Darkened Purple Colour Under Eyes (Hemosiderin?) - Can I Do Juvederm?

Question

Apparently an existing purple colour under eyes caused by hemosiderin can darken purple if fillers are used. I have tear troughs. Very noticeable. I am 27. I have lost fat under eyes as well. I also developed chronic rhinitis & a post nasal drip in the last 6 months. I just started medication 4 this. PND can contribute 2 dark circles. Should I do IPL or vbeam for purple colour? Could Fraxel also help? How will I know if the purple colour under my eyes is from hemosiderin? I want 2 do Juvederm.

Ron Shelton, MD · Answer

Be careful rushing in to having fillers with your recent diagnosis of allergic rhinitis, not because of allergy of the Juvederm, but lower eyelid swelling from the allergies can be accentuated with the filler as it absorbs water.  Allergic rhinitis and or conjunctivitis can cause dark circles too.  The theory of hemosiderin has not been proven and there is no sure way to be certain as to the cause of the coloration. If the filler is injected underneath the muscle layer, you may have less issues with irritating symptoms from the allergies. There are risks with these procedures so speak with your doctor.  Lasers, such as Fraxel and V-beam can help lighten the skin coloration in few, but not all patients.

Deborah Sarnoff, MD · Answer

Yes it is possible to still have Juvederm injections but you must understand that the area under the eye contains a lot of superficial blood vessels.  If the vessels are transmitted by the needle you will likely get bruising, which will then cause more hemosiderin.  Seek out a dermatologist or plastic surgeon who is extremely skilled in injecting the tear trough.  Sometimes delivering the Juvederm through a blunt canula as opposed to a sharp needle will be less traumatic and less likely to worsen hemosiderin.

Leslie H. Stevens, MD, FACS · Answer

Ture hemosiderin staining of the tissues in the lower lids is very difficult to treat with lasers of any kind. If you have tear trough deformities a shadow effect may be contributing to your dark circles. If there is a pigment component,  Juvederm may make the pigment worse only if bruising from the injection occurs. A true tear trough deformity with lower eye bags caused by fat is best treated with a fat transopsition. This will lessen the bags and fill the defect below the lid.

Edward Lack, MD (retired) · Answer

Juvederm will not cause hemosiderin darkening under the eyes. Hemosiderin in very difficult to remove and most lasers will be ineffective.

Vincent D. Lepore, MD (retired) · Answer

Juvederm will not improve the purple color - hemosiderin deposition - in lower eyelids.  In fact, if there is bruising or bleeding associated with the injection it could make it worse.  There is no prefect answer for this problem, however, eyelid surgery - blepharoplasty or fat transposition - may help.

Darkened Purple Colour Under Eyes (Hemosiderin?) - Can I Do Juvederm?

Answers (6)

Answer: Juvederm will not cause hemosiderin darkening under the eyes

Answer: Juvederm will not cause hemosiderin darkening under the eyes

Answer: Juvederm and hemosiderin inlower eyelids

Answer: Juvederm and hemosiderin inlower eyelids

Recommended reading

Everything you need to know about Juvederm

Our mission is to create a world where every investment in modern beauty is Worth It.

Darkened Purple Colour Under Eyes (Hemosiderin?) - Can I Do Juvederm?

Answers (6)

Answer: Juvederm will not cause hemosiderin darkening under the eyes

Answer: Juvederm will not cause hemosiderin darkening under the eyes

Answer: Juvederm and hemosiderin inlower eyelids

Answer: Juvederm and hemosiderin inlower eyelids

Browse related questions

Recommended reading

Everything you need to know about Juvederm

Our mission is to create a world where every investment in modern beauty is Worth It.