Will the Tyndall effect go away? How long with Juvederm Voluma? (photo)

Usually darkness is hemosiderin (blood staining of the skin) and not tyndall.  However, i would try reversing it and seeing what happens.  Its always better to reverse it and reinject filler properly than to live with a poor result.  and yes, tyndall does go away when filler does. cannula injections help limit complications.  Best, Dr. Emer.

Hi,
Usually with Tyndall effect, the discoloration is bluish. Therefore, I do not feel you have Tyndall effect. Sometimes when individuals have their tear trough injected, the added volume can change the way the light reflects on the skin. Therefore, you may be noticing the dark area more now due to the light reflection. If it bothers you daily, I would recommend dissolving the filler. 

The Tyndall effect is the name given to the bluish discoloration that occurs when a filler is placed too close to the skin.  This is most common in the tear trough area under the eye, as this area is quite thin.  I use a specialized technique with cannulas to limit bruising and I prefer Restylane silk which also helps reduce the risk of Tyndall effect.In your case, the darker discoloration may not be Tyndall effect, but perhaps some bruising in the product which could have occurred when it was placed.  Either way, I would recommend product removal w/ hyaluronidase and then consider retreatment afterwards.This is one of my favorite areas for treatment, as it greatly rejuvenates a tired looking eye, but be sure to seek an experienced injector for treatment of this challenging area!  Best wishes, MKB

Filler injections to the under-eye area are very unforgiving. Of the fillers we use, Voluma is one of the thickest and stays around for a long time. For the under eye area, typically much thinner, less concentrated fillers are used to avoid the complication you've had. If the changes are still present 6 months after the injection, I would suggest injecting a little bit of hyaloronidase and one or two laser treatments.

From your photo this does appear to be the Tyndall effect and it probably happened because 1. you were injected superficially and 2. Juvederm is not usually the best choice for under the eyes because of this specific issue. It will resolve in time, but I have seen it last more than 2 years should you just decide to wait it out. Remember that with all injections, the biggest thing is the injector. So removing Juvederm is just as much an art as putting it in. I have not had any of the issues you are talking about when removing fillers. "This
answer has been solicited without seeing this patient and cannot be
held as true medical advice, but only opinion. Seek in-person treatment
with a trained medical professional for appropriate care."