Eyelid surgery or fillers first for tired-looking eyes?

I am a 43-year-old female that over the last 6 - 8 months have seen a noticeable change in my eyes. Puffiness, drooping eyelids and heavier lines under my eye, some days hollow-looking, other days puffy. I always look tired one way or another Should I look to an surgical eye lift or go with a more tame approach, such as Radiesse, Juvederm etc.? I look as if I aged 3-5 years in this period of time.

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6 answers to “Eyelid surgery or fillers first for...”

A: Fillers vs. Eye Lid Surgery

By James H. Schmidt, MD - Sarasota Plastic Surgeon

The correct choice depends upon your particular situation, A depression or hollowness beneath the lower eyelids, often referred to as the "tear trough" deformity, can give a tired look. In this case a filler such as one of the hyaluronic acid products, (Restylane or Juvederm), or even... more

A: Try Juvederm/Restylane for Tired Eyes

By Tanveer Janjua, MD - Bedminster Facial Plastic Surgeon

The tired eye look is usually from a deep tear trough. If you are not sure about surgery then buy some time by getting Juvederm/Restylane in the nasojugal groove (tear trough) and you will look better. However that is good for only six months. Surgery might be the long lasting solution. Regards

A: Fill or surgery for tired lower lids, or both?

By Peter E. Johnson, MD - Chicago Plastic Surgeon

Aging in the lower lids often does not follow a continuum and can be modulated by inherited lid characteristics. This can also be true of the amount of fatty tissue in the neck. At 43 you are on the early side of surgical rejuvenation of the lower lid though the best assessment will determine the condition of... more

A: Blepharoplasty or dermal fillers for eyes

By Philip S. Schoenfeld, MD - Chevy Chase Facial Plastic Surgeon

Normal changes to the lower eyelids can really make us look older quicker. Injections to the lower eyelids are fine for subtle changes such as small amounts of "pooching" of the fat pockets or hollowing (dark circles and shadows) of the lower eye in younger individuals. For significant changes to the... more

A: Surgery or fillers for tired eyes

By Elizabeth S. Lee, MD - San Francisco Plastic Surgeon

A definitive recommendation can only be made after an in person consultation with a plastic surgeon but you have identified some key questions. We can look tired or older around the eyes because the lids are droopy, or because we look puffy or hollowed out. Fillers are generally not used in the... more

A: Blepharoplasty or fillers...or both.

By David C. Pearson, MD - Jacksonville Facial Plastic Surgeon

A proper evaluation by a surgeon (i.e., someone who can also operate on the eyelids and not just inject patients) would be a good place to start. Some patients, for example, really need a lower blepharoplasty--eyelid surgery--to recontour baggy fat and/or "lift" loose eyelid skin. Others, of course,... more