Laser Treatment: Q&A

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Laser Vs Chemical Peel for Stretched & Saggy Lower Eyelid Skin After Juvederm Overfill

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 Doctor Answers | Asked by Raleigh4718 in US
+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... more
+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

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... more

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Comments (1)

I just wanted to mention that I had the same problem with swelling eyelids, and wrinkes in the eyelids, and under the eyes, after Juvederm was used to fill the hollws under both eyes. I didn't have any wrinkles, or swelling, in these areas before Juvederm. I had three sessions with Hyaluronidase, and about twenty small injections in the lower eyelids. Each time, the lower eyelid bags lessoned, and after three rounds of dissolver injections, into the lower eyelids, the eyelids look a lot more normal. The bad thing is that now fine lines, and wrinkles, are still on my eyelids, and directly under my eyes, that were never present in any of my before photoes taken the day before Juvederm. Now, I'm wondering what the safest, and best treatment would be to remove newly formed wrinkles that were never present before the filler and dissolver? I've heard laser resurfacting, but that there is a long down time with redness and peeling. Also, chemical peels. What is the most effective method and which is more costly? Thanks very much.

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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