How Do I Get Rid of the Bluish Tint That Juvederm Left Under my Eyes?

Hi Nessy,
The question about whether or not to return for Hyaluronidase injections depends on a few things.
1. How long has it been since the last hyaluronidase (Vitrase) injection?
2. Does your practitioner believe that the bluish tint is bruising or the Tyndall effect from superficial Juvederm?
3. Did the previous hyaluronidase injections produce results?
If it's been at least 7 days since the last injection, the bluish tint is a product of superficial Juvederm and the previous injections produced a reduction in the bags, then we would probably suggest considering more.
If the bluish tint is caused by bruising you may want to consider finding a physician that uses pulsed dye lasers as a quick treatment can eliminate the bruising within 48 hours. Good luck.

Juvederm is a hyaluronic acid dermal filler that’s
associated with excellent clinical results and high levels of patient
satisfaction. When these fillers are
used to treat tear trough deformities, they’re occasionally associated with
complications. Under these circumstances
bumps, lumps and bluish discoloration of the skin can occur as a result of
superficial Juvederm injections.Although
your pictures are helpful, it’s virtually impossible to make a recommendation
without a physical examination. Despite
five rounds of hyaluronidase treatments, it’s possible that you might need
additional treatment. It’s important to
remember that with time, most of the excess Juvederm will absorb and you will
eventually return to your old baseline.

The tear trough areas, right under your eyes, is
very delicate. I would recommend that you try a small amount of volbella, which is a very fine product, and
can help to soften the hollowness under your eyes, without leaving lumpiness.

Aloha Nessy,
Sorry to hear about your bad experience. Time should get you back to normal again. If the dark circles under your eyes are newly formed after your injections then they may be due to residual bruising. In that case, warm compresses once an evening may be helpful. I also agree with everything that Dr. Gilman has advised. Be patient, time is your best friend. When you get the chance, please take a swim in that beautiful Hawaiian ocean for me. Mahalo and be well.
Dr. P

Thank you for your question. It is most likely the bluish color you are experiencing is called the Tyndell effect and happens when the Juvederm is injected to superficially. Because Juvederm is a hydrophilic filler, meaning it attracts water I do not always recommend it for the tear trough area (under the eyes). Even after 5 treatments of hyaluronidase it can still be possible that some Juvederm remains and you may require additional treatments. It is best to note that Juvederm is not permanent and will dissipate over the next 6-12 months. I recommend having a follow up with your injector for an evaluation and treatment. Best of Luck!