Nasolabial fold darkness, what do you recommend to even out skin tone? (photos)

Question

Hey guys so I’ve had dermall filler Juvéderm in my nasolabial folds about 4 times in my life I’m 25 years old the thing is i feel like i have a darkish shadow in that are idk if it’s in my head or if it visible do i have necrosis or do i have melesma i need some profesional opinions please and also what to recommend to even out skin tone in that area. I am Hispanic. thank you

Jason Emer, MD · Answer

Hyperpigmentation can be improved with a combination of Cosmelan, lasers, Aerolase, microneedling/prp, skin lightening, peels, and skin care. Sun protection is essential. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Monika Soni, MD · Answer

Thank you for your question! After reading your previous 2 years worth of HA filler experiences, maybe you should consider only fat grafting? But you also might be a bruiser to any type of injections. Best of luck!

Kian J. Samimi, MD, FACS · Answer

Thank you for your question and photos.  It looks like what you are experiencing is called Tyndall effect.  This is caused when hyaluronic acid is injected to close to the surface of the skin.  Juvederm is a clear product and when light passes through it, the light waves scatter, causing it to appear blue.  You can do a couple of things to help reduce this: massage, attempt to express it out, or have it removed by injecting hyaluronidase.  Next time you choose to have filler, make sure it done with someone that is familar with good technique.  I hope that answers you question.

Artful Aesthetics - Oakland · Answer

It looks like you have some post inflammatory hyperpigmentation (skin's reaction to injury) after your injections, which is more common in darker skin types. Sun screen is a must. Using a skin brightening product such as Lytera, or Discoloration Defense should help.

Darryl J. Blinski, MD · Answer

After reading your previous 2 years worth of HA filler experiences, maybe you should consider only fat grafting? But you also might be a bruiser to any type of injections.

Nasolabial fold darkness, what do you recommend to even out skin tone? (photos)

Answers (5)

Answer: Treatment of Hyperpigmentation

Answer: Treatment of Hyperpigmentation

Answer: Nasolabial fold darkness, what do you recommend to even out skin tone? (photos)

Answer: Nasolabial fold darkness, what do you recommend to even out skin tone? (photos)

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.

Nasolabial fold darkness, what do you recommend to even out skin tone? (photos)

Answers (5)

Answer: Treatment of Hyperpigmentation

Answer: Treatment of Hyperpigmentation

Answer: Nasolabial fold darkness, what do you recommend to even out skin tone? (photos)

Answer: Nasolabial fold darkness, what do you recommend to even out skin tone? (photos)

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.