Tyndall effect, overfill, or bruise? (photo)

Question

Hello. I had restylane injected 5 -6 weeks ago under my eyes and ended up with the photos attached. I'd like to determine what the discoloration is. I'm afraid to have it dissolved because my doctor said it could also affect my natural hyaluronic acid so we opted to have it treated with radiofrequency and no-downtime YAG laser. I am currently applying auriderm to hopefully lessen the bruising look. The last photo is a photo of me smiling. How long will the discoloration last? thank you so much in advance.

Michele S. Green, MD · Answer

The photos are difficult to tell if the blue is from the Tyndall effect.  If it is blue from the Restylane injection then Hyaluronidase will dissolve the Restylane and should restore you to how it was previous.  Any bruising can be hastened away with oral Arnica.

Darryl J. Blinski, MD · Answer

Maybe a combination of all three issues. Try vitamin K + Vitamin E creams to affected areas. Otherwise only time will tell.

Jo Herzog, MD · Answer

Pictures are not always reliable but this does not look like the purple I see with tyndall effect. Also, I have never seen that with Restylane, only with Juvederm. I agree with Dr. Weiner and would dissolve it.

Steven F. Weiner, MD · Answer

Don't worry about using hyaluronidase.  I wouldn't do anything other than that to treat this area.  Either he is inexperienced with this or trying to bill you more.  Using hyaluronidase should fix the problem pronto.Steve Weiner, MD, Facial Plastic Surgery, Destin, Florida.

Tyndall effect, overfill, or bruise? (photo)

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