Tyndall effect in lips? (Photo)

Question

Its officially a week after getting my lips injected with Juverdurm Vollure and I really think these bluish grayish lumps on the middle of my bottom lip are never going to go away unless I get the filler dissolved. What should I do? I contacted my provider and he said I should just keep massaging and give it another week. It looks horrible. Thank you!

J. Kevin Duplechain, MD, FACS · Answer

The bluish color you demonstrated may be tyndall effect, but it may be a bruise as well.  I would agree waiting for at least 2-3 weeks before any treatment is rendered.  A q switched 1064 nm laser can be used to improve the effect as well without removing the product

Steven H. Williams, MD · Answer

Hi,Thank you for your question and sharing your photo.It is possible the bluish/grayish discoloration is due to Tyndall effect but it's also possible it's a bruise. Lips are notorious for swelling and bruising after lip filler and I recommend all patients wait the full 2 weeks before additional interventions. If it is the Tyndall effect due to product being placed too superficially, it can be dissolved with hyaluronidase. Hope this helps!

Aldo Guerra, MD · Answer

This is most likely Tyndall from having the Juvederm too superficial. It happens. Consider returning to your injector, removing the filler via needle puncture, then add Vobella if  there's visible volume loss. See your injector for an opinion.Best wishes, Dr. ALDO

Jason Emer, MD · Answer

It's difficult to tell from your picture. There can be some swelling and/or lumps after lip injections which can last 1-2 weeks. You can apply firm pressure between two fingers on the lips for a few days, for 5 mins a time, in order to help decrease swelling and even out the lumps. If you're unhappy with your final results you can have it reversed with hyaluronidase and try a different technique next time. Best, Dr. Emer

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph.  It is very possible that this area is the result of superficial injection of Vollure and may need to be dissolved.  That said it is very common for lips to demonstrate asymmetrical swelling and bruising after treatment and this is why a waiting period of two weeks is typically recommended for patients before pursuing any additional treatment.  Maintain close communication with your injector and if it does not improve to your satisfaction they should attempt to dissolve the material.  Hope this helps.

Jon Kurkjian, MD · Answer

Thank you for your question and photo.As with many of the other physicians who have answered, I would have to agree that it is a little to early to judge whether what you are seeing is a tyndal effect or some bruising still present. You lips still appear to be a little swollen, which leads me to believe this is probably still a little bruising. However, if you find after 2-3 weeks this discoloration is still present then please visit with the individual who injected you and have them assess you to see if dissolving the filler is necessary.

Lisa Jenks, MD · Answer

As the physicians below have noted, it is too early to determine if this is bruising or a Tyndall effect.  I recommend using warm compresses and gentle massage (unless the area is tender, in which case you should not massage it).  If, at your two week follow-up, the discoloration is still present, then your provider can inject an enzyme (Hylenex) which will dissolve the filler.  Best of luck to you.

Richard O. Gregory, MD · Answer

This patient has discolored lumps in lower lips following injection with HA.  It is likely that this is Tyndall although it may be hematoma.  The patient is correct in that it will probably require reversal with hyaluronidase.  The injector is also correct to recommend waiting another week before doing anything.  Meanwhile the patient can try massage and warm compresses along with arnica (not scientifically proven)

Tyndall effect in lips? (Photo)

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