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Is this Tyndall effect by my mouth? The skin feels level with the rest of my face (Photo)

Nurturing735089
I had Juvederm injected 4 years ago into the nasolabial. I feel like I have had this spot on my face before then, but I wanted to make sure. If it isn’t Tyndall, what could it be? It looks worse in certain lighting. How can I get rid of this? Thank you for your help.

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