Tinted or Opaque Fillers to Avoid Tyndall Effect?

Why aren't injectable fillers tinted or opaque to avoid the potential problem of Tyndall Effect?

Doctor Answers 1

Fillers and complications

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Some fillers such as Radiesse are actually pigmented and avoid the complication of the "Tyndall" effect. However, if placed too superficially, these can be seen as a white substance immediately beneath the skin - just trading one problem for another.

The Tyndall effect usually results from a "clear" gel filler such as Restylane or Juvederm being placed too superficially in the skin. Light is transmitted through the skin and can reflect through the gel resulting in a blue hue being seen through the skin.

When this occurs, it is usually self limited as all of these products are reabsorbed over time. However, in problem cases, a substance called hyaluronidase can be injected into the filler to dissolve it in place. Fortunately, this allows for most patients to have an immediate remedy to this problem.

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