Is Discoloration from Restylane Permanent?

I had restylane under my eyes three months ago and developed dark discoloration under the eyes about a week after the injections. My Dr. said it was tyndall effect but I went to another expert who disagreed and thought it was hyperpigmantation. Is it possible this is permanent? How can I fix it?

Doctor Answers 6


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The Tyndall Effect causes a bluish tinge to the skin. Is the discolouration bluish? If it’s not, then it is something else. Bruising usually appears in the days after treatment but gradually goes away in a couple of weeks. It doesn’t normally last for three months after the injection, unless you tend to recover slowly.

If it is indeed hyper pigmentation, then it may go away on its own. Topical skincare products or a chemical peel may help.

Discoloration after restylane

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If the discoloration you are suffering with is blue then it is the tyndall effect form the filler and could be dissolved.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

If discoloration is bluish in color, it may be due to the product itself

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If discoloration is bluish in color, it may be due to the product itself and may last a very long time, but it’s not permanent. If it’s a bruise it will not last a long time.

Joseph A. Eviatar, MD, FACS
New York Oculoplastic Surgeon
4.7 out of 5 stars 68 reviews

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Four Ways to Minimize Discoloration After Restylane

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1.  Minimize Brusing At All Cost:  relaxation, laughing gas, ice compresses, Arnica, avoidance of blood thinners

2.  Conservative Volume

3.  Deep Injection Rather than Superficial Placement

4.  Bleaching:  skin brighteners, bleachers, peels.  This does indeed take a while to work

George Sun, MD
Los Angeles Facial Plastic Surgeon

Hyperpigmentation is usually temporary

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Post-inflammatory hyperpigmentation is usaully temporary and can improve with multiple chemical peels, topical therapy (creams with lightening agents) and religious use of sunscreen.The treatment time may take a year or more.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

Hyaluronidase may be your answer

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Best way to know is to get some hyaluronidase treatment done. If it was the Restylane it should go away, though for some reason the Tyndall effect can remain a few more months after the filler is removed. It is easier to tell whether this is pigmentation. The doctor can pull the skin to see and may even use a Wood's lamp for it.

Hassan Galadari, MD
Dubai Dermatologist

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.