Can tear trough filler be administered superficially without causing tyndall effect?

Question

Is it only juverderm that causes the tyndall/blue effect if administered superficially in the tear trough?

Lexie Wang, MD · Answer

The tyndall effect is from any filler that is seen through thin skin (such as eyelid skin). Therefore, essentially any filler can result in the tyndall effect in someone who has thin skin, although Merz claims that belotero (another HA filler) does not cause tyndall because it incorporates into the tissue instead of acting as a buffer of filler. But to make a long answer short, yes any filler with HA that is injected superficially runs the risk of showing tyndall effect, not just juvederm.

Leonard Grossman, MD · Answer

The more superficial the hyaluronic acid filler is placed, the more likely there will be Tyndal effect. The lower eyelid is extremely thin to begin with, and it almost doesn’t matter how deep the filler is placed, it invariably causes a bag formation with some form of Tyndal effect. This is the reason why thousands of my patients have fat grafting performed on them as it produces, natural and permanent results without any tynday effects or Bag formation I hope this helps and good luck from New York City Plastic Surgery.

Jo Herzog, MD · Answer

Theoretically, any filler can do this but in practice I have almost never seen this with a filler other than Juvederm. If you are seeing this with other fillers the problem is more likely the placement of the fillers or poor patient selection then it is the filler itself. I use Restylane and Belotero all the time and thankfully do not see this .

Oakville Plastic Surgery &amp; Medspa · Answer

Tyndall effect is generally caused from placing filler too superficially or also from layering too much filler. A visual of this may be when you look at ocean water and it looks dark blue in deeper water but clear in shallow water. This is a reflection of the light. It can happen with different filler brands, not just Juvederm.

Can tear trough filler be administered superficially without causing tyndall effect?

Answers (4)

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