10 Days After Hyaluronidase, Still Discolored? (photo)

i had hyaluronidase because of tyndall effect. my skin is not back to normal yet. i didn't have any obvious bruising after the hyaluronidase injection, but my undereye area is still discolored (may have been discolored when i still had filler, but it is difficult to tell because of the tyndall effect). question: am i still bruised, could it be hemosiderin staining of post inflammatory hypigmentation?

Doctor Answers 3

Lower eyelid color after hyaluronidase

Some pinkness is common for 1 to 4 weeks after hyaluronidase.  This will subside.  It would help to see post op photos because this may be the way your eyelid looks.  Be patient.  I have had only great success with hyaluronidase so all will be well.  You lower lid looks great over all.  My Best,  Dr C

Palo Alto Plastic Surgeon
4.5 out of 5 stars 36 reviews

Tyndall effect from fillers

The Tyndall effect under the eyes is a bluish-translucent discoloration from the filler (most often Juvederm) being placed too superficially, and showing through the thin skin there. What you are talking about is a brownish discoloration, which was either there before treatment but now you're much more focused on it because of the filler underneath, it's bruising, or it's a bit of hemosiderin staining. If it's one of the later two, it will resolve with time. If it's your actual skin, it will go back to looking like what it was before either after the filler dissolves on its own, or should you choose to have more hyaluronidase done, much quicker.

F. Victor Rueckl, MD
Las Vegas Dermatologist
4.6 out of 5 stars 17 reviews

Tyndall effect or Bruising?

Hi Angel.  If you still had some product left in the area after hyaluronidase, it would look like a pale blue or grey color.  This does not appear to be the case with you.  The reddish or purplish color is either some residual bruising or else it's just your natural color.  

If before pictures were taken, you may want to go back to them to compare.  Good luck.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.3 out of 5 stars 6 reviews

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