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Can One Get a Blepharoplasty After Fillers?

asked 8 months ago by Tretion in Morristown, NJ
Latest answer by Robert L. Kraft, MD
Question viewed 167 times
Tags: contraindication, filler

Is it possible to get a blepharoplasty after fillers? Fillers are the less drastic option so I'd prefer to see what effect they have first before I consider a blepharoplasty, but I don't know if the injection of fillers then makes surgery in that area impossible or more complicated. Note that the issues with my eyes are significant excess skin causing deep folds/wrinkles (visible even when not smiling), and somewhat sunken eyes. Both of these have only developed in the last couple years.

16 answers to Can One Get a Blepharoplasty After Fillers?

Blepharoplasty after fillers

I find these days that most patients will try fillers such as Restylane first and reserve surgery for more difficult problems or continued aging. But, before making a decision, you should be seen by a plastic surgeon who can evaluate whether fillers would be right for your personal concerns. The right treatment is what is appropriate for you.

Robert L. Kraft, MD
New York Plastic Surgeon

Eye fillers

It sounds like from your description you need a standard blepharoplasty with excess skin removal and possibly some slight eyelid elevation or mild CO2 fraxel work on the lower lid. This will solve the excess skin problem, remove your wrinkles, and even out any slight hollowing. YOU DO NOT NEED FILLERS.....This is not how a reputable aesthetic surgeon approaches this problem.

Richard Galitz, MD
Miami Facial Plastic Surgeon

Can One Get a Blepharoplasty After Fillers?

Fillers, to feather in the edges of lower eyelid bags is a popular question asked on this forum. I want to remind everyone thinking of this option that injecting fillers into the lower eyelid area will add volume (that's what fillers do, they add volume) and as such this will make the area larger, not smaller. The puffiness from the fat bags will remain with the fillers filling in the transition zone at the edges of the fat bags. Temporary fillers, like Restylane and... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Eyelid surgery and fillers

Yes , it is possible to have both. it depends on what type of filler, how long ago you had it. surgery may require addtional fillers. or certain fillers like juvederm can be dissolved or diminished before or after eyelid surgery if needed

Jed H. Horowitz, MD
Orange County Plastic Surgeon

Eyelid Surgery with Blepharoplasty after Filler Injections

Hi Tretion, Yes, one may obtain eyelid surgery after being treated with facial fillers. Facial fillers used around the eyes are typically made of hyaluronic acid, such as Restylane or Juvederm. These fillers last for several months to one year in this area. The decision for blepharoplasty (eyelid surgery) largely depends on the location and type of filler injection, and the goals of your eyelid surgery. For example, having an upper eyelid surgery with skin removal after having lower... more

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon

www.potomacplasticsurgery.com

Fillers and blepharoplasty

From your description of your eyes I am not certain that fillers are going to remedy what is bothering you. Sunken and hollow eyes may be improved with the use of dermal fillers by filling in some of the hollowness. You can absolutely try fillers prior to a blepharoplasty without potentially compromising a blepharoplasty performed later on. The excess skin and deep wrinkles that you have described likely will require either removal of the skin (unfortunately surgical)... more

Philip S. Schoenfeld, MD
Chevy Chase Facial Plastic Surgeon

Filler and Eyelidplasty: Not mutually exclusive

Filler treatments now won't keep you from having eyelidplasty later. Each procedure addresses different issues. Bulging fat is treated with lower eyelidplasty. Wrinkles are usually treated with a laser or chemical peel. Fillers are used to reduce hollowing in the lower lid. Combinations of these are often performed to obtain the best results. A careful consultation with a doctor who can provide all of these treatments is the best way to determine... more

Lawrence Bass, MD
Manhattan Plastic Surgeon

www.drbass.net

Fillers & Lid surgery

Every patient is unique with the appearance of their eyes and face and thus everyone has their own needs in terms of rejuvenating any given area. Both fillers, like restylane, and surgery are viable options to improve the lower lids. They can even be complementary. However sometimes one option is better then the other given your individual problems and thus both options should be discussed with your doctor.

Scott M. Goldstein, MD
Philadelphia Oculoplastic Surgeon

Fillers before blepharoplasty, eyelid surgery

The fillers used in the eyelids are hyaluronic acid fillers, usually used in the lower lids to camouflage deep grooves under the eyes. These usually give a very nice result, though their effect on excess wrinkled skin is limited. You can certainly have blepharoplasty after filler injections. However, it is better if this is done after the filler is dissolved. This can be either after you wait for it to dissolve or by using Hyaluronidase injections which will dissolve the filler within a few... more

Mark Samaha, MD
Montreal Facial Plastic Surgeon

Can I have blepharoplasty after fillers

The short answer is YES. And in many cases it makes sense to try the fillers first. I recommend only hyaluronic acid fillers around the eyes. Sculptra is contraindicated. Both Sculptra and Radiesse can cause lumps that are irreversible except to be surgically excised, while the hyaluronic acid fillers can easily dissolved. You may be very pleasantly surprised to find the fillers not only fill in the hollow to camouflage lower lid bags, but they can bring fluid... more

Yoash R. Enzer, MD
Providence Oculoplastic Surgeon

www.doctorenzer.com

Blepharoplasty after Filler Treatment

It is only the sunken aspect that can be improved with fillers; excess skin will not respond. It is certainly to perform blepharoplasty after filler treatments to the same area. This is most commonly the case in the lower eyelids. The "normal" fillers used in this area are hyaluronic acid based injectables such as Restylane, Juvederm or Perlane. I prefer to desolve this filler material first so that I have an exact understanding of the anatomy and plan the blepharoplasty... more

Frank P. Fechner, MD
Worcester Facial Plastic Surgeon

Filler in the under eye area prior to surgery

Yes you can have lower lid surgery after receiving filler injections in the same area. However... It would be more cost effective and efficient to consult with a plastic surgeon that offers both treatments and determine what is really the issue and what would be the best solution. H.A. based fillers can be dissolved prior to surgery but why put out that expenditure when surgery could have corrected the issue long term. At least once a week I see a patient in my... more

Lee Robinson, MD
Portland Facial Plastic Surgeon

www.drleerobinson.com

Surgery After Fillers

Tretion, It is completely possible to have surgery after filler injection. The best time to have surgery after a filler is after the filler has been absorbed by the body. For most fillers, this is within a year. The hyaluronic acid fillers can be dissolved by injecting an enzyme, so with these fillers you would not have to wait as long.

Michael McCracken, MD
Boulder Oculoplastic Surgeon

It is not at all clear that fillers will accomplish what you are looking for.

Having said that, I would encourage you to try the fillers. If they help you, great, no surgery. At some point it may be necessary to have surgery to accomplish what you are looking for. In that case, no previous treatment with fillers will not prevent you from having surgery.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Lower Eyelid Blepharoplasty after Filler

Hey there, eyelid surgery is fine after filler. I assume you're talking about a lower eyelid case. I see no problem with it unless you somehow put in a whole syringe in each eye. Dr. Lay

Chase Lay, MD
Bay Area Facial Plastic Surgeon

www.chaselaymd.com

Eyelid surgery after fillers

You can have eyelid surgery after fillers to give a more dramatic result! Fillers can also be used after eyelid surgery to further enhance the effect of the surgery. Good luck