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Erbium Laser Resurfacing on Lower Eyelids. When Can I Get Filler?

asked 1 year ago by Toronto8610 in Toronto, ON
Latest answer by Mitchel Goldman, MD
Question viewed 341 times
Tags: under eyes, combination, filler

I am scheduled for erbium laser resurfacing on lower eyelids in two months. If I wanted to get filler done under the eyes should this wait until after the resurfacing? Or how long after resurfacing would you recommend getting the filler injected if it can be done at all?

9 answers to Erbium Laser Resurfacing on Lower Eyelids. When Can I Get Filler?

+1

Filler + Laser Treatment

This is a difficult question to answer. There are many types of erbium lasers, which can be set to perform fractionated or confluent treatment. In general, it should not matter what order to do the procedure; a filler can be performed at the same time as a laser procedure. Since a filler will also smooth the skin, you may not need a laser procedure after, so I would recommend getting the filler first and then after a week, schedule the laser procedure.
Mitchel Goldman, MD

San Diego Dermatologic Surgeon

www.GBKderm.com

+1

Laser first; Filler second

It is generally better to accomplish the laser resurfacing of the lower lids prior to fillers. The laser treatment will usually tighten the skin by stimulating collagen formation. By about 6 weeks after the laser, the skin should be optimal for precise placement of filler. Mark Lucarelli, MD, FACS Madison, WI
Mark J. Lucarelli, MD

Madison Oculoplastic Surgeon

www.UWHealth.org

+1

Use Fillers After Healed and Consider Waiting till after Pinkness Has Resolved

It's best to wait until you're completely healed before having filler injections. That would be after the skin is completely healed, a week or two after the procedure. Even better... wait until the pinkness has resolved completely since your own new collagen contiues to be laid down after the procedure, and this new collagen helps to fill some of the wrinkles that you would be injecting with filler.
Andrew Kaufman, MD

Los Angeles Dermatologic Surgeon
+1

Fillers after laser

I always tell my patients to wait until after they have healed and received maximum tightening from their resurfacing until they have their filler done. The reasons for this are that you want the skin to maximally tighten and then see where the filler is needed. In many cases, a patient may not even need a filler or they will need only a small amount.  In general, 2 months is a good time to assess eyelid tightening.
Edgar Franklin Fincher, MD, PhD

Beverly Hills Dermatologic Surgeon
+1

Fillers may be performed prior to laser resurfacing

I have routinely performed fillers prior to laser resurfacing such as Fractional CO2 laser and have not seen quicker degradation of fillers. In fact, I believe better laser resurfacing can be achieved with the skin stretched vs. crepey skin.
William Ting, MD

Bay Area Dermatologic Surgeon

www.DrWilliamTing.com

+1

Best timing of laser resurfacing of eyelids and filler injection

It would be best to wait until after your skin has healed from your resurfacing procedure to have the filler placed. Waiting at least a few weeks would be prudent. Confirm this with your laser surgeon to make sure your skin has healed adequately before having filler placed.
Thomas A Lamperti, MD

Seattle Facial Plastic Surgeon
+1

Erbium laser before filler for lower eyelids

It probably makes the most sense to first undergo the erbium laser resurfacing. Most likely you are considering injection of a filler to help fill in the tear trough between the lower eyelid and the nose. The erbium laser resurfacing will help smooth the wrinkles on the lower eyelid and may result in some improvement in the tear trough. Because there is some tightening of skin resulting from the erbium laser resurfacing, you may see modest improvement in the tear trough, which would... more
Robert C. Langdon, MD

Guilford Dermatologic Surgeon
+1

How long after erbium laser to get filler under the eyes.

I would definitely wait until the laser treatment is completely healed, I would say a month afterwards.  More so because after the eyelid resurfacing you may not need filler there.  The fractional erbium treatment may get your eyelids in great shape. However if filler is still needed, a month afterwards should be fine.
Emily Altman, MD

Short Hills Dermatologic Surgeon
+1

Filler after resurfacing

As long as the face has healed 100%, which is usually by 2 weeks after most resurfacing, then fillers may be done. It is best not to inject fillers through raw skin to minimize a chance of infection. see video
Ronald Shelton, MD

Manhattan Dermatologist

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