Bruise or Tyndall Effect?

Question

Recently had Restylane under both eyes. Under left eye a small bleed spot. That afternoon the bruise looked green. Six days later it has more bluish tint. Which is this? Also, ice pack was used right after injection and throughout day. I am now using Vit K cream. What do you think? I always thought a greenish bruise was a sign of healing. This small spot is very hard to cover up with makeup. I have tried different concealers.

Kenneth Hughes, MD · Answer

It sounds like it may be a bruise. Give it a few more days to subside and if its still a concern to you, follow up with you medical provider

Sam Naficy, MD, FACS · Answer

Without seeing you in person, it's difficult to determine whether or not what you're seeing is bruising versus the tyndall effect that can happen. It's not uncommon to have bruising that can last 10 days or more, after a dermal filler injection. Be sure to follow up with your provider if you develop other symptoms.

Michael I. Echavez, MD · Answer

While it is true that there is a small chance of getting the Tyndall Effect (slight bluish hue) after Restylane (or other hyaluronic acid fillers), in your case I would say it definitely sounds like the discoloration is the result of the bruise.  As the bruise heals, it can go through several different color changes before it disappears completely.  It sounds as if you did all the right things to help with the bruising and at this point, I would just give it a little more time.

Will Richardson, MD · Answer

I have seen the Tyndall Effect following Restylane injection in my own personal patient.  Again, proper pre-screening will preclude this issue as this one case in particular had very thin translucent skin.  Similarly, she did have bruising after and this begs the question of whether or not the subcutanoues and intradermal bleeding does not provide an access for trapping of the product in various tissue plains as the clotting process occurs and new collagen is dispersed in the region of the bruising.  A small 2 mm biopsy in the area with a Mason-Fontana stain or Perls stain will easily distinguish the etiology of the pigment.

Michele S. Green, MD · Answer

It sounds like a bruise because of all of the color changes.  Best to wait another week and if it persists go back to your doctor.

Bruise or Tyndall Effect?

Answers (6)

Answer: Tyndall Effect and Restylane

Answer: Tyndall Effect and Restylane

Answer: Bruise or Tyndall effect

Answer: Bruise or Tyndall effect

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Bruise or Tyndall Effect?

Answers (6)

Answer: Tyndall Effect and Restylane

Answer: Tyndall Effect and Restylane

Answer: Bruise or Tyndall effect

Answer: Bruise or Tyndall effect

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Recommended reading

Everything you need to know about Restylane

Our mission is to create a world where every investment in modern beauty is Worth It.