Will the tyndall effect (discoloration around my nasolabial folds and jawlines) disappear eventually?

Question

this is in response to the doctor's answers to my question on Restalyne leaving discoloratoin.

Parker A. Velargo, MD, FACS · Answer

The Tyndall effect occurs when light strikes filler that is too 
superficially placed through the skin.  It is easily corrected with 
hyaluronidase, which can be injected to dissolve the filler that is 
showing through.  It's not worth waiting for the product to go away on its own as this can be a very long time.   It can be avoided with proper injection technique or 
with the use of Belotero, which can be injected superficially without 
concern for the Tyndall effect.  Be sure your physician is an 
experienced "core" injector (facial 
plastic surgeon, plastic surgeon, dermatologist, or occuloplastic 
surgeon).  This is because we all have a keen understanding of facial 
anatomy and the effects of injecting fillers in different
 regions of the face.  I wish you well!

Nima Shemirani, MD · Answer

Hi @joanne in Bowie. The Tyndall Effect occurs when fillers are placed too superficially.  Hyaluronic acid facial filler products that were previously injected into an improper tissue plane can be dissolved by hyaluronidase injections. Best of luck, Dr. Nima!

Martin Jugenburg, MD · Answer

The tyndall effect can be treated with a hyaluronidase injection to dissolve the product. Schedule a consultation with an expert injector well versed with the tyndall effect and hyaluronidase for treatment. Best.

Jason Emer, MD · Answer

I have seen this last for many months to even years.  My suggestion is have it erased with hyaluronidase.  Best, Dr. Emer.

Jessica Lattman, MD · Answer

I would suggest having the filler melted away with some vitrase.  This discoloration can last for a long time and it is worth melting the filler away.  Once the filler is gone, the blue hue will disappear.

Joseph A. Eviatar, MD, FACS · Answer

If Restylane or Juvederm is placed too superficially or in excess quantity, it can result in visible bumps or blanching/ bluish discoloration of the surrounding area.The bumps can sometimes appear bluish due to differential light scattering, which is known as the Tyndall effect. In some instances, this discoloration can persist beyond the effective duration of the filler itself.Options for treating the Tyndall effect and palpable nodules include attempted aspiration, intralesional steroid injection, massage, injectable hyaluronidase, or surgical excision. A Q-switched, 1064-nm laser also has been successfully used to lessen the Tyndall effect. Most practioners’ first choice is hyaluronidase injection.

Ramona Behshad, MD · Answer

If there is still a blue hue to the skin overlying filler after 2 weeks, I would dissolve it with hyaluronidase. Waiting for it to dissolve may take years, and may never completely go away. In fact, I recently dissolved filler in a patient who had her nasolabial folds injected over 10 years ago by another injector.

Will the tyndall effect (discoloration around my nasolabial folds and jawlines) disappear eventually?

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