Tyndall Effect After Restylane - Surgeon Refuses to Give Hyaluronidase

asked 1 year ago by Lucy, Kent in London, H9
Latest answer by Grant Stevens, MD
Question viewed 880 times
Tags: under eyes, discoloration, tyndall effect

Over a year ago I had Restolyne injected under my eyes. After a few months I noticed a grayish blue colour under one eye and looked it up. I went back to the doctor and asked to have Hyaluronidase as I had the Tyndall effect under one eye. He showed my the Hyaluronidase but told me that it was made of bee stings, not sure why he needed to tell me that?

Sensing I was not completely put off by the idea he told me that the discolouring was not that bad. Now both eyes affected, what can I do?

11 answers to Tyndall Effect After Restylane - Surgeon Refuses to Give Hyaluronidase

Correcting the bluish tint under the eyes

Greetings Lucy~ The undereye area is very thin delicate tissue and unfortunately when the Restylane is placed too superficially it can create a blue-purple appearance in the skin. You should probably consider consulting another physician to evaluate if this discoloration is in fact a Tyndall-type effect. If it is found to be then it can be easily treated with some hyaluronidase. If it is even questionable, injecting hyaluronidase is safe and will give you your answer... more

Grant Stevens, MD
Los Angeles Plastic Surgeon

Restylane - Tyndall Effect After Restylane - Surgeon Refuses to Give Hyaluronidase

The short answer is that there's very little reason not to give hyaluronidase. It is unlikely to have a downside and, aside from the injection itself (it does burn, so it's not the most comfortable treatment) it's a reasonable thing to do. However, it was long enough ago so that I'm not sure it's going to do what you hope it will. And it's not clear - and for the same reason - that this is actually a Tyndall effect. More likely is that enough of... more

Alan Engler, MD
New York Plastic Surgeon

Tyndall effect is probably not present one year after filler

I doubt that enough filler is lasting to create the Tyndall effect more than one year that the filler was injected. Dark circles under the eyelids certainly occur after fatigue but no one really knows why. We know that sleep-deprived individuals do not lose their dark cirlces one night after good sleep. It takes many weeks, if not months, to lose the dark circles.

Ronald Shelton, MD
Manhattan Dermatologist

www.thenyac.com

Blue-gray Skin Color after Hyaluronic Acid Injection, Restylane

Hi Lucy, Kent in London, H9, The blue-gray skin color after injection with hyaluronic acid fillers (ex. Restylane, Juvederm, etc) is call the Tyndall effect. Treatment generally consists of removing the material, usually with hyaluronidase. However, the skin discoloration is commonly seen soon after treatment. Skin coloration one year after injection is much less likely to be the Tyndall effect. Speak with a Restylane specialist to help determine appropriate options for you. Best of... more

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon

Bluish discoloration under your eyes likely not due to Restylane at 12 months

Bluish discoloration under your eyes is likely not due to Restylane one year following the injection. It is highly likely that all of that product has been reabsorbed. I would recommend following up with a plastic surgeon who specializes in facial surgery to determine what your options are but I don't think that hyaluronidase is the answer. Dr. Stephen Weber, Facial Plastic Surgeon

Stephen Weber, MD
Lone Tree Facial Plastic Surgeon

Restylane causing discoloration

The skin under the eyes is very thin and Restylane (or any filler) injections there have to be done very carefully. I would have expected the "Tyndall effect" to have shown up very shortly after the treatment, usually after the swelling has gone down. Since the blue-grey color did not appear until a few months later and one year later for the other eye, I would question whether this is really due to other causes such as pigmentation rather than blaming the Tyndall effect. It would... more

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon

dorsetstreetdermatology.com

Tyndall effect from restylane

You need hyaluronidase injected. But note, the effects of the fillers will be lost. Another option is to cover the area with make up and wait for the filler to get absorbed.

Gary Goldenberg, MD
New York Dermatologist

Tyndall effect

Hyaluronidase can dissolve hyaluronic acid fillers and is used for just this indication. Go to another doctor to see about getting this treated.

Steven Wallach, MD
Manhattan Plastic Surgeon

Tyndal effect and Restylane

Tyndall effect occurs when Restylane is placed high in the skin, resulting in a bluish hue. Hyaluronidase is great and effective treatment for this. I would first get another opinion to make sure it is the Tyndall effect. Then if that is the case, i would have someone inject Hyaluronidase. Dr Behnam.

Ben Behnam, MD
Santa Monica Dermatologic Surgeon

Very simple solution here.

Not sure why your doctor does not want to address your concern. The enzyme is very effective in addressing these issues. As you and your doctor are at an impasse, I suggest you find someone who is a little more flexible.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Hyaluronidase and Tyndall Effect

If you have a Tyndall effect the best treatment is Hyaluronidase (which is made from sheep or cows depending on the exact form you get...both work well). The question is, do you really have a Tindall effect? I would expect a Tyndall effect to occur in the first week or two. It is possible that your discoloration is due to pigment in the skin. I would consider getting a second opinion from another experienced injector.