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

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.

Doctor Answers 3

Bruising after Filler in the Tear Trough

December 26th, 2016
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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. 

Web reference: http://www.myethosspa.com/services/dermal-fillers/juvederm/

Hardik Soni, MD


Summit Emergency Medicine Physician
5.0 out of 5 stars 46 reviews

December 26th, 2016

Bruising after Filler in the Tear Trough

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

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. 

Learn more: http://www.myethosspa.com/services/dermal-fillers/juvederm/

Hardik Soni, MD


Summit Emergency Medicine Physician
5.0 out of 5 stars 46 reviews

Bruising after filler

November 17th, 2016
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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.

Michelle Ellern, DO
November 17th, 2016

Bruising after filler

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

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.

Michelle Ellern, DO

Bruising after tear trough Juvederm

November 16th, 2016
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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.

Web reference: https://stevenfweinermd.wordpress.com/2015/05/03/why-juvederm-is-not-a-good-choice-for-the-tear-trough-or-eye-area/

Steven F. Weiner, MD

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.7 out of 5 stars 44 reviews

November 16th, 2016

Bruising after tear trough Juvederm

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

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.

Learn more: https://stevenfweinermd.wordpress.com/2015/05/03/why-juvederm-is-not-a-good-choice-for-the-tear-trough-or-eye-area/

Steven F. Weiner, MD

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.7 out of 5 stars 44 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.