Can blue tint under eye area be improved 4 years and 8 months after Juvederm? (Photo)

Hyaluronidase can be used to improve this. I suggest seeing a cosmetic dermatologist with expertise. In my practice we use a combination of lasers, fillers, microneedling/PRP to treat under the eye. Best, Dr. Emer.

The blue tint  you refer to may be a Tyndall effect which is a light reflex related to hyaluronic acid being injected close the surface of the skin.  It is unusual for HA products to last this long, but it is possible.  Treatment options include dissolving the remaining  product with a hyaluronidase product, or utilizing a q switched laser to alter the coloration.

Thank you for posting your question. Vitrase can be used even years after filler has been injected. See an experienced eyelid specialist for your treatment in this delicate area.  Good luck,

Thanks for the question! Something we correct in our office occasionally and agree with my other colleagues. HA fillers can leave this effect, especially certain brands in specific areas and can last in the body for several years post-treatment. A little quick fix with hyaluronidase can get rid of your "blues" quickly and safely!

I completely agree with Dr Weiner.  Juvederm seems to cause this more than the other fillers and I would treat the area with hyaluronidase and subsequently fill with Restylane.  Good luck.

This can be improved using hyaluronidase. Juvederm is not the proper filler for this area and needs to be removed. Restylane is my choice. 

If there is still hyaluronic acid filler under the eye area, hyaluronidase injection may help. You need to be examined to determine if filler is still present. 



Best to you,

Dr. Norcom

Blue discoloration following the injection of HA products is not an uncommon event especially if injected very superficially. This "blue" color will go away as the product is absorbed over time which is usually about one year. I have however personally seen this discoloration in a patient that was treated, like you, four plus years earlier in the same under eye area. I treated it with hyaluronidase and it did resolve. If your discoloration is truly a result of the HA product it should improve. I would advise consulting with someone in a board certified plastic or dermatology office who has a lot of experience injecting around the eyes. Good luck.