Looks worse after Hyaluronidase? Should I keep doing the treatment or am I causing damage? (photo)

Question

I had Juvederm under my eyes which I now know is not ideal. I had puffiness that I was able to get dissolved through multiple hyaluronidase treatments. However I now have a more obvious tyndall effect showing since the puffiness was hiding it. The last two of five hyaluronidase treatments has been to help the tyndall. However seven days out of my last treatment, it looks like the areas are even darker, bo bruise. Should I keep doing this or am I causing damage? I'm only 29.

Greg Chernoff, MD · Answer

Thank you for your question. After five doses of hyyaluronidase, you have likely received all of the benefit that you can expect. Let the area heal for several months. Have your doctor perform computer imaging for you to show you what is realistic to expect.Best wishes.

Svetlana M. Danovich, MD, PhD, FACS · Answer

Thank you for sharing your photo. Please stop injecting hyaluronidase injection. You can try RF treatment , which can greatly improve the appearance by removing the puffiness and tighten the skin under eyes.

Richard Ort, MD · Answer

I would likely stop any treatments for the time being and let the skin recover.  Eventually you could consider adding a conservative amount of filler to the tear troughs.  I prefer to inject this area with Restylane using a cannula instead of a needle.  Regards,Der. Ort

Marc Schneider, MD · Answer

Hi Jfknight,Though we have only used hyaluronidase one time over the course of 25 years in practice, we did find that the results usually take 24 hours to see.  Based on the results you presently have, my suggestion would that you stop doing any more treatments and give the area some time to settle down.

Looks worse after Hyaluronidase? Should I keep doing the treatment or am I causing damage? (photo)

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