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Is It Safe to Have Blepharoplasty After Juvederm Injection?

Can you have an upper Blepharoplasty done if you have undereye/eye contour filler, such as Juvederm in place? The filler is in the tear trough area but extends outwards under the eye. Should I mention this to my surgeon?

Asked 34 months ago by Apple123 in Toronto

Blepharoplasty after Juvederm injection

There is no problem in performing a blepharoplasty after Juvederm filler in the area. It is very important, though, to be forthcoming and disclose all previous treatments and/or operations to your surgeon in order to have a safer operation. The fillers are usually injected into the dermal layer of the skin (or sometimes on top of the bone) and are not disturbed by the different approaches used in blepharoplasty nor do they interfere with the operation itself.

Andres Gantous, MD

Toronto Facial Plastic Surgeon

Probably not a problem, but wait until Juvederm absorbs

Juvederm injected into the tear trough area of the lower eyelid will not prevent you from having a blepharoplasty, but you will probably want to wait until the Juvederm has absorbed. A large part of a successful blepharoplasty operation is filling in the tear trough and smoothing the transition between the eyelid and cheek. Whether this is accomplished through lower eyelid fat repositioning, autologous fat transfer or an implant, it will be difficult to perform a precise operation with... more

Edward Buckingham, MD

Austin Facial Plastic Surgeon

Upper blepharoplasty is safe with Juvederm, Restylane or other filler in the lower eyelid

Juvederm, Restylane, Perlane, Evolence, Radiesse or other soft tissue filler placed in the lower eyelid or tear trough will not effect an upper blepharoplasty. Of course, you need to tell your surgeon. Soft tissue fillers in the lower eyelid can impact a lower blepharoplasty. If fat is removed during lower blepharoplasty contour deformities can occur whoch are created by the filler left behind.

Doctor's Website

Brooke R. Seckel, MD

Boston Plastic Surgeon

ASAPS ASPS

Good idea to inform your surgeon of injected filler

It is a good idea to mention the fact that you have had Juvederm placed in the tear troughs, and you should probably wait at least a month after the injections before proceeding with lower blepharoplasty surgery. It is important to make sure that all the swelling is down from the injection prior to embarking on elective cosmetic blepharoplasty surgery.

Doctor's Website

William Portuese, MD

Seattle Facial Plastic Surgeon

Juvederm in tear trough should not effect upper blepharoplasty

Dear Apple: I do not think this should be a problem as the upper blepharoplasty is performed in an area not treated with Juvederm. You should however, mention to your surgeon you had Juvederm to your tear trough area. He/she may find this information helpful when planning your current or future eyelid/facial procedures. Good luck.

David A. Robinson, MD

Munster Plastic Surgeon

ASPS

Juvederm and Blepharoplasty

Thanks for your question. It is unlikely that Juvederm for a tear trough deformity would cause a problem for your planned upper lid blepharoplasty. It is important to discuss this with your plastic surgeon. In creating an overall balance it will be important to take into account that you have a temporary filler improving the look of the lower lids (specifically the tear trough area). I hope this helps

Steven H. Williams, MD

San Francisco Plastic Surgeon

ASPS

I don't think there is any need for concern but let your surgeon know

More and more surgeons use fillers in the lower and upper eye lids to establish volumization. This is now part of a rejuvenation process and I combine that with my surgical Blepharoplasty.

Amir Moradi, MD

San Diego Facial Plastic Surgeon

Ok to proceed with surgery

The Juvederm should not affect the blepharoplasty surgery, but please make sure your surgeon knows about it and any other procedures or injections (Botox) that you have had within the last year. Good luck.

David Shafer, MD

New York Plastic Surgeon

ASPS

I would mention it, but it shouldn't affect the surgery

I would advice you to mention it. As long as bumps do not exist on the skin surface, it should be fine. He might need to remove some during surgery, but the key is the final outcome.

Hisham Seify, MD, PhD

Los Angeles Plastic Surgeon

ASPS

Please be open and honest with your surgeon.

Dear Apple Surgeons hate surprises. It should absolutely not be a problem that you just had Juvederm to fill your under eye hollow. This should have no bearing on the upper eyelid surgery unless there is associated swelling. One of the reasons I have moved away from using Juvederm for the under eye area is that there can be some persistent swelling associated with the Juvederm for a period of 6 to 8 weeks that I dont see when I treat with Restylane. The other reason is that the... more

Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon

Disclose everything

Apple, Tell your surgeon about the Juvederm. It should not affect the upper eyelid surgery, and he/she will probably proceed anyway, but it is nice to know everything about a patient beforehand. Depending on when it was done, it might affect your bruising/swelling. Good luck!

Kenneth R. Francis, MD

Manhattan Plastic Surgeon

ASAPS ASPS

It is safe

Juvederm is a nice filler for the tear trough. If you were to get the lower lids done it is important to let your surgeon know. But Juvederm of the lower lid really has no significant bearing on the upper lids. If your lower lids are in need of rejuvenation than I would recommend waiting until it has absorbed then consider having fat redraping done to fill the defect.

Christopher L. Hess, MD

Fairfax Plastic Surgeon

ASPS

Yes, and Yes

The upper bleph can be done safely in the presence of fillers in the lower lids. Always tell your surgeon about important things like this. You should be fine. sek

Scott E. Kasden, MD

Dallas Plastic Surgeon

ASAPS ASPS

Should be no problem

You should definitely mention any thing related to your eye area to your surgeon but Juvederm in the lower lid/tear trough area should not affect an upper blepharoplasty surgery nor vice versa.

Robin T.W. Yuan, MD

Beverly Hills Plastic Surgeon

ASPS

Always disclose your previous treatments

You will probably be just fine, but you should absolutely mention it to your surgeon. In general it is a good idea to discuss all the previous treatments with your current treating physician. Some if them might interact with each other. In rare cases, the results can be catastrophic. Full disclosure is always the best policy. If your doctor thinks the surgery is safe in his or her hands, it is usually a much better reassurance than what you will get on the internet. Additional information... more

Stella Desyatnikova, MD

Seattle Facial Plastic Surgeon

No problem with the procedure

If you want to do your upper blepharoplasty after the injection of fillers in the lower eye lids you should be just fine. The filler injection is stable and there should should not be any cross over effect on one or the other. Best Wishes Dr. Peterson