Are there any risks to your vision/eye health from under eye fillers?

Doctor Answers 5

Fillers around the eyes

There are reports of blindness occurring after fillers around the eyes. Most of these reports are from Asia where large volumes of these fillers are used to perform "non surgical rhinoplasty". The highest risk seems to be with large volumes and when the product is placed over the nasal bridge or between the eyes and the brow. Additionally, fat transplant, not filler, seems to be the most risky for these type of complications. However, when done correctly by an experienced board certified dermatologist or plastic surgeon, under eye filler is a very safe procedure that can achieve impressive results often with very small volumes.

Saint Helena Dermatologist
5.0 out of 5 stars 1 review

Risk to under the eye fillers.

Generally the injector needs to avoid injection too close to the nose or in the "tear trough" as this can cause complicaitons.  Properly placed fillers are safe and effective along the orbit bone under the eye socket.  Some bruising may occur but is temporary. It is important not to inject into the lower lid by not going above the top edge of the bone. Small amounts injected properly can give you a good lift and fill to the under eye area.

Be careful with Under Eye Fillers

Fillers are generally supposed to go below the skin to enhance the overlying skin and fat.  They work by increasing collagen and extracellular proteins and drawing water into a specific region to provide more volume and smoothing the overlying skin.Under your eyelids is a delicate area - the skin is very thin and the muscle that allows you to close your lid is just under the surface.  What's more, there is little bony structure behind the lid itself.  This means that lower lid filler can be difficult to control because it can be lumpy, uneven or even cause a discoloration or bluish hue.  While there is no direct complication to the eye itself, it is possible you can have filler put in the wrong layer of skin or too deeply and that could cause problems with your vision.I would only recommend going to a physician who is very experienced in the face or around the eyes - not every plastic surgeon, dermatologist or med spa injector is equal in this regard.  Be sure that your injector is confident they can produce the result you are looking for and has expertise in facial anatomy and injection.

Risks of fillers

Hello, thank you for the question.  Overall I would say fillers and neuromodulators (e.g. Botox) are very safe with a low risk profile.  Common risks with fillers include over/under correction, asymmetry, nodules.  Severe complications are possible however, including skin necrosis and blindness.  Certain areas of the face are at higher risk for complications, such as around the eyes and nose.  If you are interested in fillers, I recommend that you visit a plastic surgeon or dermatologist in your area for further information and what they do to minimize risk.

Soumo Banerji, MD
Pasadena Physician

Risks of Fillers

Thank you for your question. The answer is yes. There are significant risks to your eyes and vision with under eye fillers. Although these risks are rare, they do occur. Bruising, swelling and pain are common following these procedures and more so than injecting in other regions. There have also been reports of blindness from these injections. It is important that you see someone with experience in injecting these areas as to best avoid these risks and complications.

Anthony J. Wilson, MD
Portsmouth Physician
5.0 out of 5 stars 5 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.