to deal with this problem. 

The blue tinge you are noticing is probably due to the fact that the hyaluronic acid is reflecting through the skin. Attempting to inject scars means placing the product into the dermis and this is something that can happen fairly often. The doughnut appearance is because some of the filler has swelled around the scar itself creating volume around the boarders. Dissolving the product should help dissipate the product and minimize the bluish tinge. Belotero may be another option where it will not cause a tyndall effect. 

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.

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.