How Long Will It Take to Heal from Hemosiderin Staining Resulting from Juvederm Injection to the Under Eye Area? (photo)

Question

I had Juvederm injected in my cheeks 6 weeks ago. I was bruised badly. Had a hematoma. 4 weeks ago I had it dissolved with Vitrase. I still have the bulge under my eye, deep pronounced crease and discoloration in the crease right exactly where the bruise was. My doctor doesn't know what it is and suggests IPL treatment. I'm horrified. I got so many wrinkles under my eyes that I never had and this horrible looking eye. Please help!

Brian S. Biesman, MD · Answer

Hemosiderin staining refers to brownish discoloration near the skin's surface.  It occurs as a result of the breakdown of blood breakdown products and therefore usually occurs following surgery, injection of fillers, leg veins, trauma, etc.  The discoloration is caused by iron deposits.  Left on its own, hemosiderin staining resolves extremely slowly.  Topical creams and treatments are not of benefit in treating this condition.  Q-switched laser treatment (the same type of laser used to remove tattoos) typically produces excellent clearing of hemosiderin staining in 1-3 treatments.  There is little recovery time and the risk of treatment is low.

Kenneth Hughes, MD · Answer

If there is an additional product, degrade with the enzyme until it is gone or made less noticeable.  Then, reinject the area below that with Restylane.  If this truly a bruise remnant or hemosiderin deposit it should continue to improve.

Harold J. Kaplan, MD · Answer

Hi Alenka.  We have successfully treated patients with your issue before using q-switched lasers.  The treatment is akin to removing dark scars from trauma but the issue lies deeper because of the original vascular component (the bruising).  

	We are also in Orange County, and we offer a free consultation.

Sam Naficy, MD, FACS · Answer

Everyone is different, so that is a difficult question to answer.  But it will fade over time from weeks to months.  The bigger issue is that you see the deep groove which my be casting a shadow and making it look darker than it actually is.  We I Juvederm is not the best product for tear troughs we have found.  You might consider having the area re-treated after you are sure all the previous product is removed using Restylane or Belotero. We have also had good results using a blunt cannula in that area which produces less risk of bruising.

Hratch Karamanoukian, MD, FACS · Answer

Thank you for your Q and the pics.Hemosiderin staining can be treated with Q switched lasers.BestDr. Karamanoukian#RealSelf100 Member

How Long Will It Take to Heal from Hemosiderin Staining Resulting from Juvederm Injection to the Under Eye Area? (photo)

Answers (8)

Answer: How long for hemosiderin to clear after a bruise?

Answer: How long for hemosiderin to clear after a bruise?

Answer: Hemosiderin staining after fillers can be treated with Q switched lasers

Answer: Hemosiderin staining after fillers can be treated with Q switched lasers

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How Long Will It Take to Heal from Hemosiderin Staining Resulting from Juvederm Injection to the Under Eye Area? (photo)

Answers (8)

Answer: How long for hemosiderin to clear after a bruise?

Answer: How long for hemosiderin to clear after a bruise?

Answer: Hemosiderin staining after fillers can be treated with Q switched lasers

Answer: Hemosiderin staining after fillers can be treated with Q switched lasers

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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.