Can a blepharoplasty be performed if you currently have filler in your tear trough area?

Question

Can you have an upper bleph if you currently have filler in your tear troughs? Also, how long after the surgery can you get Botox again?

Raffy Karamanoukian, MD, FACS · Answer

I would suggest a Foxtail Eyelid Lift, exclusively designed by me, to help improve the upper eyelid excess skin and the lateral tail.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

C. Blake Perry, MD · Answer

Yes you can have upper lid surgery with filler in your lower lid/tear trough. You can get botox as soon as the swelling is gone for the lids (usually 1-2 weeks).
Doing lower lid surgery where filler has been previously placed is a different story. I routinely dissolve filler in the lower lids prior to lower lid blepharoplasty.

Cory Bovenzi, MD · Answer

Hi and thanks for the question! There should be no issue having an upper bleph with lower eyelid filler in place and you can have botox as early as 1 week after upper blepharoplasty.

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question. The filler should be dissolved prior to having blepharoplasty. The Botox can be injected safely one month after surgery. Make sure to seek consultation with an eyelid specialist (oculoplastic surgeon). Good luck!

Caner Kacmaz, MD · Answer

Good question. Having blepharoplasty while you have a tear-through filler is perfectly ok. This procedure does not have an effect on the upper eyelid. It takes about 6 weeks for tissues to heal after blepharoplasty. However, lower blepharoplasty surgery requires a longer time to heal. I recommend waiting at least 3 months for treatment with Botox. Best wishes.

Ilke Bahceci Simsek, MD · Answer

You can have Upper blepharoplasty surgery. There is no problem with the filler in your tear throghs. After blepharoplasty surgery I do botox after one week, and making botox is good for the wound healing.

Angelica Kavouni, MD, PhD, FRCS(Eng) · Answer

Yes you can, the filler doesn't affect the upper lid function. It is important before surgery to stop btx for 3 months . After surgery it depends on healing but I would expect 4 weeks is fine. Some recommend it even earlier , to avoid scar complications

Elcin Ariturk, MD · Answer

Hello, there are no restrictions to perform upper eyelid correction procedure when you have tear through fillers. It is better to wait 3-4 weeks to have botox treatment after upper blepharoplasty procedure.

William Portuese, MD · Answer

It's best to have the filler reversed since you have artificially inflated the anatomy. Once you've had the filler reversed, then you can undergo a consultation for evaluation for  how much herniated fat is in the lower lids.

Robert T. Buchanan, MD (retired) · Answer

Tear trough filler has no effect on the upper eyelid. Therefore, it will have no effect on upper Blepharoplasty. Botox can be done at the same time as Blepharoplasty as it can reduce pull on the incision. Discuss this with your surgeon who should understand all this.

Can a blepharoplasty be performed if you currently have filler in your tear trough area?

Answers (10)

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