Erbium Laser Resurfacing on Lower Eyelids. When Can I Get Filler?

I am scheduled for erbium laser resurfacing on lower eyelids in two months. If I wanted to get filler done under the eyes should this wait until after the resurfacing? Or how long after resurfacing would you recommend getting the filler injected if it can be done at all?

Doctor Answers 9

Filler + Laser Treatment

This is a difficult question to answer. There are many types of erbium lasers, which can be set to perform fractionated or confluent treatment. In general, it should not matter what order to do the procedure; a filler can be performed at the same time as a laser procedure. Since a filler will also smooth the skin, you may not need a laser procedure after, so I would recommend getting the filler first and then after a week, schedule the laser procedure.

San Diego Dermatologic Surgeon
4.9 out of 5 stars 25 reviews

Laser first; Filler second

It is generally better to accomplish the laser resurfacing of the lower lids prior to fillers.  The laser treatment will usually tighten the skin by stimulating collagen formation.  By about 6 weeks after the laser, the skin should be optimal for precise placement of filler. 


Mark Lucarelli, MD, FACS

Madison, WI

Mark J. Lucarelli, MD
Madison Oculoplastic Surgeon
5.0 out of 5 stars 13 reviews

Use Fillers After Healed and Consider Waiting till after Pinkness Has Resolved

It's best to wait until you're completely healed before having filler injections. That would be after the skin is completely healed, a week or two after the procedure. Even better... wait until the pinkness has resolved completely since your own new collagen contiues to be laid down after the procedure, and this new collagen helps to fill some of the wrinkles that you would be injecting with filler.

Andrew Kaufman, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 16 reviews

Fillers after laser

I always tell my patients to wait until after they have healed and received maximum tightening from their resurfacing until they have their filler done. The reasons for this are that you want the skin to maximally tighten and then see where the filler is needed. In many cases, a patient may not even need a filler or they will need only a small amount.  In general, 2 months is a good time to assess eyelid tightening.

Edgar Franklin Fincher, MD, PhD
Beverly Hills Dermatologic Surgeon
5.0 out of 5 stars 1 review

Fillers may be performed prior to laser resurfacing

I have routinely performed fillers prior to laser resurfacing such as Fractional CO2 laser and have not seen quicker degradation of fillers. In fact, I believe better laser resurfacing can be achieved with the skin stretched vs. crepey skin.

William Ting, MD
Bay Area Dermatologic Surgeon
4.8 out of 5 stars 12 reviews

Best timing of laser resurfacing of eyelids and filler injection

It would be best to wait until after your skin has healed from your resurfacing procedure to have the filler placed. Waiting at least a few weeks would be prudent. Confirm this with your laser surgeon to make sure your skin has healed adequately before having filler placed.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
4.9 out of 5 stars 21 reviews

Erbium laser before filler for lower eyelids

It probably makes the most sense to first undergo the erbium laser resurfacing. Most likely you are considering injection of a filler to help fill in the tear trough between the lower eyelid and the nose. The erbium laser resurfacing will help smooth the wrinkles on the lower eyelid and may result in some improvement in the tear trough. Because there is some tightening of skin resulting from the erbium laser resurfacing, you may see modest improvement in the tear trough, which would enable the use of less filler.

The standard fillers including Restylane, Juvederm and Radiesse can be used to improve the tear trough but must be used with caution to avoid a visible lump or discoloration of the treated area. These fillers are usually placed deep beneath the skin, just above the bone. The results are temporary.

The best filler for the periorbital area, including the lower eyelid, is autologous fat. Fat is the only substance that can be evenly distributed throughout this area (it should be placed beneath the orbicularis muscle) and is also the only filler that gives permanent improvement. Fat grafting in the periorbital area is an advanced technique that must be done with care in this delicate area. Restoring lost volume in this area re-creates a youthful appearance and also reduces wrinkles because the skin has greater volume beneath it.

Robert C. Langdon, MD
Guilford Dermatologic Surgeon
4.7 out of 5 stars 24 reviews

How long after erbium laser to get filler under the eyes.

I would definitely wait until the laser treatment is completely healed, I would say a month afterwards.  More so because after the eyelid resurfacing you may not need filler there.  The fractional erbium treatment may get your eyelids in great shape.

However if filler is still needed, a month afterwards should be fine.

Emily Altman, MD
Short Hills Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Filler after resurfacing

As long as the face has healed 100%, which is usually by 2 weeks after most resurfacing, then fillers may be done. It is best not to inject fillers through raw skin to minimize a chance of infection.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.