Tyndal or bruise
It appears from the photograph that the line is actually a depression or crease potentially created by swelling or filler placement. There also may be some residual pigmentation from the bruise. If the bruise was large, it is possible for this to cause longer lasting swelling. Return to your physician for follow-up and evaluation.
Unfortunately based on the photographs is very difficult to tell if there is Tyndall effect or a bruise.The line seems more of a depression than a bump. If that is the case then you will need fillers intact line to bring it up to the surrounding skin level.
Angled lighting to help, Juvederm and tyndall
Firstly to distinguish if something is lumpy or not, use angled lighting, namely light that comes across or from on top. This will exaggerate any lumps, hollows and irregularities.
Secondly, if Juvederm was placed deeply (only your injector would know), unlikely to be tyndall at day 11. I can see the bluish hue, but tyndall is very difficult to call on a photography so I would say a bruise. As previously mentioned, if this was a depression - angled light would show it. I personally would wait another week as bruises may take up to two weeks to resolve.
All the best Dr Davin Lim
Laser & Aesthetic Dermatologist
From the picture I do not see a blue hue. I notice a darker spot that is possibly a depression or a bruise. I would suggest seeing your injector and getting their opinion. I hope this helps.
Juvederm injection - do I have a Tyndall effect?
Thank you for asking about your Juvederm.
- I am sorry you have a problem with your Juvederm-
- The Tyndall effect is a blue hue that shows through the skin when Juvederm is near the surface.
- Your 'line' looks either like skin darkening from the bruise or an indentation from filler or swelling.
- If it is brown - it is hyperpigmentation.
- If it is indented - it is from swelling or filler (and it may be both discolored and indented).
- I suggest you see your treating physician to consider injection to dissolve excess material -
- A light glycolic peel or 100% shea or cocoa butter may lighten the discoloration.
- Always see a Board
Certified Plastic Surgeon.
Hope you find this information helpful. Best wishes.
Sorry, but it is very difficult to assess your issue from the photo. I think that it is best to go to your doctor and get evaluated in person.
You are looking fine and are far too early for worries concerns. See you physician injector for assurance. My Best, Dr Commons
Tyndall Effect Vs. Bruise
Bruises, which arise from slow leaking of blood below the skin surface following injection, occasionally take as long as two to three weeks to completely fade (although this is more often in older individuals). The unwanted, bluish Tyndall Effect on the other hand is the result of too superficial injection of a hyaluronic acid filler within the skin.
From the photos it is somewhat difficult to discern between the two. However, it would not seem unreasonable to wait another couple of weeks. If complete fading has not occurred by that time, then it would be reasonable to return to your treating physician to discuss the possibility of treating with hyaluronidase to dissolve the filler, after which re-treatment can be performed it you wish.
Tyndall versus Bruise from Juvederm
The Tyndall effect usually has a different appearance but it it may be too soon to be sure. It is most likely a bruise that has not resolved. If you are concerned you should return to your treating physician. Best, Dr. Green