Half Moon Under Eye? (photo)

Question

I had Juvederm, another Dr dissolved some areas then re-injected the area shown a week later (in Jan). Now, I have a puffy patch and a dark half moon shaped line... The Dr says that it's a long lasting bruise but another Dr consulted said that it's a 'sausage' with Tyndall Effect. Thoughts?

Harold J. Kaplan, MD · Answer

Hi HK.  In our opinion, it looks more like a long term bruise (hemosiderin staining) than the Tyndall effect.  In the picture the area does not look like a light blue or grey hazy color that is normally seen with the Tyndall effect.  

	You may seek out a prescription for hydroquinone - 4% - 6% - and we also use q-switched lasers to fade this kind of long term bruising.  Good luck.

Itzhak Nir, MD, FACS · Answer

The area that you see around the eye is most likely not a bruise but related to the swelling from the Juvederm. I have noted in my practice that juvederm stays "Puffier" than the other HA fillers for a longer period of time. That is a great thing when you want it, but not great if it makes you unhappy.  For this reason I do not use Juvederm around the eye area, but Restylane instead. In my hands around the eye area the results are better with it. To solve your problem you either have to "wait it out" or have Hyaluronidase injected.

Mireille Chae, MD · Answer

It would be unusual to have a bruise remaining after 3 months.  I suspect this is a tyndall effect of the Juvederm in the skin.  You also note that this area is  puffy.  This is likely the Juvederm in your skin.  If you are not happy with the appearance, you could have the Juvederm dissolved with hyaluronidase or you could wait it out for it to be absorbed naturally. 

	(This answer is not intended nor implied to be a substitute for medical advice.  It is posted for patients’ general education only.  Always seek the advice of your physician or other qualified healthcare provider for further evaluation of your individual case.)

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

That would be a pretty significant bruise. Did you have a bruise there at all to begin with? It seems more like the Tyndall effect, based on the shape and color especially. Over time as the filler is absorbed it will go away, or you can have it dissolved with an enzyme called hyaluronidase.

Half Moon Under Eye? (photo)

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Answer: Half moon under eye

Answer: Half moon under eye

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Half Moon Under Eye? (photo)

Answers (4)

Answer: Half moon under eye

Answer: Half moon under eye

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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.