Can One Get a Blepharoplasty After Fillers?

yes , it is possible to have both.  it depends on what type of filler, how long ago you had it.

surgery may require addtional fillers.  or certain fillers like juvederm can be dissolved  or diminished before or after eyelid surgery if needed

Hi Tretion,

Yes, one may obtain eyelid surgery after being treated with facial fillers. Facial fillers used around the eyes are typically made of hyaluronic acid, such as Restylane or Juvederm. These fillers last for several months to one year in this area.

The decision for blepharoplasty (eyelid surgery) largely depends on the location and type of filler injection, and the goals of your eyelid surgery. For example, having an upper eyelid surgery with skin removal after having lower eyelid area injections are OK. However, most plastic surgeons would wait to perform lower eyelid surgery if you've recently also had injections in the same area. Only after a comprehensive evaluation can an eyelid surgeon help determine appropriate options for you. Best of luck.

Dr. Chaboki

 

From your description of your eyes I am not certain that fillers are going to remedy what is bothering you.  Sunken and hollow eyes may be improved with the use of dermal fillers by filling in some of the hollowness.  You can absolutely try fillers prior to a blepharoplasty without potentially compromising a blepharoplasty performed later on.  The excess skin and deep wrinkles that you have described likely will require either removal of the skin (unfortunately surgical) and/or some sort of treatment to tighten the skin around your eyes.  Laser skin resurfacing, Fraxel laser, or chemical peels will help with this and can be performed in the office.

It is only the sunken aspect that can be improved with fillers; excess skin will not respond. It is certainly to perform blepharoplasty after filler treatments to the same area. This is most commonly the case in the lower eyelids. The "normal" fillers used in this area are hyaluronic acid based injectables such as Restylane, Juvederm or Perlane. I prefer to desolve this filler material first so that I have an exact understanding of the anatomy and plan the blepharoplasty accordingly.

Having said that, I would encourage you to try the fillers.  If they help you, great, no surgery.  At some point it may be necessary to have surgery to accomplish what you are looking for.  In that case, no previous treatment with fillers will not prevent you from having surgery.

I find these days that most patients will try fillers such as Restylane first and reserve surgery for more difficult problems or continued aging. But, before making a decision, you should be seen by a plastic surgeon who can evaluate whether fillers would be right for your personal concerns. The right treatment is what is appropriate for you.

Filler treatments now won't keep you from having eyelidplasty later.  Each procedure addresses different issues.  Bulging fat is treated with lower eyelidplasty.  Wrinkles are usually treated with a laser or chemical peel.  Fillers are used to reduce hollowing in the lower lid.  Combinations of these are often performed to obtain the best results.  A careful consultation with a doctor who can provide all of these treatments is the best way to determine which will be most helpful. 

Every patient is unique with the appearance of their eyes and face and thus everyone has their own needs in terms of rejuvenating any given area. Both fillers, like restylane, and surgery are viable options to improve the lower lids. They can even be complementary. However sometimes one option is better then the other given your individual problems and thus both options should be discussed with your doctor.

The fillers used in the eyelids are hyaluronic acid fillers, usually used in the lower lids to camouflage deep grooves under the eyes. These usually give a very nice result, though their effect on excess wrinkled skin is limited. You can certainly have blepharoplasty after filler injections. However, it is better if this is done after the filler is dissolved. This can be either after you wait for it to dissolve or by using Hyaluronidase injections which will dissolve the filler within a few hours.

Tretion,

It is completely possible to have surgery after filler injection.  The best time to have surgery after a filler is after the filler has been absorbed by the body.  For most fillers, this is within a year.  The hyaluronic acid fillers can be dissolved by injecting an enzyme, so with these fillers you would not have to wait as long.