Is this Tyndall effect after rinofiller or something else? (Photo)

Question

Hi,in january i decided to do a rinofiller, after a month i started to notice the color of the skin change, if i touch the area it burns, what it can be?

Anna Chacon, MD, FAAD · Answer

Thank you for sharing the photo and the timeline — that helps a lot. I’ll answer this carefully and clearly. From what you describe — color change about a month after a nose filler and a burning sensation when you touch the area — this is not the classic presentation of Tyndall effect alone.

The Tyndall effect usually appears as a bluish or grayish tint under the skin when hyaluronic acid filler is placed too superficially. It typically:

shows up earlier rather than later

does not usually burn or feel painful

looks more like a cool blue shadow than redness

In your photo, the area appears more pink-red than blue, and the symptom of burning with touch suggests there may be local inflammation or irritation instead. Other possibilities include:

Inflammatory reaction to the filler

Delayed hypersensitivity reaction

Localized irritation or low-grade infection

Pressure effect from filler placed superficially

Vascular irritation (less common this late, but tenderness matters)

A true vascular complication from filler almost always appears within hours to days — not one month later — so your timing is more reassuring in that regard.

Important signs to monitor include:

Increasing redness

Worsening pain

Skin becoming dusky, gray, or blotchy

Swelling that is spreading

Warmth or firmness in the area

Burning is a signal that the tissue is irritated — and that deserves attention rather than watchful neglect.

Management depends on the cause. Sometimes this improves with anti-inflammatory treatment; in other cases, partial filler dissolution is considered — but only after proper assessment of what’s actually happening.

Eric M. Joseph, MD · Answer

Based on your photo, the area underneath your tip appears to be a bit red. If this is the area that you were injected, I wouldn't worry about it. Redness like this tends to disappear with time. I hope this is helpful. Sincerely, Dr. Joseph

Donald B. Yoo, MD, FACS · Answer

Based on your photo and the presence of the skin color acutely changing, it's important to rule out infection as a cause of the "burn" sensation in the area. An in person exam by your by your treating physician would be appropriate to assess the effect of the filler on  your nasal tip.

Is this Tyndall effect after rinofiller or something else? (Photo)

Answers (3)

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