Bruising in this area can be avoided by using a blunt-tipped cannula, and the Tyndall effect can be avoided by proper placement deep in the tear trough area and/or using Beletero, a newer filler that is great for this area.
Dr. Doris Day, a board certified dermatologist, is a Master Aesthetics injector located on the upper east side in New York City. I think she would be able to take good care of you.
Physician injectors that perform undereye treatments should have hyaluronidase available as this is the most common treatment area where hyaluronidase is required. If you did have significant bruising last week it is probably too early to assess for Tyndall effect of the ultimate result. Bruising is the one issue that we can try to control but is always a risk regardless of the experience of the injector. I hope this information is helpful.
Stephen Weber MD, FACS
Denver Facial Plastic Surgeon
Yes, this is often a problem that I see. I usually use diluted resty which is a bit more fluid and soft to camouflage the area once it is all dissolved. I will say that bruising is difficult to control sometimes. Good luck.