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The Tyndall effect refers to a bluish color from small particles reflecting light in a transparent medium. Sometimes the hyaluronic acid fillers when injected into a superficial position can cause this bluish color. It will last for the duration of the filler's presence, although it may lighten as the particles of the filler lessen. Hyaluronidase injected into the area can dissolve the product and make it less blue.
Unfortunately, the filler that lasts the longest is the filler that is in the wrong place. When hyaluronic acid fillers are injected to superficially, they appear blue from the surface. Why wait and suffer? Hyaluronidase is quick and easy and can get of the problem safely.
The blue color from the Tyndall effect occurs from the refraction of light through the clear hyaluronic acid when it is injected close to the surface, especially under thin skin. Often it resolves as the filler is absorbed, but in some patients it has been known to persist longer. If you find this disturbing, I agree that an injection with hyaluronidase can help.
The skin in the forehead and around the crow's feet area is thin, with little room for fillers to plump lines. Collagen was used to fill forehead lines and crows feet long before we had Botox. Unfortunately because the skin is so thin and there is little "give" underneath patients...
If the filler used is injected in the right level of the skin or under the skin there should be no scarring and There is no relationship between hypertrophic scars and fillers
Personally I believe that some products are better for certain applications. Perlane can be used for the lip but it is not ideal for this location. Perlane is a great volumizer but it is difficult to manipulate once placed. It does not hide well in locations like the lip edge or under eye...