How to fix the Tyndall Effect? (photo)

Question

I got Juvederm done in my eyes 3 weeks ago. I just needed a small touch up, but he talked me into Juvederm vs Restylane which I now regret not doing the research on. I’m pretty sure I have it because I have a purple circle on my eye that wasn’t there before. I have heard you can get something to absorb the filler but I also heard it absorbs your natural hyaluronic acid? Is there anything else I can try? I am a bit sad because I feel like I wasted so much money only to be where I was before.

Jonathan Kulbersh, MD · Answer

I'm not sure when you had your touch-up, but it can take up to 2 weeks for swelling and/or bruising to resolve. If you're unhappy with your results, the filler can be reversed with hyaluronidase. Hope this helps.

Priti P. Patel, MD · Answer

Your plastic surgery may be able to help you with this concern.  There is a medication that can help dissolve the juvaderm.  Your injector can help assess the concern and offer treatment options.  Always go to a board certified plastic surgeon for your cosmetic needs.  Good luck!

Raminder Saluja, MD · Answer

The tear trough area can take 2 weeks for swelling to resolve.  After that time period, if there is a bluish discoloration, this could represent Tyndall, which occurs from a more superficial product placement.  It can be reversed with hylauronidase.  I would touch base with the practitioner 2-3 weeks post injection to evaluate.

Leonard Grossman, MD · Answer

Both products, Restylane and Juvederm can result in the Tyndall effect or migration of the filler towards the nose underneath the eye. When that happens the patient needs to receive a series of injections of the product called hyaluronidase which will dissolve the hyaluronic acid. To avoid this problem I generally recommend that the patients have fat grafting into the tear trough and not the hyaluronic acid product. This  creates permanent and natural results. Good luck from New York City

Spa 35 - Boise · Answer

I would recommend following up with your injector. It's possible that there is still some bruising going on. It's also possible that you had some skin discoloration to start with. They most likely have before and after photos and can determine if it is in fact discoloration from the filler. If it is you, you can erase the filler with hylenex.

Val Lambros, MD, FACS (retired) · Answer

IMO Juvederm is not the right filler for under the eyes. It does what your eyes show, large blue pillows of filler. The answer is to dissolve it and replace with restylane, my fave,  or another particulate fillers

How to fix the Tyndall Effect? (photo)

Answers (6)

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