Is It Safe to Have Blepharoplasty After Juvederm Injection?

Question

Can you have an upper Blepharoplasty done if you have undereye/eye contour filler, such as Juvederm in place? The filler is in the tear trough area but extends outwards under the eye. Should I mention this to my surgeon?

Edward Buckingham, MD · Answer

Juvederm injected into the tear trough area of the lower eyelid will not prevent you from having a blepharoplasty, but you will probably want to wait until the Juvederm has absorbed.  
A large part of a successful blepharoplasty operation is filling in the tear trough and smoothing the transition between the eyelid and cheek. Whether this is accomplished through lower eyelid fat repositioning, autologous fat transfer or an implant, it will be difficult to perform a precise operation with Juvederm in place.  
Definitely tell your surgeon you have had filler.  Juvederm is reversible with an injection of hyaluronidase as well if you want to speed the process.

Steven H. Williams, MD · Answer

Thanks for your question.  
It is unlikely that Juvederm for a tear trough deformity would cause a problem for your planned upper lid blepharoplasty.
It is important to discuss this with your plastic surgeon.  In creating an overall balance it will be important to take into account that you have a temporary filler improving the look of the lower lids (specifically the tear trough area).
 
I hope this helps

David Shafer, MD, FACS · Answer

The Juvederm should not affect the blepharoplasty surgery, but please make sure your surgeon knows about it and any other procedures or injections (Botox) that you have had within the last year. Good luck.

Kenneth D. Steinsapir, MD · Answer

Dear Apple
Surgeons hate surprises.  It should absolutely not be a problem that you just had Juvederm to fill your under eye hollow.  This should have no bearing on the upper eyelid surgery unless there is associated swelling.  One of the reasons I have moved away from using Juvederm for the under eye area is that there can be some persistent swelling associated with the Juvederm for a period of 6 to 8 weeks that I dont see when I treat with Restylane.  The other reason is that the Juvederm tends to drift out of the tear trough area and into the top of the cheek.  The company touts Juvederm as being smooth but sometimes I wonder if they mean runny.  Neither of these effects should have much bearing on your upper eyelid surgery.   However, be honest with your surgery and let him/her decide for themselves if it is an issue or not.  It is important that you trust your surgeon and equally important that your surgeon trusts you.

William Portuese, MD · Answer

It is a good idea to mention the fact that you have had Juvederm placed in the tear troughs, and you should probably wait at least a month after the injections before proceeding with lower blepharoplasty surgery. It is important to make sure that all the swelling is down from the injection prior to embarking on elective cosmetic blepharoplasty surgery.

David A. Robinson, MD · Answer

Dear Apple:
I do not think this should be a problem as the upper blepharoplasty is performed in an area not treated with Juvederm.  You should however, mention to your surgeon you had Juvederm to your tear trough area.  He/she may find this information helpful when planning your current or future eyelid/facial procedures.
Good luck.

Amir Moradi, MD · Answer

More and more surgeons use fillers in the lower and upper eye lids to establish volumization.  This is now part of a rejuvenation process and I combine that with my surgical Blepharoplasty.

Hisham Seify, MD, PhD, FACS · Answer

I would advice you to mention it. As long as bumps do not exist on the skin surface, it should be fine. He might need to remove some during surgery, but the key is the final outcome.

Kenneth R. Francis, MD, FACS · Answer

Apple,
Tell your surgeon about the Juvederm.  It should not affect the upper eyelid surgery, and he/she will probably proceed anyway, but it is nice to know everything about a patient beforehand.  Depending on when it was done, it might affect your bruising/swelling.  Good luck!

Christopher L. Hess, MD · Answer

Juvederm is a nice filler for the tear trough. If you were to get the lower lids done it is important to let your surgeon know. But Juvederm of the lower lid really has no significant bearing on the upper lids. If your lower lids are in need of rejuvenation than I would recommend waiting until it has absorbed then consider having fat redraping done to fill the defect.

Is It Safe to Have Blepharoplasty After Juvederm Injection?

Answers (16)

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