Juvederm After Blepharoplasty?

I had a Blepharoplasty a few years ago, and a lot of tissue was removed under the eye. Now, five years later, I am getting a lot of wrinkling and the under eye area seems to be sinking in, making me appear older. Will any cosmetic filler like Juvederm be helpful at this point since I have had tissue removed? I really need a good answer to this before having a major nightmare scenario.

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10 Doctor Answers | Asked by venus06 in Frederick md

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Combine Dermal Filler and Mild Laser For the Best Result

The use of dermal fillers for hollow areas along the lower eyelids is common, especially in the area sometimes called the tear trough. This is the area some people think of as the dark circle under their eye. I have used Juvederm and Restylane successfully for these hollow areas. Fat grafting may also be successful but does require harvesting of the fat from your hip or abdomen. Since you have had surgery one key issue is how thin is the remaining eyelid tissue. If I were seeing you as a... more

You would likely benefit from soft tissue fillers.

Hyaluronic acid fillers such as Juvederm and Restylane are probably the safest of the temporary fillers for the lower eyelid/upper cheek hollows. A relatively small volume of filler material can produce a significant improvement in this location. Besides avoiding the major blood vessels and nerves under the lower eyelid area, it is important for the practitioner to place the material in the appropriate tissue plane which in most cases is just above the surface of the bone. When placed... more

Juvederm After Blepharoplasty

Dermal fillers can be performed to improve the hollow areas of the lower eyelids. Restylane is probably the best product for this area, but juvederm can be used as well. The risks are plentiful so it should be only done by expert injectors who are experienced in this use.

Using Juvederm under the eyes

Juvederm is an excellent hyaluronic acid based injectable that can be used effectively for facial contouring. Juvederm is commonly used around the lips, the smile lines, the marionette lines, under deep wrinkles, under deep scars, and even under the area of the eye. However, keep in mind that the area under the eyes has some of the thinnest skin in the body and can bruise very easily because of the high concentration of blood vessels. For this reason it is essential that you work... more

Restylane safer than Juvederm for under eyes.

Hi. The under eyes are a very tricky area. So first you need a really experienced plastic surgeon or dermatologist with a very good eye. In Manhattan, we use Restylane rather than Juvederm for the under eyes, because I think it is less likely to leave bumps. And the filler must be injected deep and in very small quantities.

Juvederm for lower eyelid

Facial fillers like Juvederm or Restylane may be helpful to fill in the area that appears sunken in the lower eyelid. Be careful because it can also leave bumps.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Consider Juvederm or Restylane

Although it is an off-label use, Juvederm or Restylane is being used by many physicians for this exact indication. It is placed underneath the muscle so that the thin skin of the lower eyelid wouldn’t show lumps of the filler. The overlyling skin might improve very little in texture, but this can be improved with Portrait plasma or laser resurfacing, such as Fraxel.

Fortunately you're not on Elm Street

Venus, Indeed, it was more common to resect, perhaps, too much fat from the lower eyelids years ago. This fact resulted in many prior blepharoplasty patients developing hollowing in their lower lids. Newer blepharoplasty techniques have helped to avoid this long term effect. There are several methods of refilling the lost volume in, what is known as the tear trough area. These range from implants that are surgically placed to injections of fillers and even fat from your own body. The... more

Restylane to Replace Lower Lid Volume After Blepharoplasty

Hi Venus, Restylane is an excellent filler for filling lower eye lid hollows, even in patients who have a history of blepharoplasty. The lower eye lid area is very delicate and requires an experienced cosmetically trained physician. Good luck and happy holidays. Dr. P

Michael A. Persky, MD

21 reviews

Los Angeles Facial Plastic Surgeon

drpersky.com

Try Restylane

Fillers are very effective in treating under eye hollowness (not a good for fine wrinkles). Juvederm is a great filler however I have found that, for under the eyes, Restylane works best. Restylane and Juvederm are very close relatives. Each has certain advantages. Juvederm tends to swell more under the eyes. A certain percentage of people develop swelling that looks like bags. This problem can last for months. Juvederm can be dissolved, however it is better to avoid the problem in... more