Can dermal fillers be placed in the temples and above the eyebrows to correct a droopy eyelid?

Question

I am in my late 20s and have had significant facial volume loss without changes in my weight (I am thin/fit). I have had some volume restored to my cheeks, but I also have noticeable volume loss in my temple/brow region. One eyelid droops more than the other, and I assume this is at least partially due to volume loss. Will temple and brow fillers help lift the eyelid? Do you place the filler above the brow?

Dallas Buchanan, MD · Answer

Thank you for your questions. Without a physical exam, or at least some pictures, this is going to be difficult to answer. It is possible that fillers could improve the temple hollowing and this is a common indication. This may correct the other issue of the eyelid if it is indeed due to volume loss, but it also may require additional treatments with Botox to even out the result. Make sure you are seeing an experienced injector for your treatments.Good luck!

Farhan Taghizadeh, MD · Answer

Hi and thanks for your question!In our practice we use botox or xeomin to lift the brow.  Filler can definitely be used in the temple area.  For patients in your age group we are also recommending Platelet Rich Plasma injections instead of filler.  We have found that as this is your body's own platelets, it can provide volume while also helping rebuild your own collagen.  Patients are seeing great results with PRP injections for volume deficiencies. An in-person consultation with a facial plastic surgeon to review the different options is your next step.Good luck, and we wish you the best!

Jason Emer, MD · Answer

Yes, fillers combined with Botox and radiofrequency can help lift the eyebrows and augment the temples. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Shaun Patel, MD · Answer

A combination of Botox/Dysport and dermal fillers could be used to raise your eyebrows. My preferred filler for the temples is Sculptra Aesthetic but I will occasionally use Restylane or Restylane Lyft in the temples as well. Thermage is a skin tightening procedure that can be used on the eyelids and so that may also be something to consider if you have excess skin or skin laxity.

Ahad Mahootchi, MD · Answer

The eye lid drooping is unlikely to be related to volume loss. A picture would really help focus my recommendation.
Brow Droop is probably separate from the temple issue. A picture would also help here because the fix is related to what part of the brow is the problem and the shape of you both of your brows.
Filler can help the temple but fat transfer has a lot of bang for the buck.

Promila Banerjee, MD · Answer

Dear aShortone,
Absolutely!  I recommend a combination of Botox & filler for volume loss & droopy eyelids.  Sculptra is also a good option as it stimulates collagen, lasts longer in an athletic / fit person, does not break down fast like hyaluronic acid fillers.  For best long term results, I recommend lasers for skin tightening.
Best wishes
Dr B

Doohi Lee, MD · Answer

Hi,

Thank you for your question. The answer is yes, if it is done correctly can lift the eyebrow slightly. If you combine this with Botox you can get even more improvement.

Ivan Vrcek, MD, FACS · Answer

Thank you for your question. You are absolutely correct, changing augmenting volume in the brow area can result in not only three-dimensional Improvement, but also two-dimensional improvement with lifting of the brow and sometimes even the eyelid.  There are also a couple of other options to consider. A small amount of Botox in the brow area can help to elevate the  brow if placed in the orbicularis muscle.  Finally, Sometimes the best way to lift a droopy eyelid is a minimally-invasive ptosis repair. I would recommend an in-person consultation with an oculoplastic surgeon  as  the area around the eyes  is  delicate -  fortunately there are specialists for this area alone. Best of luck!

Jean M. Casello, MD · Answer

Yes dermal fillers can be placed in the temple area and brow area to replace volume loss and add lift to the brows.  Oftentimes the filler is placed under the brow to add support and lift.  Any filler can be used in these areas including bellafill which has a 5 year indication.  You should consult with an experienced provider as this is an advanced area to inject.

Robert F. Strell, MD · Answer

Hi
I think temple fillers are under rated in the way they bring balance to the face. Depending on your hairline it may take 1-2 syringes to get the desired results.  
Regarding your brow I would look closely at some pictures of yourself from 5 or so years ago and it may be that this is not new.  I’ve seen some remarkable asymmetries that patients never noticed until it was brought to their attention.
Often these things are not something other people see or care about. If it is really bothering you still perhaps Botox could help with this?
Good luck

Can dermal fillers be placed in the temples and above the eyebrows to correct a droopy eyelid?

Answers (13)

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