Discoloration of Skin in Area of Injections - Botox & Juvederm Combination

Hi MM.  Sorry to hear about this negative experience.  If the bruising has left a darker colored area and you are also olive skin tone or darker, it could be related to a condition called hemosiderin staining.  This condition happens more frequently with sclerotherapy (vein injections) but we have seen it in the face before as well.  The profound bruising causes some more permanent brownish discoloration.  

We have treated this condition successfully with q-switched Nd:Yg lasers so if your injector thinks this is what he/she is seeing, this is definitely an option.

Alternatively, if the color is blueish in nature, it could be the Tyndall effect.  This is caused by superficial placement of hyaluronic acid products like Juvederm.  Normally this will go away in several months, but you may consider getting Vitrase injections to reverse the effects of the Juvederm if the area is bothering you too much to wait.

Redness does not seem consistent with coloration for 2 weeks after injection so you should ask your injector about this.

bruising is not uncommon after some fillers and less so with Botox.  Bruises tend to fade in two to three weeks but post inflammatory hyperpigmentation may take months or more to fade. Some people's skin shows a sensitivity that heals with fine capillary blood vessels and this redness can take a long time to go away.  keep out of the sun! V-beam laser can minimize the redness quickly if it is a persistent problem.

If you bruised so badly than this COULD be a stain deposit of the blood. Best to be seen by the injecting doc to discuss and treat.