I see lots of ‘tyndall’ daily. I don’t mention it to patients unless they specifically ask. I am sure other injectors do the same. Tyndall most frequently occurs under the eyes . . 🔬Skin Science: Tyndall is due to scattering of light when it hits particulate matter. Blue light is scattered 10 times more than red light, hence the blue hue. In the context of dermal fillers, 3 major factors contribute to ‘blueing.’ Too superficial hyaluronic acid placement, too high a concentration of HAs, & skin type. Darker the skin type, the less the contrast. Skin type 4 & above may get away with a wee bit of #Tyndall, skin types 1+ 2 probably won’t . . 👉🔍How to treat? Dissolve. Then re-do. If there is significant laxity I like to dissolve, tighten and then fill . . 👍🏻Dissolve with hyaluronidase, 100 to 250 units. This patient required 2 sessions. Note the marked volume loss post #hylase . . 🔫Tighten: #Tixel, #eCo2 or #fractionallasers, medium depth chemical peels are all suitable modalities. If laxity is significant tighten of the skin enables me to use less filler & importantly it can aid more accurate product placement . . 💉💉Refill: I usually fill over TWO steps. The first is support, lid cheek junction & orbital rim. Next filling session is 4-8 weeks after the first session . . 🗝Fillers: A two step approach, especially for periorbital rejuvenation is best. It can reduce over filling, & Tyndall👍🏻💯 . . 😎Dr Davin Lim @drdavinlim Brisbane🇦🇺 . . #skin #dermatologist #brisbanedermatology #brisbaneskin #skinbrisbane #skinscience #dermalfillers #juvederm #eyerejuvenation #teartrough (at Brisbane, Queensland, Australia) https://www.instagram.com/p/CHis_vZjpj3/?igshid=1dr01ori1wfso














