Latent Bruising or Tyndall Effect Following Restylane Under Eyes?

asked 2 years ago by JessieRose85 in Exton, PA
Latest answer by Steven Wallach, MD
Question viewed 1,758 times

I had restylane injected under my eyes by an oculoplastic surgeon two weeks ago to correct hollowness. I had swelling for a week, but little/no bruising. After the swelling had resolved I noticed dark circles under my eyes & even darker lines from the corner of my eyes to cheek. The discoloration is strongest at my inner eye and spreads up to inner corner of upper eyelid. It changes color depending on the light. The hollows are not over-corrected. Is this evidence of the Tyndall effect? Can bruising appear later on? Is vitrase effective if the area is not overfilled?

7 answers to Latent Bruising or Tyndall Effect Following Restylane Under Eyes?

Tyndall Effect

It is most likely the tyndall effect from the product being too superficial. This can be treated with hyaluronidase to "melt" the product or will eventually go away over time.

Steven Wallach, MD
Manhattan Plastic Surgeon

Restylane can look blue under the eyes

Any clear HA filler, such as Restylane or Juvederm can look blue if placed close to the surface of the skin in thin skinned areas such as under the eyes. This is similar to clear water looking blue in a swimming pool. This can occur with poor injection technique commonly but can occasionally with good technique also if the skin and muscle are both very thin in this area. I would recommend waiting 2 more weeks, just in case it is latent bruising, then have your doctor dissolve... more

Lorrie Klein, MD
Laguna Niguel Dermatologic Surgeon

Tyndall effect following Restylane under eyes

Your description is classic Tyndall effect. The "bluish" hue is the effect of light refraction through the skin layers hitting the injected product. Yes, Vitrase will help. I recommend against the "nick and squeeze" technique because of you will have a small scar, more swelling and ecchymosis. Time will also help improve. From MIAMI Dr. B

Darryl J. Blinski, MD
Miami Plastic Surgeon

Likely the Tyndall effect

Vitrase would work, but sometimes a little nick and the doctor can extrude some of the superficial material. The advantage is you will not get all of the HA filler to dissolve and you can have your cake (look better keeping the Restylane you paid for) and eat it too (improve the Tyndall bluish hue). Good luck.

Mary Lupo, MD
New Orleans Dermatologist

High Chance it's Tyndall

It's difficult to actually just make the diagnosis of Tyndall effect without actually seeing it, but from the history and the description of the location, there is a high chance that this is what is called the Tyndal effect. The Tyndall effect, also known as Tyndall scattering, is the scattering of light by colloidal particles or particles in suspension. In the field of cosmetic dermatology, it happens more or less exclusively with gels, especially hyaluronic acid especially if... more

Hassan Galadari, MD
Dubai Dermatologist

Blue tinges under eyes.

Restylane is a fantastic filler for the tear trough/ under eye area but if placed somewhat superficially, it can give a bluish hue to the undereye. The skin is quite thin so it can occur quite frequently. Vitrase will work to dissolve the Restylane and remove the blue tinge but it will remove the pleasing filling effect of the Restylane as well. First and foremeost, return to your surgeon and have the doctor examine you. Together you will come up with the best... more

Yael Halaas, MD
Manhattan Facial Plastic Surgeon

Tyndall effect is not that uncommon.

However what I see in this images is too much volume at the transition from the lower eyelid to the cheek skin. The treatment is a small modification of the treatment with Vitrase (hyaluronidase) to soften this ridge. You may not see it as over fill but it is visually read as overfill.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

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