Filler under eye doesn’t look right: I have a little ledge. (Photo)

Question

I had filler placed under my eyes two months ago and I now have a little ledge and it also appears purple in pictures. Is this Tyndall effect? And if so what’s the next step. I’m afraid of dissolving it from all the nightmare stories.

Nima Shemirani, MD · Answer

Hi @surferwh0. I'm sorry you are not happy with your results. You are most likely experiencing the Tyndall effect. I recommend dissolving the product with Hyaluronidase.

Best of luck,

Dr. Nima

Jason Emer, MD · Answer

If you're unhappy with your final results, you can have it reversed with hyaluronidase and try a different technique next time. Keep in mind, a combination approach will give the most improvement for under the eyes. Fillers combined with lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

Lawrence Janowski, MD · Answer

The filler that was placed there has expanded since injection, causing an irregular appearance.  Dissolving the filler with hyaluronidase is the best option, and it is quite easy to do.  The bluish tint is probably Tyndall effect and should resolve once the product is reversed.  Your best option for filling this area may be fat transfer.

Brian A. Pinsky, MD, FACS · Answer

Sorry to hear you aren't happy with your injections.  In general, the tear trough is one of my favorite places to inject for patients.  It is hard to tell from your photos, but the issue may be an incomplete correction on the left side or migration of the product.  This can be solved by either some additional filler or dissolving the product with hyaluronidase. The skin is so thin in this area and any filler placed too superficially may be visible. I suggest following up with your physician or seeing a board certified plastic surgeon for a second opinion.  Best of luck!

Michele S. Green, MD · Answer

I do under eye fillers every day in my office.  It is important to have both the correct filler and placement.  What you are describing is probably the Tyndall effect and placement.  I would recommend that you have Hyaluronidase to dissolve it and consult an expert in under eye fillers to have the best cosmetic results.  Best, Dr. Green

Charles A. Pierce, DO · Answer

I'm sorry you are having problems.  Your photo makes it difficult to see your result, but from what you are describing you likely are experiencing the tyndall effect.  This is a result of under-eye filler that is placed too close to the skin under your eyes in the "tear trough."  The blue hue is related to the effect of light on the filler.  
Hyaluronidase is usually the best way to address this issue by dissolving the filler.  Under eye filler can be challenging, and is often performed incorrectly and/or on the wrong patient.  Make sure you see and experienced injector and that they are board certified.

Spa 35 - Boise · Answer

It is difficult to assess from the photo. But, I would recommend you follow up with your injector to discuss your options. Hyaluronidase can be used to dissolve some of the filler if needed, of which can be placed in very small amounts. I hope this helps!

Filler under eye doesn’t look right: I have a little ledge. (Photo)

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