Does the Tyndall effect occur in African American skin?

Question

I want to get restylane in my tear troughs. I have heard that sometimes the under eye skin can take on a blue tint. Is there a risk of this happening in African American skin as well? I have quite thick under eye skin (mid 20s), and fitzpatrick type V skin pigmentation.

Nima Shemirani, MD · Answer

Hi @dolleyes! The Tyndall effect can happen with dermal fillers are placed too superficial. 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!

Joseph A. Eviatar, MD, FACS · Answer

This effect is from scattering of light through thin eyelid that occurs when an HA filler is placed superficially in the skin.  This is rare but possible in darker skin types and can be treated with vitrase.  For injections around the eyelids it's best to see an oculoplastic surgeon with extensive experience injecting in this area -- this will minimize the chance of complications and help ensure a natural and long lasting result.  The anatomy in this area is delicate and complex but treatment around the eyes, when performed correctly, really provides a "wow" result for the patient because it improves the tired look and can make the entire face appear fresh and relaxed.

Michele S. Green, MD · Answer

The tear trough area is a delicate area to be injected. The Tyndall effect can happen with the injections placed too superficial. The Tyndall effect is less likely with darker skin. For the best cosmetic results please consult a board certified dermatologist with a greet deal of experience with cosmetic injections around the eye area.

Steven Wallach, MD · Answer

The tyndall effect is a light reflex when filler is placed too superficially. If your skin is dark it is unlikely to be apparent, but I use restylane and dilute it before injecting by the lower eye lid to allow for a more malleable product.

F. Victor Rueckl, MD (in memoriam) · Answer

The Tyndall effect is not caused by Restylane as much as it is from superficial Juvederm. It is also much less likely to occur in darker African American skin. Both of these have even less of a chance if you see a great, board-certified injector. "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."

Does the Tyndall effect occur in African American skin?

Answers (5)

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