I Had Severe Bruise After Tear Trough, After 4 Weeks I Can Still See Brown Mark, Is It Permanent? (photo)

Doctor Answers 3

Long lasting bruise

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I've had a FEW LONG lasting bruises, 2-3 months. Especially in the lower eyelids. Probably just some good ole' healing "bad luck". Patience for now. Perhaps Arnica if your primary doctor OKs this. Arnica is known for its anti-bruising properties. Its not much bet might give you a sense of doing something while time passes. Best of luck!

Salt Lake City Facial Plastic Surgeon

Blood pigment

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This is likely a by product of red blood cell breakdown. Though bruising usually resolves within a few weeks, sometimes it by product staining [iron based] can last a few weeks up to a few months.

This usually improves with time, so I recommend patience for now. There is photofacial therapy [IPL] that can help if you are not satisfied with the progress.

A.J. Amadi, MD
Seattle Oculoplastic Surgeon
5.0 out of 5 stars 42 reviews

NO SUN byVillar

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Bruising usually resolves but in some patients the iron cannot be reabsorbed from the area, leaving brown staining.  If you do not protect the area with #30 or above sunscreen, some patients get over stimulation of the melanocytes from the inflammatory  effects of the bruising.  This results in brown hyper-pigmentation that may take months of topical lightening agents to remove.  It is sometimes permanent.  Best wishes. Knowledge is power.  Luis F. Villar MD FACS

Luis Villar, MD, FACS
West Palm Beach Plastic Surgeon
4.4 out of 5 stars 11 reviews

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