Will bruising remain after Restylane is dissolved?

I had Restylane injected in tear troughs nearly 3 weeks ago. I had it done with a UK ocuplastic surgeon who specialises in fillers. He says that filler has been placed under muscle therefore its not the Tyndall Effect, but in fact under the skin bruising (visible bruises resolved after a week). I am at a loss as to what to do. Bruises or stains are bad enough that in any unnatural lighting or photos with certain flash, I look like I have been punched. I'm worried that even if I get filler disolved that bruising will remain. Will that be the case? I'm really upset that I am in this position.

2 answers to “Will bruising remain after Restylane...”

A: You may need hyaluronidase.

George J. Beraka, MD

Hi! It's too early to tell, but you may have a deformity no matter what you call it. If you still look unsightly after another 3 weeks, I would try small injections of hyaluronidase. That may well solve the problem.

A: Sounds like you do have the Tyndall effect going on, but wait another week to see

Joel Schlessinger, MD

While the Tyndall effect is fairly certain if 'bruising' is still there after a month or so, three weeks may still be bruising.  This is something that may have a lingering effect even up to a month in some patients, so I wouldn't give up yet on it resolving.  Good luck!

Comments

lucifix
2 posts
27 Jun 2009

An oculoplastic surgeon in Manchester told me that while the Tyndall effect is produced by placing the product too superficially, another problem is that the product can become "stained" by blood (as part of bruising) and that this bruising can last for a long time (maybe even as long as the product is there). This is because the blood from the bruising is "trapped" in the filler. It will take a long time to reabsorb by the body. I don't know why doctors don't alert us to this problem, which is not really a true Tyndall effect. Maybe hyaluronidase will help as it dissolves the Restylane.

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