What to Do with Bluish Tint and Puffy Bags Below Eyes After Juvederm?

If you had times where you noticed that your lower eyelids swelled before your injections, then it is common to be very swollen after.  The injected product, blue color and swelling can significantly be improved in many people with the use of hyaluronidase injected into the area. I would not continue the TriLuma if there is no hyperpigmentation but only the bluish color from the filler. The redness should decrease some time after the TriLuma is stopped.

This is a common problem with superficial injection of a hyaluronic acid gel filler (Juvederm or Restylane) in this area. The filler sounds like it was injected just under the thin lower eyelid skin and is showing through with the bluish tint (tindle effect) and the edema. All of these fillers absorb water and can cause this swelling. The good news is you can have it reversed with the injection of hyaluronidase which dissolves the product. You may need more of this with Juvederm as it is more stable than Restylane. I hope this helps.
Dr. Trussler

Hi Lynn,
Too late now, but in the future only have Restylane injected in lower eyelid area as Juvederm sometimes has too robust of a response in this delicate area. Your physician may consider injection of hyaluronidase to attempt to dissolve some of the Juvederm. Otherwise it will just take time for the swelling to resolve.
Good luck and be well.
Dr. P

Thank you for your question. It is most likely the bluish color you are experiencing is called the Tyndell effect and happens when the Juvederm is injected to superficially. Because Juvederm is a hydrophilic filler, meaning it attracts water I do not always recommend it for the tear trough area (under the eyes). Juvederm can be dissolved with an enzyme known as hyaluronidase. I recommend seeking a new injector who is experienced with dermal fillers. Best of Luck!

If the bluish tint appeared following the juvederm injection, it is likely caused by the filler and can be reversed by dissolving the filler with hyaluronidase.  It may be worthwhile to dissolve the filler and then have it reinjected to achieve the results you seek.  The important thing of having fillers injected is to remember that the skill of the injector determines the outcome.  Please consult with a board certified specialist who can assist you in achieving the results you seek

Too much and too superficial.  I disagree that Restylane is the only choice here.  Juvederm works wonderfully in my hands at the tear trough, but it should be injected in very small volumes (0.2cc per side typically) and all the way at the level of the bone.  Superficial injections are safe and effective in the lips and nasolabial folds but around the eyes it needs to be placed deeply, allowing your normal soft tissue to elevate delicately and soften the hollows.  Make sure the next go around see a Board Certified Facial Plastic Surgeon or Plastic Surgeon to ensure high quality results.

The blue color may be from the product being injected just underneath the skin.  This can be dissolved with hyaluronidase. The swelling could be from the product. Some people are more prone to swelling.

If these bags did not have a bluish tint or were not puffy before, it might be the product, and that can be dissolved by your doctor. If you just had treatment, it may be minor swelling from the injections and will go away on its own.

A bluish-color after the injection of a hyaluronic acid filler, such as Juvederm, is known as the Tindle Effect.  This usually occurs when the product is injected very superficially in the skin.  In time the body will degrade the filler itself and the color will likely improve.  However, the use of hyaluronidase will quickly dissolve the product.  You should contact your Dermatologist or Plastic Surgeon for an evaluation.

The blue discoloration is the Juvederm.
Have the juvederm disolved.Then wait and see if this improves. otherwise see a BOARD CERTIFIED PLASTIC SURGEON.
Triluma is not the treatment