Five weeks post tear trough filler. Could this be Tyndall effect? (Photo)

I had juvederm volbella injected into the tear trough region five weeks ago. Initially the results were fantastic, but now, especially in certain lights, a blue tinge seems to be apparent, only under my left eye. I was just wondering if you think this could be the Tyndall effect and if so, would the enzyme to dissolve it work? Thanks in advance.

Doctor Answers 13

Tyndall and fillers

Very hard to see with the lighting. Tyndall can occur with two situations- too much filler too superficially. Superficial can be placement or migration.At 5 weeks, migration is unlikely. I don't know what technique was used. Volbella is excellent for tear thoughts, and is my filler of choice for this area. Your injector will assess this area, and can easily rectify this situation with an enzyme is needed. Tyndall is extremely difficult to Selfie, as it can be subtle. CheersDr Davin LimLaser and aesthetic dermatologistBrisbane, Australia. 

Brisbane Dermatologist
4.7 out of 5 stars 56 reviews

Tear trough injections

Hello, I am sorry but it is just too difficult to make any comments with respect to your photos. Please see your physician injector if you have any concerns so that she/he may examine you properly and compare pre to post treatment photos. Best of luck.

Gail Nield, MD, FRCPC
Toronto Dermatologist
5.0 out of 5 stars 5 reviews

Tyndall effect

Tyndall effect can happen with most fillers. Based on your photos, it is difficult to say if that what is happening but, in any case, please see your dermatologist, review your situation and see if hyaluronidase can helps.
I hope that helps and best regards,Dr.Sapijaszko.

Mariusz Sapijaszko, MD, FRCPC
Edmonton Dermatologic Surgeon
5.0 out of 5 stars 10 reviews


I suggest you return to your injector to talk about your concerns. It may be the Tyndall effect, however you would have to see you pre-treatment photos to determine if this is true. Hyaluronidase can help.  

Tyndall effect from filler in tear trough

It is hard to tell if you have a Tyndall effect (a blue-ish hue noted from HA fillers, typically if placed too superficially or if the skin itself is too thin). Best to have your dermatologist assess you, and review your pre-treatment pictures. Thankfully hyaluronidase can dissolve some or all of it if need be, or occasionally it can be poked with a needle and some filler expressed.

Benjamin Barankin, MD
Toronto Dermatologic Surgeon
4.9 out of 5 stars 42 reviews

Five weeks post tear trough filler. Could this be Tyndall effect?

Without your pre-procedure photo- difficult to comment accurately. It could be Tyndall effect-- it is best to discuss it with your injector. It can be dissolved with hyaluronidase.
FYI: In the US- this product hasn't been approved by FDA yet

Five weeks post tear trough filler. Could this be Tyndall effect?

It could be but it's tough to be sure without knowing what you looked like before. Best to follow up with your injector if you are worried.

Mathew A. Plant, MD, FRCSC
Toronto Plastic Surgeon
5.0 out of 5 stars 21 reviews

Tyndall effect?

This could be Tyndall effect, it would be beneficial to have a before photo for comparison. Visit your injector, if you are unhappy with the results you can speak with your injector regarding hyaluronidase injections to remove the product. Otherwise, you can cover with make up.


Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 414 reviews

Tyndall effect post treatment

Yes, this does appear to be the Tyndall effect. You do have options. The most common option is to leave the product in place and conceal with makeup. The second option is to use hyaluronidase to return to the original state. The third option is to dissolve with hyaluronidase and use belotero to make the correction. The physician who injected your or who oversaw the injection should be involved with the decision. Your experience underscores the importance of an experienced and expert master injector performing this advanced treatment.

Note: Juvederm Volbella has not been approved for use in the United States. It is designed to enhance lip shape or restore lost fullness.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 36 reviews

Tyndall Effect Under The Eyes

Hi Jade. From your pictures that does look like the Tyndall effect as you suspected. You should schedule a follow up with the person that did your injections for an in-person evaluation. Hyaluronidase can effectively dissolve any Juvederm in the area. Best of luck to you.

Michael A. Zadeh, MD, FACS
Sherman Oaks General Surgeon
5.0 out of 5 stars 9 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.