Tyndall effect and puffy under eyes. I had half syringe of Restylane under each eye almost 3 weeks ago. Now I have a bluish/dark color under each eye. I also still have puffy under eyes. Can I have Belotero layered on top to fill in and take a way dark color and correct puffy under eyes? What recommendations do you have?
Answer: You can call this Tyndall. Tyndall once meant something. Now it means any unwanted color change after a filler service. Mostly this just looks like a lumpy service. The lump can be removed by judicious use of the enzyme hyaluronidase. These filler services are fussy. You need to have a an injector who knows their anatomy and is fussy. I have folks who fly in to see me for these services as far away as London and Dubai. That tells you how hard it is to find this service done well. Injecting this area with the runny filler Belotero is a terrible idea. Don't do this.
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Answer: You can call this Tyndall. Tyndall once meant something. Now it means any unwanted color change after a filler service. Mostly this just looks like a lumpy service. The lump can be removed by judicious use of the enzyme hyaluronidase. These filler services are fussy. You need to have a an injector who knows their anatomy and is fussy. I have folks who fly in to see me for these services as far away as London and Dubai. That tells you how hard it is to find this service done well. Injecting this area with the runny filler Belotero is a terrible idea. Don't do this.
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Answer: Tear Trough Rejuvenation Hi @Candygirl55! I don't believe you have a tyndall effect. The filler was most likely not placed in the proper tissue plane. Most facial filler products that are injected into this area should ideally be placed in the tissue plane directly on top of the bone, or at least underneath the eyelid muscle layer. If a facial filler product is placed too superficial in the skin, or on top of the muscle layer, the product may settle in with an abnormal appearance and can look to be lumpy, swollen, or irregular. The filler products that are preferred to treat this area will have some degree of affinity for water molecules so all of these products will exhibit some degree of hydration and swell once injected into the body. Hyaluronic acid facial filler products that were previously injected into an improper tissue plane can be dissolved by Hyaluronidase injections. Best of luck to you, Dr. Nima!
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Answer: Tear Trough Rejuvenation Hi @Candygirl55! I don't believe you have a tyndall effect. The filler was most likely not placed in the proper tissue plane. Most facial filler products that are injected into this area should ideally be placed in the tissue plane directly on top of the bone, or at least underneath the eyelid muscle layer. If a facial filler product is placed too superficial in the skin, or on top of the muscle layer, the product may settle in with an abnormal appearance and can look to be lumpy, swollen, or irregular. The filler products that are preferred to treat this area will have some degree of affinity for water molecules so all of these products will exhibit some degree of hydration and swell once injected into the body. Hyaluronic acid facial filler products that were previously injected into an improper tissue plane can be dissolved by Hyaluronidase injections. Best of luck to you, Dr. Nima!
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December 19, 2018
Answer: Tyndall effect and restylane Hi,Thank you for your question and sharing your photos.It doesn't look like the Tyndall effect. Looks more like too much filler was placed or possibly too superficially.I would recommend follow up with your injector for re-evaluation and possibly some dissolver.Hope this helps!
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December 19, 2018
Answer: Tyndall effect and restylane Hi,Thank you for your question and sharing your photos.It doesn't look like the Tyndall effect. Looks more like too much filler was placed or possibly too superficially.I would recommend follow up with your injector for re-evaluation and possibly some dissolver.Hope this helps!
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December 16, 2018
Answer: Swelling Under Eyes After Filler (Juvederm, Belotero, Restylane) -- Hyaluronidase, ThermiSmooth, Venus Legacy, Exilis Ultra if you are worried about your filler results because there is swelling, lumps or bumps, give it 2 weeks to settle and then consider reversing it with hyaluronidase. in the mean time you can use redlight such as lightstim, radiofrequency such as exilis ultra and venus legacy. The cheeks always should be injected when doing the under eye and you maybe swollen because of poor techniue so see an expert for the best treatment and management. Best, Dr. Emer
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December 16, 2018
Answer: Swelling Under Eyes After Filler (Juvederm, Belotero, Restylane) -- Hyaluronidase, ThermiSmooth, Venus Legacy, Exilis Ultra if you are worried about your filler results because there is swelling, lumps or bumps, give it 2 weeks to settle and then consider reversing it with hyaluronidase. in the mean time you can use redlight such as lightstim, radiofrequency such as exilis ultra and venus legacy. The cheeks always should be injected when doing the under eye and you maybe swollen because of poor techniue so see an expert for the best treatment and management. Best, Dr. Emer
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December 28, 2018
Answer: There are two main causes for the blueish effect that you see in this photo. Thank you for your question! There are two main causes for the blueish effect that you see in this photo. The first in an actual Tyndall effect, which is the way light reflects through a clear filler under the skin. The second cause is blood trapped or swirled throughout the filler that is under the skin. Both of these causes require a reversal agent to dissolve the filler first. Adding Belotero to an existing Tyndall effect generally does not improve and may worsen the results. The best solution is to dissolve the filler, wait at least one week, then inject Belotero into a deeper plane so that the filler is not visible near the surface. Best of luck!
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December 28, 2018
Answer: There are two main causes for the blueish effect that you see in this photo. Thank you for your question! There are two main causes for the blueish effect that you see in this photo. The first in an actual Tyndall effect, which is the way light reflects through a clear filler under the skin. The second cause is blood trapped or swirled throughout the filler that is under the skin. Both of these causes require a reversal agent to dissolve the filler first. Adding Belotero to an existing Tyndall effect generally does not improve and may worsen the results. The best solution is to dissolve the filler, wait at least one week, then inject Belotero into a deeper plane so that the filler is not visible near the surface. Best of luck!
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