Is this Tyndall effect or bruise? (photos)

Question

Is this Tyndall effect or bruise? I am so worried. I had restyle with injected 2 days ago for under eye bags. What is this??

Nima Shemirani, MD · Answer

Hi @DaniC! Swelling and bruising can take up to two weeks to subside.  If you are unhappy with the results after two weeks, you can dissolve the filler with Hyaluronidase. Best of luck, Dr. Nima!

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question. The photo is not a great one for evaluation purposes. It seems to be a bruise, but you will know in 10 days if it does not resolve.Good luck,

Jason Emer, MD · Answer

Swelling and bruising takes up to 2 weeks to improve.  If you are unhappy after, consider reversing the filler with hyaluronidase.  Best, Dr. Emer

Stephen Weber MD, FACS · Answer

That appears to be a bruise. However, you will need to wait about one week for any bruising to resolve before knowing if there is also a Tyndall effect. Either way, if you have fullness or discoloration beyond a week return to your physician injector so they can reevaulate you and possibly place some hyaluronidase in that area. Best.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Miguel Mascaro, MD · Answer

unfortunately, it may be too early to tell.  At this point, it looks like an early bruise - tyndall gives you more of a light bluish hue.  Keep some ice on it, you can even use a little of topical arnica montana to help remove some of the bruising if it is bruising.  Give it some time to settle down.  When in doubt, always go for a re-evaluation with your injector as depending on what technique was used when you were injected as well where within the anatomy of the tear trough it was injected it may give hints as to what is going on longterm.  Best of luck.

Melvin Elson, MD · Answer

I am sorry to say that the picture is too bright and  does not show what you want. the Tyndall effect is blue and is due to light scattering back from the hyaluronic acid' a bruise at this point would be purple to dark red.  either will go away but to be sure contact your physician

Sherly Soleiman, MD · Answer

Hi DaniC,Unfortunately, the quality of your photo doesn't show good detail, but from what I can see, it's either a shadow (created by your current swelling), a deep bruise that has not surfaced yet or the tyndall effect.  Only time will tell.  I wouldn't worry for the first 2 weeks as the product needs to settle during that time and your swelling needs to subside.  Either way, it is a reversible product- so please don't be worried about it as it can be easily removed and re-done.-Sherly    Soleiman, MD

Is this Tyndall effect or bruise? (photos)

Answers (7)