I would suggest that you schedule a consultation with another board certified plastic surgeon in your area to have the filler reversed.
Please reverse the filler with hyaluronidase if you are unhappy and see an expert for treatment options. Best, Dr. Emer.
It is quite simple, the Voluma needs removal. It is overfilled on the right side. I can't see bluish tint but that is all the more reason to remove. She is not answering you because she doesn't know what to do. Please go to a more qualified office and get removed. Voluma is not the best for this area. I prefer Restylane. I also use a cannula so the bruising is minimized.
It is difficult to assess from the photo and it may be Tyndall effect from the product. In that case you would need to have the product removed with Vitrase to correct the problem. Please consult a board certified dermatologist who is an expert in Voluma to assess the area. Best, Dr. Green
Your question is listed under the Voluma section but you are talking about Juvederm in your question so I'm slightly confused. That being said, Voluma itself although more rare, can cause a Tyndall effect if placed superficially; Juvederm on the other hand nearly always does when I see it placed under the eyes. It's just not a good filler to use there because of this and what you are describing is most definitely the Tyndall effect. You can have the filler removed with hyaluronidase."This answer has been solicited without seeing this patient and cannot
be held as true medical advice, but only opinion. Seek in-person
treatment with a trained medical professional for appropriate care."
Thank you for your question. I am sorry to hear that you are still having some slight discoloration under your right eye. The color you are seeing is likely due to Tyndall effect - without seeing your pre-procedure photos, or conducting an in-person examination, that is. Tyndall effect occurs when the filler is placed slightly too superficially, or when the tissues aren't thick enough to adequately conceal the product. For this reason, I tend to use Restylane or Restylane silk under the eyes - I find that, at least in my hands, there is a lower chance of Tyndall. Lasers, etc., will likely not help as the problem is mainly with the product. If it continues to bother you, you can either wait for it to dissolve, or have hyaluronidase injected in that location to dissolve the product a bit. Best of luck!
That is a Tyndall effect from a hyaluronic acid filler. Hyaluronidase injection to fix the problem but you will dissolve the filler.
In my opinion based only on the picture (a physical exam is more reliable) that is a Tyndall effect from a hyaluronic acid filler. Normally, I would suggest you go back to the injector, as an injector would normally use an enzyme called hyaluronidase injection to fix the problem at no charge. Since she won't return your calls, I suggest you go to a different injector to have this corrected, one that is a board certified dermatologist or plastic surgeon. Otherwise, you may be living with it another couple of years. They may ask a fee for removing something that they didn't inject in the first place, or they may do it as a courtesy visit. Injectors vary greatly in this subject. I wish you the best of luck.