Should I be concerned about the transcutaneous technique with previous filler in the area?

Question

I have narrowed down to 2 surgeons - one is an occuloplastic surgeon and the other is a plastic surgeon who does whole bodies but has specialised in eyelid surgery. I have had previous fillers just more than a year ago. Both have said cheek/mid face lift and external incision under my eye. The OP surgeon wants all fillers dissolved but the General PS was not too worried about the fillers. I am concerned about the transcutaneous technique as some say to avoid this and the fillers still there?

C. Blake Perry, MD · Answer

In my practice, I dissolve all lower eyelid fillers prior to surgery. In terms of technique for lower lid surgery, it has more to do with the surgeon than a specific surgical technique.

Whitney Pafford, MD · Answer

I usually recommend my patients dissolve the filler under their eyes and in their cheeks if they are having a lower lid blepharoplasty (that's more than a skin pinch) and or midface lift. The first reason is I usually do periorbital fat grafting with my lower blepharoplasty. The second is because whenever you are lifting tissue, like you would in a midface lift, you are moving tissue back to a normal position but also tailoring height and final placement to the current anatomy of your face. Fillers aren't stable or permanent so I wouldn't want them distorting my surgical judgement and potentially affecting your final outcome.

Mats Hagstrom, MD (license on probation) · Answer

Most HA based fillers last about six months.
At one year it’s unlikely you still have filler in your face.
If you do, it probably is almost all gone.
I suggest you pick your provider and go with their recommendations.
Best,
Mats Hagstrom, MD

Should I be concerned about the transcutaneous technique with previous filler in the area?

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Should I be concerned about the transcutaneous technique with previous filler in the area?

Answers (3)

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Our mission is to create a world where every investment in modern beauty is Worth It.