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.