Is this bruising or Tyndall effect? (Photo)

Question

I'm two weeks out from Restalyne under my eyes, and it appears that I have super dark circles under my eyes. One of my tear troughs immediately bruised when I was injected, to the point where I had a serious black eye. Here's a picture of that eye, two weeks later. Is this bruising that hasn't healed or Tyndall?

Jason Emer, MD · Answer

this may be hemosiderin or iron staining from bruising but the only wayt to know is to give it time (2 more weeks) or try to reverse the area with hyaluronidase and see what happens.  If it doesnt improve with that, then pulsed dye laser and/or q switched/pico lasers will be needed.  bleaching creams do not work for iron staining after bruising.  Please see an expert.  Best, Dr. Emer.

Harold J. Kaplan, MD · Answer

Hi Carter. If this is a picture of the bruised eye from the injection, then it's likely still residual bruising.  If your skin type is medium or darker, then it's possible that what you are seeing is the beginning of hemosiderin staining.  This is a condition whereby the patient develops long term pigmented changes after deep bruising and it is especially common in patients of Middle Eastern descent.  To see an example of how we treat this condition, click on the link below.  As an aside, if your injector were to use a technique called "under the muscle" it would be very unlikely to get bruising.  We use this technique and very few of our tear trough injection patients ever have this issue.

Melvin Elson, MD · Answer

The Tyndall effect is a blue coloration due to scattering of light from the filler. This  does not look like that and it is most likely increased pigment due to the bruising and may not go away without some treatment--be sure you are seeing a board certified dermatoligist or plastic surgeon

Is this bruising or Tyndall effect? (Photo)

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Is this bruising or Tyndall effect? (Photo)

Answers (3)

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Everything you need to know about Restylane

Our mission is to create a world where every investment in modern beauty is Worth It.