Is this Tyndall effect or Hemosiderin Stain? (photo)

Question

Hi! I got tear trough filler done under my eyes about 6 months ago. At first it looked good but I’m noticing a dark brown/bluish colour under one of my eyes. Could this be Tyndall effect or hemosiderin staining? Is it permanent?

Onir Spiegel, DDS, PhD · Answer

If you're seeing dark circles u set your eyes 6 months after your tear troughs were injected,  it's very likely that is time for re- treatment since HA fillers typically last only about a year and some of the material is recovered by now. All the best from Boston,  Dr. Onir

Marc Cohen, MD (retired) · Answer

Thank you for your question.  It is helpful that you provided a photo.  However, it would be even more helpful to have a photo of both eyes to compare.  You mentioned that it looked good at first.  Can I assume that you did not get a bad bruise after the treatment?   Assuming that is the case, it appears as if you have a combination of the Tyndall effect as well as some baseline pigment in the skin under your eye.  If that is the case the Tyndall effect will go away as the filler slowly dissolves but the baseline pigment will remain.  Talk to your doctor.  There a prescription level creams that can help with your baseline pigment.

Is this Tyndall effect or Hemosiderin Stain? (photo)

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Is this Tyndall effect or Hemosiderin Stain? (photo)

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