Is better to use upper eyelid fillers that last 1 year or fillers that can last 5 years? How much filler do I need?

Question

Is my first time with upper eyelid fillers and I don't know what to do. I have 2 specialists in mind. One of the offers me fillers that can last between 1 or 2 years. The other one offers fillers that can last 5 years. To be honest I'm seeking a more permanent solution but I don't know if is better to try first the short term ones and next year get the long term ones. How much filler is necessary for my eyelids?

Philip K. Robb Jr., MD, FACS · Answer

Thanks for your question!You've done your research which is great! I'd recommend that you be very careful with fillers in the orbit. This is a debated area at the meetings regarding filler in this area. The risk of complications is considered to be increased in this arena. I'd recommend finding a specialist. Then using on HA fillers that can be reversed if needed. Do NOT using a long lasting filler in this area. Hope this helps and God Bless!Dr. Robb Jr.

David Hansen, MD · Answer

You need to see how you like the look of the fillers 1st so always go short term initially and then later longer lasting fillers once you've decided on the look you like.

Jason Emer, MD · Answer

These fillers (Restylane, Juvederm, Belotero) give good results in this area. I recommend injections with cannulas. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Stephen E. Metzinger, MD · Answer

Dear ForSands:     Thank you for your questions and your photographs. You have obviously done your research. The Orbit can be a dangerous and difficult area for filler. Increased risk of complications include stroke and blindness. I recommend consultation with a board certified plastic surgeon who is an expert injector. I also would use an HA filler that could be dissolved if needed. I would also ask about a rescue kit and any prior problems. I would inquire as to a contingency plan with an Ophthalmologist should there be an issue.. I would never use a long lasting filler in the orbit other than fat. I hope this is helpful and wish you good luck with all your cosmetic treatments whatever you decide! Hope this helps!

Lawrence Janowski, MD · Answer

Always use a temporary HA filler initially in an area such as this.  In general, a delicate area like this should be treated with these types of fillers, even going forward, as reversibility is key if the result is not desirable.  A microcannula should be used for injection.

Shaun Patel, MD · Answer

I recommend that you limit yourself to hyaluronic acid based fillers such as Restylane in this part of the face. These fillers unlike Bellafill are reversible if need be in this delicate part of the face.

Is better to use upper eyelid fillers that last 1 year or fillers that can last 5 years? How much filler do I need?

Answers (6)

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