Am I experiencing Tyndall effect from under eye fillers? (Photos)

Question

I got under eye fillers (Restalyne) for the second time about a month ago. The first time (December) I got both eyes done, this time my dermatologist said the left eye only needed to be done. I get them because I have a hollow on the left side. Now where it was sunken in, it seems puffy to me and very noteable. This eye is also significantly darker since I started getting fillers. I went in after 2 weeks & she said it looked smooth to her. 1 is eye with filler, 2 is eye without.

Nima Shemirani, MD · Answer

Hi @joy1992. Most facial filler products that are injected into this area should ideally be placed in the tissue plane directly on top of the bone, or at least underneath the eyelid muscle layer. If a facial filler product is placed too superficial in the skin, or on top of the muscle layer, the product may settle in with an abnormal appearance and can look to be lumpy, swollen, or irregular. The filler products that are preferred to treat this area will have some degree of affinity for water molecules so all of these products will exhibit some degree of hydration and swell once injected into the body. Hyaluronic acid facial filler products that were previously injected into an improper tissue plane can be dissolved by hyaluronidase injections. Best of luck, Dr. Nima!

Alexander Rivkin, MD · Answer

Hello and thank you for your question.  I agree with the others that it is hard to say for sure without an in-person examination.  However, if you had significant bruising after the last treatment, hemosiderin staining may be the cause of the pigmentation.  Lasers such as V-Beam can sometimes help with these issues. I suggest looking into a reputable office near you that can evaluate you and suggest the proper care.  Best of luck!

Mehryar (Ray) Taban, MD, FACS · Answer

The problem could be filler edema and/or underlying hidden eye fat bags. Examination is required. Options may include observation, removing filler, and/or lower blepharoplasty.

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question and posting your photographs. It is hard to tell from the photos. The filler might have been injected too superficially. See an experienced Oculoplastic Surgeon for your treatments in this tricky and potentially problematic area. Good luck,

Jonathan Kulbersh, MD · Answer

I'm sorry you are unhappy with your filler result. This may be due to placement. If you're unhappy, I recommend following up with your injector. The filler can be reversed with hyaluronidase. Hope this helps.

Am I experiencing Tyndall effect from under eye fillers? (Photos)

Answers (7)

Answer: Is this Tyndall Effect?

Answer: Is this Tyndall Effect?

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Answer: Tyndall effect? Tear Trough Injections

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Am I experiencing Tyndall effect from under eye fillers? (Photos)

Answers (7)

Answer: Is this Tyndall Effect?

Answer: Is this Tyndall Effect?

Answer: Tyndall effect? Tear Trough Injections

Answer: Tyndall effect? Tear Trough Injections

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Recommended reading

Everything you need to know about Restylane

Our mission is to create a world where every investment in modern beauty is Worth It.