Permanent bruise from Juvederm. Could it be hemosiderin? (Photo)

over a month ago, i hqg juvederm. result was lumpy and i had a faint bruise that wouldnt go away. after three wks i strted hyqluronidase, it lessened the bump but not the color. i did three hyqluronidase, no effect on the color (now it looks darke bc i did bruise a little in the area. i bruise and swelled while i was bing injected w juvederm. may be the blood tattoed my skin? could it be hemosiderin? shall intry medlite if in a week it doesnt change?

Doctor Answers 4


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bruising can cause hemosiderin deposits under the skin that will appear as brown /yellowsih brown dots. its very likely that those will fade over time. but it can take a few weeks to months for those to fade away. next time you can try taking Arnica a few days prior to your injections. Im not sure if Arnica will help at this point but something you can talk to your doctor about 

New York Dermatologic Surgeon
4.9 out of 5 stars 32 reviews

Bruising from Juvederm NYC

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I would return to my treating physician for examination.  Perhaps the V-Beam or Arnica can help this area heal faster.  Please keep us posted.  Best, Dr. Green

Bruising after Juvederm

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You have had several injections in the area, which can contribute to bruising and swelling. While hemosiderin deposition is possible, it is early to assess and most commonly occurs with bigger bruises. The bruising may improve with more time. Arnica and warm compresses may help. If you want to get rid of the bruised appearance faster, you could try laser treatment (such as the Lightpod Neo or other selected lasers ) to destroy the pigment. 

Nicole Kafka, MD
New York General Surgeon

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Permanent bruise from Juvederm. Could it be hemosiderin?

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Thank you for your question and photographs and I am sorry that the bruising has caused you concern.  Though it has been a month it sounds as if you have had repeated episodes of injections that may have caused this prolonged/repeated bruising.  I would use a topical arnica gel alternating with warm compresses to help speed along the resolution of the bruising.  Though hemosiderin deposition is possible with any bruise, it normally develops in cases of a severe bruise or hematoma formation.  Voice your bruising concerns to your surgeon, they should be able to provide your with treatment alternatives and reassurance.  

Nelson Castillo, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 80 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.