Is bruising due to tear trough fillers 5 days after the treatment expected? (photo)

Question

I had juverdern fillers 5 days ago via a cannula with a registered and experienced nurse. Bruising on one side of my face has developed underneath one eye and vertically down my cheek. As the bruising developed 5 days after the filler was injected and there is the bruise on my cheek, could you please let me know if this expected or if it is something i should be concerned about? Thanks in advance for your input.

Monika Soni, MD · Answer

Thank you for your question. It is not uncommon to have bruising after injection. Juvederm is not recommend for the tear trough area because the skin is very thin and can lead to persistent swelling. I recommend having the filler dissolved with hyaluronidase, and replaced with Restylane. Please make sure you are seeing an expert injector.

Hardik Soni, MD · Answer

Thank you for your question. It is not uncommon to have bruising after injection. Juvederm is not recommend for the tear trough area because the skin is very thin and can lead to persistent swelling. I recommend having the filler dissolved with hyaluronidase, and replaced with Restylane. Please make sure you are seeing an expert injector.

Michelle Ellern, DO · Answer

Bruising is not uncommon with filler, especially under the eye.  The bruise was likely just deeper and surfaced a little later. Additionally, Restylane is a better choice for under the eyes due to ongoing possibility of swelling with the use of Juvederm in that area. If you are still concerned I would recommend following up with your injector.

Steven F. Weiner, MD · Answer

Bruising can occur with any technique. Although it was seen at 5 days, it was there prior and just surfaced. Using Juvederm for this area is not a good choice and can lead to chronic swelling. I use Restylane here with cannulas. See link.

Is bruising due to tear trough fillers 5 days after the treatment expected? (photo)

Answers (4)