Tyndall Effect After Juvederm? How Long Will This Last or is It Something

Question

I received juvederm in my tear trough 2.5 yrs ago. Trying to be patient and allow for product to diminish, as I immediately had this problem but was told that it would go away in 6-9 months. I continue to look like I have football player paint under my eyes, especially in overhead or flourescent lighting. Will this ever go away or will I need additional procedure at his stage? Thank you for your time

Kenneth Hughes, MD · Answer

Juvederm can persist for quite a while in the tear trough.  Hyaluronidase can be used to degrade any residual product.

Nima Shemirani, MD · Answer

Dear lizzyisblue,

	
		The first step would be to try to dissolve the material if it is still present with hyaluronidase
	
		If it is still present after the enzyme, there are other options that need to be discussed in person


	Best regards,

	Nima Shemirani

Sam Naficy, MD, FACS · Answer

It's Amazing how long Juvederm can last, especially if it was injected superficially in the tear trough area. You mentioned it has been 2.5 yrs. Some would think it would be gone by now, but I have seen it last that long. My suggestion would be to inject a bit of Hyaluronidase diluted 50/50 with Saline inject into the area and massage. You will know immediately if it's old product because the color will improve! You will wish you hadn't waited so long!

Martie Gidon, MD, FRCPC, FAAD · Answer

You should consult a board certified dermatologist to see if the pigment is due to the Juvederm, which can last for years in the tear trough area, or hyperpigmentation. If it is Juvederm, the dermatologist can try dissolving it. If it is hyperpigmentation, fading creams or possibly laser treatments can help.

Sheri G. Feldman, MD · Answer

After 2.5 years your Juvederm should be gone. If by chance there is still some present, Hyaluronidase should dissolve the material and the bluish tinge should disappear as well. The discoloration may be caused by other factors such as the normal loss or redistribution of fat that occurs with age therefore making the underlying vessels appear more prominent. Or if you had considerable bruising after your treatment 2.5 years ago, you may have hemosiderin pigmentation left over. This is harder to treat. You may want to consult with an occuloplastic surgeon for another opinion.

Tyndall Effect After Juvederm? How Long Will This Last or is It Something

Answers (7)