Tear trough filler - if I’ve suffered Tyndall Effect once, will it happen again?

Question

I had tear trough filler a year ago, the doctor used a needle rather than cannula and used 1ml of restylane across both eyes. I bruised really badly and after about a week I noticed that I had a permanent blue tinge under my eye which I believe is called the Tyndall effect. I had to go back and have it dissolved and am now looking to try again at a different clinic but was wondering if this happened because of my skin and is therefore likely to happen again?

Michael A. Zadeh, MD, FACS · Answer

The bluish discoloration that can be seen after fillers, or Tyndall effect is due to superficial placement of the filler and not the filler itself. If injected by an experienced physician then likelihood of getting a Tyndall effect again is slim. Make sure you see an expert physician. Best wishes.

Jason Emer, MD · Answer

The Tyndall effect occurs when HA fillers are inappropriately injected into the superficial dermis or epidermis regardless if you use a cannula or not. I suggest seeing an expert injector. Best, Dr. Emer

Harold J. Kaplan, MD · Answer

Hello NM.  The Tyndall effect occurs not because of your anatomy or skin but because fo the depth that the product is placed in the skin.  If the filler used for under eye injections is placed on top of the muscle that surrounds the eye, it often looks puffy and creates the Tyndall effect.  If it is injected deeper in the fatty layer under the muscle, the Tyndall effect is not present.  In addition, this issue is not affected by whether a cannula or needle is used as it is about the depth of placement.  When considering a new injector, find one that has good before and after photos of the under eye area (like the ones at the link below) before deciding to move forward.  Restylane is a preferred product as it has the right consistency for the under eye area.

Center for Aesthetics and Plastic Surgery - Grand Rapids · Answer

Hello there! This effect should not be seen if the right product is injected correctly in this area. I would recommend consulting with a different injector for this area. Good luck! Sarah RN BSN

Radiance Skin Therapy - Madison · Answer

The Tyndall effect occurs because the product is placed too superficial (or close to the surface) in the tissue. If the product is placed correctly, you should not have this issue. I would recommend finding an experienced injector in your area who will have a one on one consultation with you to make sure your concerns are addressed! Take care!

Tear trough filler - if I’ve suffered Tyndall Effect once, will it happen again?

Answers (6)

Answer: Blue tinge

Answer: Blue tinge

Answer: Tyndall Effect with Fillers

Answer: Tyndall Effect with Fillers

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Tear trough filler - if I’ve suffered Tyndall Effect once, will it happen again?

Answers (6)

Answer: Blue tinge

Answer: Blue tinge

Answer: Tyndall Effect with Fillers

Answer: Tyndall Effect with Fillers

Browse related questions

Recommended reading

Everything you need to know about Dermal Fillers

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