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need serious help-juvederm blue streak? Options · View
laurad
Posted: Friday, July 09, 2010 3:36:55 PM
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I got juve mon afternoon and I am developing some blue streak, almost like a half circle. its really awful and I just want to know is this permanent and how can i get rid of it? i cant see my doc til monday
Page
Posted: Friday, July 09, 2010 4:03:50 PM
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laurad: Don't panic..I have had areas where juvaderm caused a blue tint and it has been temporary. Like less than 6 weeks...what area is this?
laurad
Posted: Friday, July 09, 2010 4:12:29 PM
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[quote=Page]laurad: Don't panic..I have had areas where juvaderm caused a blue tint and it has been temporary. Like less than 6 weeks...what area is this?[/quote

Hi page good to hear! Its like a blue green colour but its dark and seems to be worse than ever today and I got it done monday. The area injected was the cheeks but this goes from under my eye down to my cheeks like a half moon. Also I can't cover it up with foundation and my mother noticed it so its very noticeable. In the event this is permanent is there any laser that can get rid of it or will hyraulnaise get rid of it?
Kimberly
Posted: Friday, July 09, 2010 4:22:51 PM
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Im still dealing with a blue streak 14 months later! Ive went to a dermatologist (not the injector that did it) on monday, and she said that she was personally weary of hyraulnaise. So at this point I need to see the injector, get her opinion and then weigh up my choices :(
laurad
Posted: Friday, July 09, 2010 4:40:33 PM
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Kimberly wrote:
Im still dealing with a blue streak 14 months later! Ive went to a dermatologist (not the injector that did it) on monday, and she said that she was personally weary of hyraulnaise. So at this point I need to see the injector, get her opinion and then weigh up my choices :(

has it improved at all? Have you looked into laser?
rev3
Posted: Friday, July 09, 2010 5:50:11 PM
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Kimberly wrote:
Im still dealing with a blue streak 14 months later! Ive went to a dermatologist (not the injector that did it) on monday, and she said that she was personally weary of hyraulnaise. So at this point I need to see the injector, get her opinion and then weigh up my choices :(


hey laurad and kim

had a similar situation in september
ps injected upper cheek (lower tear trough)

and it was blue immediately. i asked her to inject hyaluronidase but she said she was wary of the product and that it was a bruise and will fade in time.

in my gut i felt it was product though...
she told me to massage it gently to speed up recovery

so i massaged it and it got darker! i thought i might have massaged it too deeply and caused it to bruise more...so i left it alone for four months and "the bruise" did not improve

when i went back for some more juve to another area the whole area blew up like a sausage and was grey...again she said it was a bruise and give it time...
two weeks later i went back and asked her to inject hyaluronidase she said she doesn't have any and (once again) doesn't like to use it (aka never used it) but will order some or find me a doctor who has some...

the next day i booked an appt with another dr. (dr. white) who uses it all the time to take a look at the sausage under my eye

i asked him about his reservations with hyaluronidase...he had none and said that it would only remove the product that was incorrectly placed.

he injected "the sausage" and said come back next week and we will see if more is needed... by that night the sausage was gone!!!! after two weeks of hesitation about hyaluraonidase, it was gone in a matter of hours! i went back the next week for a little more to make sure all of the juve was gone and also told him the story about this "blue" streak running across my cheek since september.

(finally getting to the gist of my story....)

i told him that my ps said it was a bruise. he said a bruise would not typically last 4 months...i asked if he would inject it with hyaluronidase to see if it disappeared. he did without reservation and after 4 months of living with that blue streak, it was GONE upon injection!

i guess doctors who use this product and do injections exclusively understand its place with injectables

i went back to my original ps and told her and showed her. she was glad i did it and i can tell was remorseful....she is a great lady and a wonderful doctor...it's just that injectables are only about 20% of her practice. i suggested that she invest in some hyaluronidase, not only if this occurs with another patient but also if another patient regrets the placement of any hyaluronic product and wants it removed. she said she would and also wanted a card of the doctor who fixed my issue. possibly to recommend him to her patients who need this done. she is a great woman...

long story but i hope this helps. seems that docs who don't use hyaluronidase try to dissuade their patients for wanting it by enumerating the dangers of it...but in experienced hands it seems as safe as saline...

hope this helps
DCNGA
Posted: Friday, July 09, 2010 6:13:10 PM
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Investing it the enzyme will not help her to become skilled with it and I would NEVER let just anyone use it on me. It takes a skilled, experienced doc to use it properly. Dr. White is highly skilled and knows how to use the stuff. My derm does as well and he's the only person I would let use it on me. I've had the enzyme once.

http://www3.interscience.wiley.com/journal/118708694/abstract?CRETRY=1&SRETRY=0

http://www.skinandaging.com/article/6761

Quote:
However, we strongly emphasize that hyaluronidase should not be thought of lightly, as simply an “antidote” for novice injectors in any area. Proper training, knowledge of anatomy, an understanding of injection techniques and precise placement are critical factors with any injectable cosmetic product.


The greatest way to live with honor in this world is to be what we pretend to be. ~Socrates~ (I pretend to be a cat with a lime carved as a helmet on my head)



Chris K
Posted: Friday, July 09, 2010 6:27:26 PM
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laurad wrote:
I got juve mon afternoon and I am developing some blue streak, almost like a half circle. its really awful and I just want to know is this permanent and how can i get rid of it? i cant see my doc til monday







if i were you, i would head to your doctor asap. maybe necrosis, or the beginning of gangrene. could turn into septic shock. frankly i am concened.

in the meantime, if the cosmetic part is bothering you, just dab some dermablend on the blue spot. a little cover up should help your nerves until you get to the doctor. hope this helps. a little tea tree oil could help if infection starts. put the tea tree oil on first, then dermablend, then an ice pack for swelling. make sure the ice pack isn't too cold or this could cause redness. you don't want red and blue colors.
Bugjune
Posted: Friday, July 09, 2010 7:14:46 PM
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rev3, That is an amazing tale. Even though your PS is wonderful in one area and remorseful in the other, she is not the person to go to for future injections. She ought to recognize that and revise her budget for NO injectible revenues coming in. But I am SO glad you got your sausages and blue streaks resolved! Very encouraging.

I also had noticeable bluish bulges in my tear trough from Juvey Ultra injected there. I just lived with it, chalking it up to the Tyndall effect. I have thin, pale skin, so hey. Whatever.

It's been just over a year since my tear troughs were injected, and there is no bluish bulge there now - so perhaps it's faded?

Laurad: I wouldn't panic yet. But you may need a second opinion on what's causing that discoloration, so you can put your mind at rest. I would NOT rely on the original injector to tell you what's going on. That person will just cover their lame ass and brush it off. Or am I just jaded?

I Bug U
MissJ
Posted: Friday, July 09, 2010 9:17:41 PM
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That is called the "Tyndall effect". Has to do with WATER scattering BLUE LIGHT. So if the product is too close to the surface (and the hyaluronic acid ATTRACTS water-), that's where the blue effect comes from.
Resty and Juve (hyaluronic acid products that attract water) can be taken down with an enzyme; hyaluronase.




laurad wrote:
I got juve mon afternoon and I am developing some blue streak, almost like a half circle. its really awful and I just want to know is this permanent and how can i get rid of it? i cant see my doc til monday


Concord MA celebrating freedom from British rule .


MissJ
Posted: Friday, July 09, 2010 9:22:40 PM
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Maybe your PS should just stick to doing plastic surgery and not injecting. Or maybe you should just stick to a good derm who does a lot of injecting instead of having your PS do it.




rev3 wrote:


hey laurad and kim

had a similar situation in september
ps injected upper cheek (lower tear trough)

and it was blue immediately. i asked her to inject hyaluronidase but she said she was wary of the product and that it was a bruise and will fade in time.

in my gut i felt it was product though...
she told me to massage it gently to speed up recovery

so i massaged it and it got darker! i thought i might have massaged it too deeply and caused it to bruise more...so i left it alone for four months and "the bruise" did not improve

when i went back for some more juve to another area the whole area blew up like a sausage and was grey...again she said it was a bruise and give it time...
two weeks later i went back and asked her to inject hyaluronidase she said she doesn't have any and (once again) doesn't like to use it (aka never used it) but will order some or find me a doctor who has some...

the next day i booked an appt with another dr. (dr. white) who uses it all the time to take a look at the sausage under my eye

i asked him about his reservations with hyaluronidase...he had none and said that it would only remove the product that was incorrectly placed.

he injected "the sausage" and said come back next week and we will see if more is needed... by that night the sausage was gone!!!! after two weeks of hesitation about hyaluraonidase, it was gone in a matter of hours! i went back the next week for a little more to make sure all of the juve was gone and also told him the story about this "blue" streak running across my cheek since september.

(finally getting to the gist of my story....)

i told him that my ps said it was a bruise. he said a bruise would not typically last 4 months...i asked if he would inject it with hyaluronidase to see if it disappeared. he did without reservation and after 4 months of living with that blue streak, it was GONE upon injection!

i guess doctors who use this product and do injections exclusively understand its place with injectables

i went back to my original ps and told her and showed her. she was glad i did it and i can tell was remorseful....she is a great lady and a wonderful doctor...it's just that injectables are only about 20% of her practice. i suggested that she invest in some hyaluronidase, not only if this occurs with another patient but also if another patient regrets the placement of any hyaluronic product and wants it removed. she said she would and also wanted a card of the doctor who fixed my issue. possibly to recommend him to her patients who need this done. she is a great woman...

long story but i hope this helps. seems that docs who don't use hyaluronidase try to dissuade their patients for wanting it by enumerating the dangers of it...but in experienced hands it seems as safe as saline...

hope this helps


Concord MA celebrating freedom from British rule .


Larazelle
Posted: Friday, July 09, 2010 10:22:49 PM
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DCNGA wrote:
Investing it the enzyme will not help her to become skilled with it and I would NEVER let just anyone use it on me. It takes a skilled, experienced doc to use it properly. Dr. White is highly skilled and knows how to use the stuff. My derm does as well and he's the only person I would let use it on me. I've had the enzyme once.

http://www3.interscience.wiley.com/journal/118708694/abstract?CRETRY=1&SRETRY=0

http://www.skinandaging.com/article/6761




Hey DC -

Thanks for the info - regarding skinandaging article - I read the following -


When choosing a filler for the orbicularis area, hyalurons make a lot of sense due to their wonderful safety and efficacy profiles


Can anyone explain that to me - as an aside, I have to say that I am really fearful of this world of fillers because of exactly what Laurad is going through - -and why is there a "wonderful safety" with regards to using hyalurons

rev3
Posted: Saturday, July 10, 2010 9:38:19 AM
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Don't want to take away from laurad's issue. I really only told the tale to give her and kimberly some hope that their blue streak can be resolved with hyaluronidase by someone experienced with its use and that some docs are "wary" of it (such as my ps) and do not give their patients this option because of their lack of knowledge of and familiarity with the product.

It's become so commonplace to have these products injected in areas that are considered "off label" that we can sometimes forget that these fillers were designed for use in the nlf not the near the eye area and upper cheeks where the skin tends to be thinner and less forgiving. Many docs took the training seminar (yes that's all it is, a seminar!) and learned this technique. Any other injected area was most likely learned through trial and error, which eventually became trial and SUCCESS!

Using the same technique for the nlf as for the upper regions of the face probably results in more error (blue streak) than success.

My ps said there is a training video for hyaluronidase (what?!) but I can tell that she has no interest in experimenting with this product (even after my suggestion) since she asked for dr. white's card to give to her patients that might need or want to have it used.

(an aside: dr. white re-injected the same area with product and this time no blue streak...)

I think the concerns associated with its use (experienced or not) are due to some reports that it might affect the bodies natural hyaluronic acid. Dr. White did not think so.

What is at saying, "Once you go white, you'll never go back."...to anyone else, that is.


laurad
Posted: Saturday, July 10, 2010 10:21:46 AM
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Here is what it looks like today, not blue but green/grey/slight brown/tinge of yellow



laurad
Posted: Saturday, July 10, 2010 10:28:56 AM
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MissJ wrote:
Maybe your PS should just stick to doing plastic surgery and not injecting. Or maybe you should just stick to a good derm who does a lot of injecting instead of having your PS do it.







Can you take a look at the photos Miss j... isnt tyndall effect, as no longer blue. does it look like necrosis?? It doesnt really hurt... i feel like I have a slight pain around my eye but it feels like sinus pain and i felt no pain at all yesterday or since monday. When i touch it there is no pain to the area at all. Also I dont think I have a fever but I will check. Anyways could it be a bruise that developed a bit later? It seems like it is a bit more faint than yesterday.
DCNGA
Posted: Saturday, July 10, 2010 10:39:16 AM
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If it is changing colors it is most likely a bruise. Blue from the Tyndall effect stays blue and just looks less blue over time. I had the TE to my tear troughs which is why I won't have fillers put there again---unless I could see Dr. White. My derm does not like putting fillers around the eyes (or at least for me he doesn't) and will only do it if I insist--which I don't. He did offer to fix the TE around my eyes, but I just let it fade away (almost a full year) on its own. BUT, the TE on me only ever looked bluish, never any other shades of any other color.

What you are describing sounds like typical bruising pattern and changes over time.

The greatest way to live with honor in this world is to be what we pretend to be. ~Socrates~ (I pretend to be a cat with a lime carved as a helmet on my head)



laurad
Posted: Saturday, July 10, 2010 10:43:15 AM
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DCNGA wrote:
If it is changing colors it is most likely a bruise. Blue from the Tyndall effect stays blue and just looks less blue over time. I had the TE to my tear troughs which is why I won't have fillers put there again---unless I could see Dr. White. My derm does not like putting fillers around the eyes (or at least for me he doesn't) and will only do it if I insist--which I don't. He did offer to fix the TE around my eyes, but I just let it fade away (almost a full year) on its own. BUT, the TE on me only ever looked bluish, never any other shades of any other color.

What you are describing sounds like typical bruising pattern and changes over time.


Can you see the photos?
DCNGA
Posted: Saturday, July 10, 2010 10:50:15 AM
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Yes, it looks like bruising to me.

The greatest way to live with honor in this world is to be what we pretend to be. ~Socrates~ (I pretend to be a cat with a lime carved as a helmet on my head)



rev3
Posted: Saturday, July 10, 2010 11:34:56 AM
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Following this thread today...close to my eye, I mean heart...

I agree, this is bruising. THIS IS NOT NECROSIS! So don't worry. If he hit into a vein you would have seen it. The bruising you see will be gone in a week. Mine turned black immediately and it was totally gone in only 3 weeks.
laurad
Posted: Saturday, July 10, 2010 11:39:46 AM
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rev3 wrote:
Following this thread today...close to my eye, I mean heart...

I agree, this is bruising. THIS IS NOT NECROSIS! So don't worry. If he hit into a vein you would have seen it. The bruising you see will be gone in a week. Mine turned black immediately and it was totally gone in only 3 weeks.




Rev, did you have necrosis??!

here it is with makeup, i can cover it better. I feel relieved you guys think its bruising! I was worried because it came on so late!! Im really depressed but I feel relieved by your post. Thanks for making my day! That being said I think I give up with juve, Im just going to leave my damn face alone for now,not worth the big risks. :(




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