Grey Area at NL After Juvederm Ultra Plus Yesterday?

It is difficult to give you precise advice without performing an exam. This can occur if the filler is injected superficially. I would recommend following up with your provider, as they will be able to give you the best advice. I hope this helps, and I wish you the best of luck.

The discoloration you see is the Juvéderm injected superficially in the upper dermis or just below the epidermis. If your physician was trying to correct a crease in the skin of the NLF then s/he was trying to place the filler more superficially. If you do not have a crease in your NLF, then this occurred by accident. But it did not migrate there.
The coloration you see is called the Tyndall effect – it is light scattering caused by particles in a colloid, suspension, or emulsion. In the case of hyaluronic acid gel fillers, the light penetrates the skin and is scattered by the gel, producing a bluish-gray coloration.  This can happen in any location where the filler is placed superficially in the skin.

This may improve a small amount with time, but it is unlikely to go away. I would allow a few weeks for swelling to resolve and the filler to ‘settle in’. At that point, if the Juvéderm is still visible, which it likely will be, see your physician. This is an easy problem to correct, and a small amount of hyaluronidase can be injected to breakdown the product in the area of concern.

Best wishes, Ken Dembny

   If the Juvederm was injected superficially, the area can have this appearance.  Go back to your injector to determine if a hyaluronidase injection is necessary.  Kenneth Hughes, MD Los Angeles, CA