
Child Has Hurt Eyebrow Bone During Water Slide. Eyelid Area Is Swollen And Having A Black Eye. Suggest The Cure?

Do not worry dark area will clear up soon
Detailed Answer:
Hi,
Welcome and thanks for posting your query to XXXXXXX
First of all I very empathetic to the little girl's injury and can understand as parent that it feels really bad if anything is troubling our children.
After reading the complete query with diligence and evaluating the complete situation, let me first and foremost reassure you that your daughter will be completely alright in terms of dark skin around and under the eye. It is not at all a permanent problem and she will be alright soon.
Let me explain it medically. After the injury to head as well as to the eye, there is seepage of blood from scalp which collects around the eyes. Along with this due to local trauma as well, there is more of collection of blood and inflammation. Because of all these events, your daughter had really bad black eye.
This remains at its peak for about a period of 1-2 weeks and then starts subsiding. Now it is due to absorption and disintegration of locally collected blood around the eyes. But as undereye skin is the dependent area of the eye so the residual blood can remain for multiple of weeks to months too giving darker appearance than the rest of the skin.
Along with above, due to local injury to the eye the melanocytes (the color producing cells of skin) also gets more activated producing more dark pigmentation at the local area which is known as "Post inflammatory hyperpigmentation". There fore both the things combinedly produces the dark area of pigmentation at the local site.
The third fact is that the skin around eyes is the thinnest in the body so also it is more prominent for multiple of weeks of time.
Now the good news is that it is totally temporary process and the condition improves with time. As it is 7 weeks only so it can take even longer to look it better. Though in general it can take16-20 weeks to get lightened but sometimes can take even longer than that too. But most important of the fact is that it is totally temporary and never a permanent issue.
If you are really worried then you can XXXXXXX a dermatologist who can guide you for the application of certain skin lightening creams which resolves the condition bit early. I personally request you to not to massage the area, no other of creams and even no heat application which can aggravate the situation and delay the resolution of the darkness.
Give your daughter a positive boost to have had overcome such big injury so that she can bravely and courageously face other children.
I hope these informations will help you. If you have further queries I will be happy to help.
"Wish you good glowing skin"
Regards,
Dr Sanjay Kumar Kanodia
MD (Dermatology)


You can apply Kojic acid with arbutin cream
Detailed Answer:
Hi,
Welcome to the forum again and thanks for your prompt reply.
I am really happy that you are now relieved a bit from the stress of the little XXXXXXX I can understand the anxiousness of so caring mother of wonderful ballerina. I very realize the importance of facial beauty in the same.
Now for the part of manual lymphatic drainage with massage therapies- these therapies are though harmless procedure but are useful in the phase of swelling rather than pigmentation or darkness. Lymphatic massage works by encouraging the colorless lymph fluid which is collected as a swelling at the area. As per your description the swelling has reduced to minimum so there might not be good use of this therapy in your daughter's problem. As it is now a pigmentation problem only so it will be best dealt by a dermatologist.
As per my suggestion you can apply mild lightening creams over the affected area. You can consult a dermatologist for the same. In my series of patient with such problem I usually prefer to give topical application of Kojic acid with arbutin cream. It is to be applied very gently and thinly over the affected area. The visible results can be seen after about 6 weeks of continuous application.
I again want to guide you that in your daughter it was the combination of black eye due to seepage of blood and due to local injury both. The black eye due to seepage of blood improved in its normal course of time within one month. But still the part of "Post inflammatory hyperpigmentation" or PIH is remaining which can take months to resolve.
So do not worry for the elegant ballerina, she will be alright soon and become as beautiful as you want!!!
I hope these informations will help you. If you have further queries I will be happy to help.
"Wish you good glowing skin"
Regards,
Dr Sanjay Kumar Kanodia
MD (Dermatology)

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