Tyndall effect or not? (Photo)
Doctor Answers 5
Hi ~ Treating the lower eyelids with filler must be done with extreme care. It is very easy to get the Tyndall effect due to the anatomy of the lower lid, most notably the skin is very thin. It is possible this a small amount of residual bruising but most likely you are experiencing the Tyndall effect.
Yes to Tyndall effect; NEVER put a filler in the lower eyelid proper as the skin is so thin that the filler shows through the skin and creates a blue hue which lasts for years.
Darker circles after filler under eyes
From looking at your before and after photos, I suspect this is not Tyndall effect. I sometimes see the dark circles get darker due to the exposure of more blood vessels being seen through the skin. If you notice in your before, the purple vessels are present but somewhat hidden by the overlying skin. In the after, the skin is stretched and the vessels are more easily seen. We try IPL or the Nd/Yag laser to lessen the prominence of the vessels and lighten the skin. A good evaluation will help determine the cause.
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Bruises will not last 3 weeks so it is likely Tyndall effect which can be treated with hyaluronidase and then can be reinjected if you desire. Caution--don't try to tell the doctor ( I assume you are seeing a board certified dermatologist or plastic surgeon) to use a cannula or needle. He will use what he is most comfortable with and cannulas are not the answer
Identifying The Tyndall Effect--Reverse if necessary, use cannulas
I suggest a formal consultation , if you do have Tyndall it can be reversed. Cannulas will limit complications in the future. Best, Dr. Emer.
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