Tyndall effect? Need more filler? (photos)

Thanks for posting your photos. At 6 days from your injection, it's not possible to tell if this is swelling or something else. I suggest you follow up with your injector around two weeks. Best wishes, Dr. Aldo

It's difficult to tell from your photos. I recommend following up with your injector. If necessary, this can be reversed with hyaluronidase. I like Belotero for under the eyes and recommend using cannulas to limit complications. See an expert. Best, Dr. Emer

It is too early to tell. My recommendation is to wait 2 weeks and the reassess.
It is possible that this will continue to go down. If it does not than your injector can easily remove the excess with some hyaluronidase.

Thanks for your question and thanks for the photos – they do help.  We always recommend that you have these injections performed in the offices of board certified dermatologists or plastic surgeons – we do understand the filers the best and what to do if, potentially, something goes wrong.  You had Restylane Silk injected – this is a filler that causes a lot of swelling, so most of us will only inject a small amount in each tear trough – even less then when other fillers are used. One syringe is a lot of Silk – and swelling can be impressive with that amount which is probably what is going on here – and not the Tyndall Effect. I would recommend waiting another few days, using a lot of ice to the area, and then going back to your provider to determine if the material was placed too superficially or if this is just swelling.  If it is not placed right, hyaluronidase can be used. If the swelling does not subside, hyaluronidase can also be used – but I think you will find it will settle down and it may end up ok.  Good luck.

Although swelling in not uncommon even 6 days after the injection of the tear trough, I do think I see Tyndall effect in your photographs.  This can be potentially avoided by strategically placing the filler at the correct depth.  Please consult your injector as soon as possible as this can be reversed with hyalurodinase.  Belotero and Restylane work well in this area.  Juvederm tends to lead to more swelling compared to the other two products.

You look OK for just 6 days out.  There is probably some swelling left at this point which should get better.  I would recommend waiting a full 2 weeks before full assessment.  If you have concerns your doctor should be happy to address them with you.  It looks like you did have some dark pigment in the tear trough area before the injection, it is important to note that the fillers can improve the contour of that area, but don't necessarily improve the pigmentation...this means that although the eye will look much better, the dark circles may not be gone entirely.Best wishes, MKB

I do think this the Tyndall effect. This can only be treated by dissolving with hyaluronidase. If you want to wait a couple weeks to see if it improves you can but I don't think it will.

Thank you for posting your pictures.  I do think that your lower eyelids were over-injected and now you have the typical bluish hue of the Tyndall effect.  The best thing to do is to return to your injector and request to have it reversed with hyaluronidase (hylenex/vitrase).  Best of luck!