Is it normal for such a dark black eye after fillers? (Photos)

Question

It’s been exactly 24 hours since injections. I got fillers yesterday Restylane, Dysport and Belotero. Very happy so far except my right eye under my eye is black! Black eye!

Philip S. Schoenfeld, MD, FACS · Answer

Perhaps the most vascular area of the face is the area beneath the eye.  I use microcannulas for injection of filler beneath the eye as it significantly reduces the incidence of bruising.  However, even with the use of cannulas I tell my patients that all injections have the potential for bruising.  The discoloration will resolve.  Be patient but make up will easily camouflage that bruise until it resolves.

Nima Shemirani, MD · Answer

Swelling and bruising is common after dermal fillers. The tear trough area is a very delicate area. I use a micro-cannula in my practice to decrease chances of bruising. Best of luck, Dr. Nima!

Aldo Guerra, MD · Answer

Hi Pixie.Yes. It's called a bruise. It is a risk of injections with sharp needles and this gets better in 7 to 10 days. Arnica cream  massage might speed up the healing process.
Good luck. Dr. ALDO

Joelle Rogal, MD · Answer

This appears to be typical bruising from injections under the eye.  I recommend following up with your injector and requesting that he/she uses a cannula (instead of a needle) next time to reduce the risk of bruising.

Monika Soni, MD · Answer

Perhaps the most vascular area of the face is the area beneath the eye.  I use microcannulas for injection of filler beneath the eye as it significantly reduces the incidence of bruising.  However, even with the use of cannulas I tell my patients that all injections have the potential for bruising.  The discoloration will resolve.  Be patient but make up will easily camouflage that bruise until it resolves.

Thomas J. Lee, MD · Answer

Thank you for your question.  Any time I perform an injectable, I warn patients that bruising can occur.  I can avoid many of the larger vessels that course across the face, however there are many small vessels running under the skin.  There is a risk every time the needle pierces the skin that a blood vessel can get injured causing blood to leak some under the skin, which is what causes a bruise.  This is particularly noticeable around the eyelids since the skin is so thin.  Fortunately they resolve on their own within a few days.

Inessa Fishman, MD · Answer

Any time the skin is punctured, whether with surgery, trauma, or asthetic injections, there is a risk for bruising.  Bruising usually results from trauma to a blood vessel, as opposed to the filler itself.  Bruising is temporary, and can usually be covered with camouflaging make-up.  A bruise may also be treated with IPL (intense pulsed light) or PDL (pulsed dye light) therapy.  Arnica and bromelain may also be used to speed the resolution of a bruise.  Bruising prevention consists of avoiding blood-thinning medications prior to injections, and avoidance of strenuous exercise and blood pressure elevations after injections.  I typically use cannulas for injections around the eyes, and while not 100% proof, I feel this modification decreases bruising in my practice.  Good luck!

Jared Mallalieu, DO · Answer

This is a little bruise and should subside within a couple of days. If your provider didn't use a cannula, ask for this next time. It is blunt tip and does not require repeated needle sticks. This will decrease the chances of any bleeding in the future. Best, Dr. M

Pamela Stuart, MD · Answer

The discoloration you are seeing appears to be typical bruising that can occur with filler injections. This may last for several days but should not affect the outcome of your procedure. From your photos, it does not appear to be Tyndal effect. But you should always check back with your physician for any concerns  Best wishes,

Jo Herzog, MD · Answer

Bruising under the eye is common and sometimes c an not be avoided with fillers. It will not effect your final result

Is it normal for such a dark black eye after fillers? (Photos)

Answers (12)

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