In aesthetic medicine, any complications after – this is a disaster, because the concept of beauty does not fit in with side effects. And if patients can forgive the doctor for hematomas and edema, then the occurrence of the Tyndall effect, when the dermal filler is visible through the skin, is unacceptable.
Especially for the readers of estet-portal.com, a specialist in the field of aesthetic medicine, doctor, Professor Benjamin Asher spoke about how to prevent the Tyndall effect, as well as what to do to eliminate an undesirable side effect.
Causes of the Tyndall effect
BA: The Tyndall effect occurs when a hyaluronic acid dermal filler is injected at the wrong level, i.e. too superficially, or when too much drug is injected. The Tyndall effect can either become noticeable during the procedure or appear a few days after it.
Tyndall effect is most common in people with thin skin, especially in the area of the nasolacrimal sulcus.
The older the patient – the higher the likelihood of the Tyndall effect, as with age, the skin of any person becomes thinner and thinner. Therefore, you need to be careful, because the risk of getting this undesirable side effect increases not only in the area of the nasolacrimal sulcus, but also in other correction zones.
Dublin Protocol for Treatment of Complications after Fillers
How to avoid the Tyndall effect
BA: Most often, doctors encounter the problem of the Tyndall effect while working in the area of the nasolacrimal sulcus. To avoid this, it is necessary to carry out the introduction of the filler at the level of the deep fat compartment, working as deep as possible. Also in this area it is best to work with a cannula in order to avoid vascular complications.
The deeper you inject the filler, the less likely the Tyndall effect will occur.
It is also important to inject a small amount of filler, because even if you work deep, you must not forget about the diffusion of the dermal filler, which in any case will rise a little after injection.
The more you inject the drug, the more, respectively, will be its diffusion. Therefore, in order to ensure a good result of correction of this zone without side effects, it is necessary to use the minimum amount of filler (0.2 - 0.5 ml) and work in the area of the deep fat compartment.
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What to do if Tyndall occurs
BA: There are situations when you did everything right, but due to the fact that the patient has very thin skin, there is a slight translucence of the filler. The best solution in this case is to immediately inject hyaluronidase, which will quickly and painlessly solve the problem of the Tyndall effect.
I do not recommend the injection of hyaluronic acid dermal filler into this area in such a patient again, because the likelihood of a recurrence of the Tyndall effect is quite high. In this case, the best alternative would be lipofilling of the problem area.
Hyaluronidase enzyme in cosmetology: elimination of side effects of fillers
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