Which filler won't cause tyndall effect?

Question

I had HUGE collagen and natural HA loss upon using hyaluronidase ( which they promised was very safe and wouldn't damage at all because different PH blah blah) and now ironically I am looking for a filler that doesn't show tyndall because my sin went very thin! Bone and skin in some places. Which filler won't show tynfall effect on the eye area?

Nima Shemirani, MD · Answer

Hi @Sincere6779. Tyndall effect is the result of an HA filler being placed too superficially. The Tyndall effect is possible with any filler. I recommend seeking treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications. Best of luck, Dr. Nima!

Nirmal Nathan, MD · Answer

Dear Sincere6779,Fillers can produce the Tyndall effect even when injected into the correct plane. as a plastic surgeon, I have extensive knowledge of anatomy and can tell you that even when injected correctly, the Tyndall effect can be noted in lighter skin patients and even in darker skin patients who think it is bruising. There are fillers that do not carry the risk, but consult with an experienced and knowledgeable injector for more information.Best regards,Nirmal R. Nathan, M.D.
  
Certified, American Board of Plastic Surgery
  Member, American Society of Plastic Surgeons
  Fellowship-trained Craniofacial Surgeon

John Tang, MD · Answer

Thanks for the question.  You can consider using Restylane or Restylane Refyne and this will not cause the discoloration so as long as the filler is injected into the right plane.

Kristen Aliano Messina, MD · Answer

Hi, The Tyndall effect is the result of an HA filler being placed too superficially in the skin.  This effect is theoretically possible with any filler.  In our practice, we have been having success with utilizing Volbella off-label for under-eye filler.  This filler is meant to be placed more superficially in the skin, and as less of a risk for the Tyndall effect.  Please see a qualified plastic surgeon for evaluation and treatment.

Alix J. Charles, MD · Answer

Thanks for your question, and sorry to hear about your problems with hyaluronidase. The Tyndall Effect occurs when an HA filler is placed too superficially. So as long as the injector places the product properly you don’t need to worry about this. Also, it doesn’t occur with non-HA fillers. I hope this helps.

Which filler won't cause tyndall effect?

Answers (5)

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