Is This Tyndall Effect? (photo)

Looks to me like you have nothing more than a bruise, which will also cause a little swelling.  A Tyndall effect happens when the filler is too close to the surface causing the blue wavelength spectrum of light to cause a light blue hue, like the color of blue eyes.  Looks like you are purple, ie. bruise.  Give it a couple of weeks to resolve and it might get a little worse before it gets better.  Make sure that you wear sunscreen all the time as the inflammation from the bruise may cause some hyperpigmentation which may take longer to go away than the bruise itself.  Arnica and Vit K probably will not help, but they won't hurt. 

Midlife Mom....Take a deep breath...You will be ok.  It is too early just yet to tell if this Juvederm injection will cause the Tyndall effect.  Right now from your photograph it appears as if the discoloration may simply be " black and blue."  Give it at least tow weeks for the swelling to resolve.  In the worst case scenario the doctor can make the filler dissolve with hyaluronidase. Sit tight breathe easy.

Looking at your photos, it appears you just have some bruising. This should resolve over the next 1-2 weeks. I would recommend communicating any concerns to your surgeon, as they know the extent of your treatment. I hope this helps, and I wish you the best of luck.

In the first week after a hyaluronic injection in the tear trough it can be difficult to tell if it is a bruise or Tyndall effect. In your case it appears to be a bruise. You can use warm compresses and gentle massage to help it resolve.

Regards

Dr. J

Disclaimer: This answer is not intended to give a medical opinion and does not substitute for medical advice. The information presented in this posting is for patients’ education only. As always, I encourage you to see your personal physician for further evaluation of your individual case.

Hi MLM.  By the looks of things, it is more likely a bruise than the Tyndall effect.  Hard to tell until after a week or two so if you are still concerned at 7-14 days, then schedule a checkup with your injector.  If it is the Tyndall effect, your injector can easily reverse it with hyaluronidase injections.  Good luck.

  There is at least an element of bruising here.  I would give it 2 weeks and then reevaluate.  If the lumpiness does not resolve, an injection of hyaluronidase may be appropriate.  Kenneth Hughes, MD Los Angeles, CA

At two days, it is impossible to know. Most likely, this is a bruise that will resolve within 7-10 days. If the discoloration does not resolve within 7-10 days it could be the Tyndall effect. Most experienced injectors are very skilled with another agent called Hyaluronidase that can be used to remedy this or soften any bumps or contour issues that result from hyaluronic acid filler treatment. As an aside, in my practice we will often treat bruising following injectable treatments or surgery with a laser to help them resolve ASAP. I hope this information is helpful.Stephen Weber MD, FACSWeber Facial Plastic Surgery

I agree with the other doctors that this looks like a bruise. Bruising is extremely common after filler injections under the eyes, but usually resolves within 2-3 weeks after the procedure. Each doctor will have their own preference, but I prefer filler injections to fat transfer in this area. I have used Juvederm in the past, but now prefer Restylane. Fillers often last several years under the eyes, so if you have a good fill, you are unlikely to need another procedure for a long time. I treat my own under eye area with Restylane and there is still plenty of filler in place more than three years after my last injections. Give the bruise a few weeks to resolve and reassess the situation. Many patients will need a small "touch-up" to optimize the results. Good luck.

Your area looks like it was bruised and that can be a common and sometimes expected side effect when injecting around the eyes. It should resolve in the next few weeks. If not, let your injecting doctor know.

If it is a bruise, it should have settled by now.  Bruising after a Juvederm injection usually is not so well demarcated and distinct and if it is, it will start to spread out in a day or two after appearing.  As stated by another physician, an injection of hyaluronidase (the enzyme that breaks down hyaluronic acid gel) will melt the lump away if it is a Juvederm lump or superficial injection.