Is it possible to correct scleral show with filler? (Photo)
Doctor Answers 2
Treatment options for scleral show
Thank you for an interesting question. I have been able to get some improvement in scleral show using tear trough and cheek fillers. Everyone does not see this type of improvement. My technique has given these results primarily in patients who had some scleral show secondary to previous lower lid blepharoplasty with an overly aggressive resection of orbital fat. I cannot tell from your photographs if you would be a good candidate in general, but I suspect that fillers alone would not be able to give you the degree of change you demonstrated in your photographs. I typically saw around1 mm of improvement in lid position using Restylane in the tear trough in the patients I described above.
Surgical intervention will also be an option, but this of course carries significant risks which need to be discussed in detail.
An in person consultation will be necessary to fully evaluate you and your best treatment options. .Best wishes, MKB
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