Why does it look like this? Also do I have Tyndall? (Photo)

Thank you for sharing your photos and detailed description. What you’re experiencing is actually not uncommon with tear trough fillers, especially when combined with cheek fillers. Let me break it down:

1. Lumps or irregularities
Over time, fillers can shift slightly, or small nodules can form in the tear trough area. This can be more noticeable from certain angles or under specific lighting. In many cases, gentle massage or minor dissolving of filler can help smooth out these irregularities.

2. Discoloration / green hue
The greenish or dark appearance you’re noticing is most likely a combination of two factors:

Tyndall effect – This happens when filler is placed too superficially, causing light to scatter and create a bluish or greenish hue. It’s more visible in thinner skin, like under the eyes.

Shadowing / skin thinness – Under-eye skin is very delicate, and even a small amount of filler, combined with natural shadows and cheek structure, can make the area look darker over time.

Since you mentioned it’s more visible after several months, it could be a mild Tyndall effect or filler migration. This doesn’t necessarily indicate anything “wrong,” but it does explain the uneven color and slight lumps.

3. Possible next steps
If the appearance bothers you, an experienced injector can:

Assess whether the filler is too superficial and, if so, partially dissolve it with hyaluronidase to reduce the discoloration.

Smooth out any lumps or uneven areas.

Strategically adjust surrounding filler if needed to balance the contour and shadows.

Overall, what you’re seeing is not uncommon, especially with thin under-eye skin and combined treatments. With careful evaluation, it’s often possible to correct the lumps and color so your under-eye area looks smoother and more natural again.

It's difficult to appreciate your concerns from the submitted photos. You can elect to have the filler dissolved with hyaluronidase if desired. I encourage you to return to your injector to discuss your concerns. Filler can sometimes appear lumpy if it was placed too superficially.