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Laser Vs Chemical Peel for Stretched & Saggy Lower Eyelid Skin After Juvederm Overfill
asked 1 year ago by Raleigh4718 in US
Latest answer by Kenneth D. Steinsapir, MD
Question viewed 481 times
Tags: eyelids, tear trough, wrinkles, female, sagging, comparison, overfilled, thin skin
Further to my previous question about bags from Juvederm, I am now wondering what the best option is to address my stretched and saggy skin now that most of the filler has been dissolved? My eyelids were stretched for 10 months, plus I had 6 rounds of Hyaluronidase. Attached are before & after pics. My eyelids are now thin & gray, loose, wrinkly and have new purple tear troughs. Botox was recommended, but it has not helped with skin quality or under eye dynamic folds.
3 answers to Laser Vs Chemical Peel for Stretched & Saggy Lower Eyelid Skin After Juvederm Overfill
+1
Please do not confound one problem with another.
The is absolutely no evidence that the hyaluronic acid fillers (Restylane, Perlane, and Juvederm ), cause any long term skin changes. What is clear is that placing undereye filler is an art form and knowing how to adjust or remove a treatment is a rarer skill. Looking at your photos suggests that you probably still have filler in your lower eyelid. So before you get surgery, I highly recommend that you stop messing around and get real treatment to dissolve the filler.
+1
Treatment of eyelid bags
Hard to say without a face to face examination but it looks like you have some excess lower eyelid skin that may need to be removed (blepharoplasty). All those injections may have stretched the skin. I have used chemical peels and lasers on the lower eyelids and found them to more efficacious (at least temporarily) for fine wrinkles than for true lower eyelid skin excess.
My response to your question/post does not represent formal medical advice or constitute a doctor patient...
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Aaron Stone, MD
Los Angeles Plastic Surgeon
Los Angeles Plastic Surgeon
+1
Doubt your problem is related to Juvéderm.
The left photo is impossible to compare with the middle and right photos, because of lighting and angle.
Hopefully the doctor who took care of you has baseline photos shot under symmetrical lighting without flash. If so, that would be a very easy way to tell whether or not there was a change in your eyelid appearance after treatment with Juvéderm®.
In the absence of proper pre-treatment photos it is impossible for me to draw any firm conclusions, but in my experience of...
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Kevin C. Smith, MD
Niagara Falls Dermatologic Surgeon
Niagara Falls Dermatologic Surgeon