Removing Discoloration After Juvederm Injection on Darker Skin?

Question

Hello, I received a Juvederm injection under my eyes 3 weeks ago. One week later, I noted a perpetual blue-brown pooling/circle like ring around one eye. And more like a line down another. I have attached a picture.My injecting doctor, well-known in this area has attempted to used a little hyaluronidase to take away some of the Juvederm. This has done little to improve it, and said it might be hemosiderin staining. What can be done about this, as I was told some lasers are unsafe on darker skin? Is this permananent?

Ron Shelton, MD · Answer

I do not see an attached photo, sorry. Regardless, if the darkness is related to the product, then more hyaluronidase may be helpful. If there is product that is felt as an excess when the skin is squeezed between two fingers, then it might e extracted by making a very small needle prick or incision, by the doctor. Please don't try this yourself as it may cause a bad infection without the sterile supplies. hemosiderin is rare to last long on the face, but post inflammatory hyperpigmentation from trauma might last for many months. The latter might improve with a lightening cream that can be prescribed, but your dermatologist would have to make that determination. Treating post inflammatory hyperpigmenation with lasers in skin of color, often creates darker skin as a reaction and I would avoid this unless all other treatments that are considered safe are tried first. Good luck.

Jeffrey Weinzweig, MD, FACS · Answer

The discoloration your are experiencing is from the tyndall effect. This happens when the fillers were placed too superficial. You might want to consider another treatment with hyaluronidase to remove the rest of the filler. There are also several products on the market that help with undereye dark circles by constrictuing the blood vessles there. That might also help. Finally, keep in mind that you are only 3 weeks following the procedure. It may just take a few more weeks for this to resolve.

Hratch Karamanoukian, MD, FACS · Answer

Lasers will not help with this problem, especially with darker skinned individuals in general, and specifically, this is a well described phenomenon known as the Tyndall effect with light refraction and if hyaluronidase did not help, extraction may help (MAY). Restylane is more suitable for injection in the tear trough areas.

Steven Wallach, MD · Answer

The bluish hue is formthe tyndall effect of the product being too superficial. If hyaluronidase did not help, you may need the product extracted with a needle.

Nissan Pilest, MD · Answer

Injecting Hyalouronic acid fillers superficially can cause this bluish discoloration called the TYNDALL effect
This is generally treated by extracting the product  with a small needle (DONE BY YOUR PHYSICIAN) and injection of Hyaluronidase.
This treatment may have to be repeated for this material to dissolve totally.

Removing Discoloration After Juvederm Injection on Darker Skin?

Answers (7)