Vollure Tyndall Effect: can makeup or self-tanner hide the discoloration?

Question

Three weeks ago I had Juvederm Vollure XC injection to improve my nasolabial folds, marionette lines and lipstick/smoker wrinkles. Now I have a bluish discoloration line on nasolabial area. Can makeup or face self tanner help camoflauge the bluish discoloration. What are possible options?

John L. Burns Jr., MD · Answer

The Tyndall effect is generally seen in the lower eyelid area as the lower face skin is much thicker.  However, if you are unhappy with your filler it can be easily removed with hyaluronidase injections.

Nelson Castillo, MD · Answer

Thank you for sharing your question and I am sorry to hear of your Tyndall effect. I would recommend seeing your injector for an in-person examination.  Treatment will depend on whether this bluish discoloration is the effects of your Vollure or bruising from its initial placement.  In the former I would advocate for dissolve the material while for the latter additional time should help clear it.  Hope this helps.

Dmitriy Schwarzburg, MD · Answer

While this side effect can be concealed with makeup I would strongly recommend dissolving it with Hyaluronidase. Make sure you are getting treatment from a board-certified physician or other experienced health care professional.

Keith Denkler, MD · Answer

The bluish discoloration is best seen by your doctor for an analysis.
An enzyme (Vitrase) can reduce and improve the bluish area.

Alex Eshaghian, MD, PhD · Answer

Thank you for
your question dia. I am sorry to hear about your situation. Vollure is a
dermal filler used to enhance moderate to severe wrinkles on the face. Hyaluronic acid fillers such as Vollure can be dissolved an reinjected if the desired effect is not achieved. The Tyndall effect is seen if the product is placed too close to the skin surface. It is characterized by a blue tint. Please
consult with a doctor for specific recommendations. Good luck!

Faiyaaz Kalimullah, MD, FAAD · Answer

Thank you for your question.  I'm sorry to hear that you're noticing skin discoloration after your Vollure treatment.  It's difficult to make an exact diagnosis without assessing you in person, or reviewing your photos, but it does sound like you may be experiencing the Tyndall effect.  The Tyndall effect occurs when fillers are injected too superficially in the the skin - because of the way they scatter light, the fillers can appear slightly blue.It would be best to schedule a follow-up appointment with your injector to discuss your concerns.  He/she should be able to dissolve the superficially-injected Vollure with hyaluronidase.  Best of luck!

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

The Tyndall effect is from filler being injected too shallow in the skin so light reflects off of it which presents a bluish coloring. However, it rarely occurs with Vollure because it isn't a bluish color like Juvederm. Are you positive you were injected with Vollure and not Juvederm? Either way, Vollure and Juvederm are both hyaluronic acid fillers that can be dissolved with hyaluronidase. "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."

Vollure Tyndall Effect: can makeup or self-tanner hide the discoloration?

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