What can be done for discoloration after fillers to mask festoons? (Photos)

Question

I got fillers about 3 months ago around my cheekbones to mask festoons. A week in, there was discoloration, but my doctor said it was still healing. Two months later, I went back in, concerned it was the Tyndall effect. He said it’s not—it’s just discoloration, and there’s nothing that can be done and I just have to wait for it to go away. I feel he’s not being honest. Thoughts?

Nelson Lee Novick, MD · Answer

Infraorbital swelling and Tyndall discoloration due to inappropriate filler placement, overfilling or filler displacement is typically treated with the filler dissolving enzyme, hyaluronidase. If the swelling is due to lymphatic obstruction, i.e. lymphedema, the problem usually requires more aggressive treatment and multiple treatment sessions that include not only hyaluronidase, but additional anti-inflammatory agents, in varying concentrations and amounts. Hope this helps. Best of luck.

Camille Cash, MD · Answer

Festoons can be challenging to treat.  Some patients find improvement with Morpheus8.  This treatment combines RF technology with microneedling to improve overall skin tone and texture.  Generally three sessions spaced a month apart are recommended for optimal results.  I've included a video I hope you find helpful.

Robert T. Buchanan, MD (retired) · Answer

Although it would take an in person exam to know for sure, you do not appear to have any Tyndall effect but residual shadows from depressions that were not addressed originally. If this is what you have, it can be corrected by an expert injector. However, these are hard to find as most injectors do not understand the anatomy, precautions, or modern techniques for the region. Do your research and do not accept superficial injections, especially near the eye.

What can be done for discoloration after fillers to mask festoons? (Photos)

Answers (3)

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