Eyelid surgery or filler? (Photo)

Question

37 years female I have droppy eyelid and hallows can filler only fix this ? Or I need surgery please eyelid specialist help I don’t want to get the wrong surgery

Randal Haworth, MD, FACS · Answer

Based on your photo, you have mild asymmetrical droopy lower lids. This can either be natural, endocrine related, from a past blepharoplasty or past trauma. Obviously an “in person” consult with a board certified specialist would be an order. They can determine which layer of the lower eyelid is responsible for the droop and its relationship to the eyeball itself. If mild and fairly flexible, flexible can certainly help -in expert hands- utilizing advanced, vertical techniques. Surgery is certainly an option, involving a canthoplasty, with or without a spacer graft.

Best of luck !

Best of luck !

Anil R. Shah, MD · Answer

Hello Qweqwe123097! My name is Jessica, I am a physician assistant, and one of the providers at Shah Facial Plastics. This is a great question. Based on the image, I recommend trying a dermal filler to treat the undereye area. You will have instant results and an illuminating effect. I highly recommend and hope this helps!

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.​

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.As far as I can see from your photo you have a droopy eyelid. Only solution is a Eyelid Surgery.filling is not a solution. It would be more convenient to decide with face-to-face consultation. Best regards!

Henry Wilson, MD, FACS · Answer

Filler targeted to the brow roll (between the brow and upper eyelid) may help fill in the hollow appearance that you are seeing. It does not look like your lid is drooping in this photograph, but of course a complete eyelid exam by board-certified plastic surgeon would need to confirm this. Good luck!