Is This The Tyndall Effect or a Healing Bruise Under Eyes? (photo)

Question

I had Juvederm XC injected into my tear trough area for under eye hallows 5 weeks ago. I had a SEVERE bruise under my left eye and a smaller bruise under my right. I still have a dark tint under both eyes and appear to have two black eyes without makeup. Does this look like the Tyndall effect or are the bruises still healing? The dr. Said he injected very deep so I should not end up with this effect. Would love others opinions based on my pictures. THanks

Timothy Jochen, MD · Answer

From the photos you have submitted, it does just look like bruising that is resolving and not the Tyndall effect. The Tyndall effect is more of a blue tinge right underneath the skin.

Susan Van Dyke, MD · Answer

The first picture looks like a bruise (was this taken earlier?).  After 5 weeks one would not expect to still see a bruise.  Judging from the second and third photos I vote for Tyndall effect (which is actually a bluish color under the skin due to light reflecting over the filler).  Hyaluronic acid fillers like Juvederm are famous for this, especially under the eyes.  It can occur with deep placement because the skin is so thin under the eyes.  Check with your doctor and ask about hyaluronidase.  With one injection and 24 to 48 hours the material can be dissolved.  Unfortunately your correction will also dissolve to some extent.  In any event the color will go away on its own when the material naturally breaks down although that could take a year.

Joseph Serota, MD, FACS · Answer

If the product was injected deeper, than bruising is typical, especially inder the eye area. Avoid Vitamin E, fish oil and products containing Ibuprofen for 2 weeks prior to injectable treatments. Also, if the injector uses ice under the eye immediately after the treatment, it does help to avoid these bruises.

Jo Herzog, MD · Answer

From what I can see this looks more like a resolving bruise. Tyndall would be a gray/blue or purplish color. this looks more brown to me in the photo. Give it  some time.

Jacqueline Calkin, MD · Answer

Thanks for the pictures.  That looks like hemosiderin deposition which is a result of the bruising and not the Tyndall effect.   It can take some time to go away, but it will. Some doctors believe Vit K creams can spped up the resolution.  We have also had luck with the pulsed dye (Vbeam) laser. Best to you.

Is This The Tyndall Effect or a Healing Bruise Under Eyes? (photo)

Answers (10)

Answer: Bruise or tyndall

Answer: Bruise or tyndall

Answer: Juvederm and bruising

Answer: Juvederm and bruising

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Is This The Tyndall Effect or a Healing Bruise Under Eyes? (photo)

Answers (10)

Answer: Bruise or tyndall

Answer: Bruise or tyndall

Answer: Juvederm and bruising

Answer: Juvederm and bruising

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Recommended reading

Everything you need to know about Juvederm

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