Tear trough fillers: Does it look like I have Tyndall effect? (Photos)

Question

I have had restylane fillers under tear trough to lift my eye bags 6 weeks ago. Bruising was quite bad and lasted just over 2 weeks. Now when I’m under the sun my eyes look great but under certain lighting I look like I have a black eye (see photo). Is this Tyndall effect? I will be visiting my dermatologist again but needed second opinion here. Thanks.

Scott Trimas, MD · Answer

It does look like you might have the Tyndall effect from the injected filler. Although much less common with restylane than the other hyaluronic fillers, it can still occur. It can be easily dissolved out or lessened with hyaluronidase from your doctor. Sometimes massaging the area will minimize it as well.

Kenneth D. Steinsapir, MD · Answer

We now use the term "tyndall" for almost any situation after a filler service.  That is okay. What I do see is that you have a highlight in the interface between the lower eyelid and the cheek on the right side in the inner corner.  As that service was performed 6 weeks ago, it needs to be resolved with an injection of hyaluronidase. If your dermatologist does not see this issue, you are getting care in the wrong office.

Tanveer Janjua, MD · Answer

It does not look like Tyndall effect. Instead it might be real hyperpigmentation that can happen after bruising. This will need skin care products and possibly laser treatments to improve. Also be very careful with sun exposure. RegardsDr J

Monika Soni, MD · Answer

It does not look like Tyndall effect. Instead it might be real hyperpigmentation that can happen after bruising. This will need skin care products and possibly laser treatments to improve. Also be very careful with sun exposure.

Katrinka L. Heher, MD · Answer

Yes. This is probably your filler.  The skin is so thin in this area that if it’s not injected beneath the layer of muscle, the filler appears bluish.  If it bothers you then your injector can easily dissolve it.  You may want to try again with someone else. I wish you the best of luck!

Tear trough fillers: Does it look like I have Tyndall effect? (Photos)

Answers (8)

Answer: Instead it might be real hyperpigmentation that can happen after bruising.

Answer: Instead it might be real hyperpigmentation that can happen after bruising.

Answer: Tyndall effect?

Answer: Tyndall effect?

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Tear trough fillers: Does it look like I have Tyndall effect? (Photos)

Answers (8)

Answer: Instead it might be real hyperpigmentation that can happen after bruising.

Answer: Instead it might be real hyperpigmentation that can happen after bruising.

Answer: Tyndall effect?

Answer: 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.