IPL or Tri-Luma for Under Eye Hemosiderin Stain After Juvederm?

Question

Does IPL or Tri-Luma help correct hemosiderin stains? I ended up with severe bruising after Juvederm injections under my eyes.  Thanks.

Edward Buckingham, MD · Answer

Pulsed dye laser is your answer.  It works remarkably well for bruising.  Some physicians are not familiar with this technique.  The settings are 10 mm spot size, 6 ms pulse duration and 6 mj of energy.  You won't see much change immediately, but within a few days you'll see the bruising start to resolve.

Harold J. Kaplan, MD · Answer

We agree with Dr. Buckingham and use the pulsed dye laser for under eye bruises after injections. Normally these bruises can be resolved within 2-3 days after treatment whereas without treatment, they may last for months.

Raffy Karamanoukian, MD, FACS · Answer

The eyelid discoloration after Juvederm was most likely present to some degree before the Juvederm injection, but highlighted after filliing of the area. The pigmentation is a combination of hemosiderin and melanin. I generally treat these with Hydroquinone for the melanin pigmentation and a combination of chemical peeling, Retin A, and topical Vitamin C. This generally improves the discoloration. 
The Q switched laser can also improve hemosiderin deposits.

Michael A. Persky, MD · Answer

Hi Rian,
I would allow time to take its course.  Use warm compresses twice a day.  If after a few months you still have a problem, then consider alternative treatments.
Use Arnica before your next injections.  Be well.
Dr. P

Mary P. Lupo, MD · Answer

If that is indeed the problem (hemosiderin) a laser that targets blood might be best. IPL is non-coherent and has some absorption by blood. Triluma bleaches melanin and is excellent for sun damage and melasma. Frankly, I have never seen filler cause hemosiderin stain, even with severe briusing,  since the circulation to the face is so excellent. I'd be sure this is indeed the problem before you do something that could have other complications.

IPL or Tri-Luma for Under Eye Hemosiderin Stain After Juvederm?

Answers (6)

Answer: Juvederm Under the Eyes and Bruising

Answer: Juvederm Under the Eyes and Bruising

Answer: Triluma helps melanin, not hemosiderin

Answer: Triluma helps melanin, not hemosiderin

Recommended reading

Everything you need to know about IPL

Our mission is to create a world where every investment in modern beauty is Worth It.

IPL or Tri-Luma for Under Eye Hemosiderin Stain After Juvederm?

Answers (6)

Answer: Juvederm Under the Eyes and Bruising

Answer: Juvederm Under the Eyes and Bruising

Answer: Triluma helps melanin, not hemosiderin

Answer: Triluma helps melanin, not hemosiderin

Browse related questions

Recommended reading

Everything you need to know about IPL

Our mission is to create a world where every investment in modern beauty is Worth It.