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!

Juvederm is a fabulous injection for thicker areas of the face, and is not idea for the under eye area.  The best way to resolve the situation is to have Vitrase injected into the area to dissolve the area. It is important to wait at least one week in between injections to assess the results.  Next time I would suggest Belotero injections for the under eye area. Please consult a board certified dermatologist with a great deal of experience with facial injections for the best cosmetic results.

You may benefit from more hyaluronidase injections, but it is difficult to assess without pictures. I recommend that you see a board certified plastic surgeon for further treatment options.

Hi Nessy

The bluish tint of Juvederm is only seen in the tear trough or under eye area. This is due to injecting it too close to the skin( too superficial). The fact that eyelid skin is paper thin does not help. You need to speak to your Doctor about your concerns. There are other fillers that dont give you a bluish tint, but I am not sure whether they are available in the US.

In Australia, I use  ESTHELIS, which is a filler made by the Swiss company Anteis. I have had no bluish tints since I started using Esthelis.

Hope this helps

 

Unfortunately, this happens sometimes when Juvederm is injected too superficially. The only way to resolve the problem is by injecting  Hyaluronidase which dissolves the hyaluronic acid which is the active ingredient in Juvederm. Go back to your doctor to fix the problem.

 

"Dr.D"

Greetings~

I'm sorry to hear about your unfortunate results after Juvederm injections.  If there is any remaining Juvederm causing the bluish tint or Tyndall effect then further hyaluronidase treatments may help to eliminate it.  If some of the discoloration is staining in the skin after bruising after the procedure then further injections will clearly not help and you may consider some type of under eye cream or other mild Vitamin K based cream to help with the discoloration.  Remaining Juvederm may contribute to residual bags under the eyes or they may just be your own fat that is causing the appearance of puffiness under the eyes.  A face to face consult is always best to evaluate the best course of action.

Good luck~

Dr. Grant Stevens