Will fillers help with droopy eyelids? (Photo)

Question

I wanted to know if some kind of fillers will help with droopy eyelids rather than surgery? I'm 41 and they have been getting worse. How much would it cost and how long does it last? Thank you

Jason Emer, MD · Answer

As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.​

Anna Petropoulos, MD, FRCS · Answer

Dear DonnaInct,

It is hard to tell from your photos if you truly have droopy eyelids because in  the first photo your eyes are looking downwards - they need to be looking straight ahead in the primary direction of gaze, in order to have an accurate evaluation. Also with your frontal muscle relaxed. In medical terms, true droopy eyelids are caused from a weakness in the Levator muscle and Botox could  potentially worsen that. However, it is not clear if you have that. It is more likely that you have age appropriate mild skin laxity. That is easily treated with annual radio frequency skin tightening such as an upper eyelid and brow Thermage (non-invasive, no pain no downtime, in and out over lunch) in combination with a Botox Treatment to the down pulling frown muscle. Thus by relaxing the downwards pull, the up-pulling Frontalis muscle takes over and your result is a gracious eyelid lift. (If it is done properly, if not you will end up with a Spock brow which can be avoided in the hands of a highly experienced injector ). Filler is not an appropriate treatment for your condition.

Best Wishes in your quest,
Dr. Anna Petropoulos, 
Board Certified Facial Plastic surgeon 
Boston's North Shore

Mitesh Kapadia, MD, PhD · Answer

Its hard to tell for sure from the photos you sent, but it looks like you have ptosis - a condition where the upper eyelids do not open all the way. Fillers will not help this condition, but the position of the eyelids can be improved with surgery. This type of surgery is mainly performed by oculoplastic surgeons.

Anshul Gambhir, MD · Answer

Thank you for your question! Filler will not help with droopy eyelids, however botox may be able to give you some improvement! Placing some botox underneath the eyebrows can help raise them. The more botox placed between the brows, below the brows, and around the eyes can help lift and raise the eye/eyebrow area. Hope this helps!

Onir Spiegel, DDS, PhD · Answer

Droopy eye lead is best treated with botulinum injections like Botox, Xeomin or Jeuveau. Those get injected in the corrugator area of your 11s, the forehead muscle and the lateral Orbicularis muscles by the side of your eyes. You should see a bid difference within a few days and as much as 14 days. All the best from Boston, Dr. Onir

Rita Rakus, MBBS - Account Suspended · Answer

Hello and thank you for your question. Seeing you for a face to face examination would be best however based on these photos I would actually suggest using botox to lift this area. Alongside this we would also used energy based devices such as Ultracel to lift, tighten and stimulate new collagen which can be used in the upper face with a trained practitioner, best wishes

Will fillers help with droopy eyelids? (Photo)

Answers (6)

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