Permanent Bruise from Under-Eye Hyaluronic Acid Filler? (photo)

Question

I obtained under-eye Hyaluronic Acid Fillers exactly 2 years ago, and I've had these bruises / discolorations at the injection site ever since it was injected. I thought it would heal but I feel like they've only gotten worse. Is this due to the Tyndall effect and would Hyaluronidase solve it? Is it recommended to obtain Hyaluronidase from a more experienced doctor?

Jeffrey H. Spiegel, MD · Answer

Thank you for sharing your photo! Long-term bruising from injections, especially under the eyes and around mouth can occur and can be reversed. It requires some thought and careful attention to detail but it can be corrected with the help of topical oinants and perhaps some machine work like Intense pulse light (IPL). You should know in advance that it is easier dealt with in lighter skin and because your skin is slightly darker, it may require more knowledge and experience. My recommendation is start with the home regimen with Double White by Noon.

DoctoraVital Med Spa - Cooper City · Answer

Hello,
I understand your concerns completely.
The issue does not appear to be the Tyndall effect, which is characterized by a bluish swelling with indistinct borders due to the light's prismatic refraction from excessive water retention.
If there were no previous filler injections, I would consider the possibility of a xanthelasma on the right side and a syringoma for the left side lesion. However, a physical examination by a specialist is essential for accurate diagnosis.
Should the lesions be due to filler being placed too superficially, the initial treatment option would be to dissolve them with hyaluronidase injections. If this does not resolve the issue, a CO2 laser treatment, potentially using fractional laser for overall skin improvement, would be the next step. It is crucial to seek treatment from an experienced CO2 laser provider who can offer comprehensive pre and post-treatment care to avoid complications like dyspigmentation.

Permanent Bruise from Under-Eye Hyaluronic Acid Filler? (photo)

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