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Lumpy Ridges and Bruises After Juvederm
We prefer Juvederm compared to Restylane for tear trough deformity correction. This area of the body requires expert injection technique. The reason is the extremely thin skin, the potential for palpating lumps of HA (the main component of restylane and juvederm) and the ease at which this area can be bruised. To answer your question the bruising can last for over a month. Try gentle massage to manage the swelling and bruising. Juvederm is somewhat thinner compared to Restylane and is somewhat more forgiving.
Clinical Context
Not all discoloration or swelling after tear trough filler is a bruise. A bluish tint under thin skin can be the Tyndall effect from filler sitting too close to the surface. Swelling that keeps increasing rather than improving may reflect fluid retention rather than typical bruising. Sudden pain, blanching, or dusky skin color is different and can signal a vascular problem — this needs urgent evaluation by your injector, not massage.
