It is common and reasonable for practitioners to perform chemical peels and fillers (involving the lower eyelid region) at the same visit. With the lower eyelid, however, significant inflammation and edema frequently occur even with light chemical peeling agents. Ideally, the filler material is placed just above the level of the periosteum (bone), but it frequently ends up in a more superficial location. The inflammation from the chemical peeling agent could theoretically cause some break-down of the filler material or possibly filler positioning. For this reason, my preference is to perform the chemical peel first, and inject filler 2 weeks later after the inflammation has resolved.