Can Laser help remove some or all the bluish tint left from Juvederm?

Question

I had Juvederm placed in my tear trough, I came out with highly bruised and swelling in both eyes. I gave it a month before I went back to the same injecting doctor as the swelling and dark blue has not gone down. He injected Hyaluronidase 3 x in the course of 2 months. The swelling has gone down, but I still have the bluish tint. So the doctor mentioned, laser should help minimize the blue tint. I am fair skinned and scared I may get hyperpigmentation after the laser. What should I do?

Harold J. Kaplan, MD · Answer

Hi YY.  If the color below the eyes is truly blue, then you will probably need Hyaluronidase (Vitrase) injections to complete your project.  If there is still more superficial product this could be creating the Tyndall effect and the way to remedy it would be with this injected enzyme.There is one other possibility.  I know you said you were light skinned, but If you are a light skinned medium skin type (Light Asian or Hispanic), then it's also possible you have Hemosiderin staining.  This effect occurs when you have profound bruising and can look like a brown hazy discolored area that results from the healing process after the bruise.  It's a form of PIH, Post-inflammatory hyperpigmentation and we use q-switched lasers to get rid of it.  Good luck.

Martin Jugenburg, MD · Answer

If you have any hesitation with treatment always educate yourself. You can obtain information from seeking consultations with alternate Dr's. You may find a treatment you are comfortable with that will give you optimal results.

Stephen Weber MD, FACS · Answer

If you don't trust the judgement of your injector you should seek a second opinion in person. If the bluish tint is from the product then laser will not help and you would require more hyaluronidase. If the bluish color has resulted from significant bruising and staining of the tissue then laser can help. This really requires an in person evaluation to determine what the underlying issue has resulted from. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Brian M. Harmych, MD, FACS · Answer

This is a relatively uncommon complication of Juvéderm injections. The blue discoloration is a phenomenon called the Tyndall effect. This sometimes occurs when the hyaluronic acid filler is injected either too superficially or in an area where the skin is thin. In many cases, hyaluronidase will resolve the issue. But, in rare cases this does not work. I do not believe a laser would resolve this issue. Rest assured that this should resolve with time.

Parker A. Velargo, MD, FACS · Answer

Without seeing photos or you in person, it sounds as though you are describing the Tyndall Effect. The Tyndall effect occurs when light strikes filler that is too 
superficially placed through the skin.  It is easily corrected with 
hyaluronidase, which can be injected to dissolve the filler that is 
showing through.  Lasers do not correct the Tyndall effect.   It can be avoided with proper injection technique.  
It's not worth waiting for the product to go away on its own as this can
 be a very long time (a year or more).  Be sure your physician is an 
experienced "core" injector (facial 
plastic surgeon, plastic surgeon, dermatologist, or occuloplastic 
surgeon).  This is because we all have a keen understanding of facial 
anatomy and the effects of injecting fillers in different
 regions of the face.  I wish you well!

Can Laser help remove some or all the bluish tint left from Juvederm?

Answers (6)

Answer: Blue discoloration to the skin after injection of Juvéderm

Answer: Blue discoloration to the skin after injection of Juvéderm

Answer: Can Laser help remove the tyndall effect from Juvederm?

Answer: Can Laser help remove the tyndall effect from Juvederm?

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Can Laser help remove some or all the bluish tint left from Juvederm?

Answers (6)

Answer: Blue discoloration to the skin after injection of Juvéderm

Answer: Blue discoloration to the skin after injection of Juvéderm

Answer: Can Laser help remove the tyndall effect from Juvederm?

Answer: Can Laser help remove the tyndall effect from Juvederm?

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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.