I Got a Hematoma Under my Eye from Juvederm Injection, What Can I do?

Question

It's been two weeks and it's still pretty dark. I'm very scared I've done some permanent damage. How much longer can I expect? The healing has been very slow. Anything I can do?

Grace Liu, MD · Answer

Hi,

	Injecting into the tear troughs with Juvederm runs a real risk of a hematoma.  The best way to minimize the risk is to stop any aspirin, fish oil, omega-3, flaxseed oil, or any other blood thinners 10 days prior to your injection.  The product must be placed deep to avoid the superficial vessels and to avoid any bumpiness.  If you have a large hematoma, consider taking Sinecch which is a great form of arnica and bromelain commmonly used by plastic surgeons after face lifts for bruising.  A true hematoma will take several weeks to resolve but will resolve faster with Sinecch.

	 

	Best,

	Dr. Liu

Grant Stevens, MD · Answer

Greetings~

	Sorry to hear about your bruising. Bruising around the eyes after filler is not uncommon.  We have found Traumeel or Arnica Cream very helpful for bruising as well as oral arnica preparations.  Unfortunately, the bruising can take a long time to dissipate (a number of weeks).  In the future, try to minimize or eliminate aspirin, ibuprofen, vitamin E, fish oil, gingko, co Q10, alcohol and any other substances that may increase bleeding for 2 weeks prior to treatment. Start the oral arnica 2-3 days prior to treatment.

	Good luck~

	Dr. Grant Stevens

Sheri G. Feldman, MD · Answer

Bruising ( a hematoma) is fairly common with any type of fillers under the eyes. It usually resolves within a few weeks, but if the bruising was extensive, the resolution may take longer. If you are seeing a persistent bluish discoloration this may be the actual filler itself. The bluish discoloration is due to the Tyndall Effect. If this is the case, you may want to return to your injector and ask that the filler be dissolved with Hyaluronidase.

Micki Ly, MD · Answer

go back to dr first

	 

	call mfg to ask if this is related to product

F. Victor Rueckl, MD (in memoriam) · Answer

The skin under the eyes is extremely thin and can easily bruise. For this area, we often recommend people start taking Arnica pills a few days before the treatment and continue taking it for a few days after. You can also use Arnica cream on it. If the area is actually swollen and bruised, you can continue to ice it, which will also help. If you have a bluish coloring there, or a whitish coloring, that's actually the filler showing through, not bruising. I don't like using Juvederm under the eyes because this is a side effect that often happens if the Juvederm isn't injected deep enough.

Mitchell Schwartz, MD - Account Suspended · Answer

The typical side effects associated with hyaluronic acid injections such as Juvederm or Restylane include bruising, redness, swelling and pain. These occur in as high as 90% of patients and usually resolve within one week. It is not unheard of for bruising to last many weeks, especially around the eyes. None of this, however, is permanent.

I Got a Hematoma Under my Eye from Juvederm Injection, What Can I do?

Answers (6)

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