What are the risks of filler after a lower bleph? Can it be injected high enough to help camouflage the hole created? (Photo)

Question

I was convinced I was a candidate for a lower bleph with fat repositioning over a year ago. I however was NOT at all. On top of that the dr took it upon himself to remove my lateral fat pad. Even though it was discussed no fat would be removed. I have been told filler is my only hope to camouflage. Can filler be injected high enough past my bone to help this? It's a literal shelf and hole from my orbital bone. I can't find anyone with similar results. I can't and won't go back to the original dr.

Whitney Florin, MD · Answer

Hi there, yes filler and/or fat can help to volumize that hollow area following your surgery. Be sure to find someone with a lot of experience as the under eyes can be technically challenging to inject. However, there is definitely hope for you and you can get that area looking smoother.

Eric M. Joseph, MD · Answer

In our experience, microdroplet Silikon-1000 injections maybe a suitable way to permanently add  volume to the under eye area. Silikon-1000 is a permanent soft tissue filler, and we have had good success in adding volume to the lower eyelids permanently. I hope this helps! Sincerely, Dr Joseph

Robinson Facial Plastic Surgery - Alpharetta · Answer

Good morning and thank you for your questions. The risks of filler post lower bleph are no different than before a bleph. The main side effects being associated with the injection itself; redness, bruising, and swelling. The most concerning potential side effect, when treating this area, is blindness, however, this is extremely rare, particularly when being done by an experienced and knowledgeable injector. 
It is a little difficult to tell what is going on with the photo you provided, but there does appear to be some hollowing as well as some hyperpigmentation in the area. The hollowing can definitely be remedied using filler. This would allow the area to appear more smooth. If the darkening under your eyes is caused by a shadowing as a result of the hollowing, then the filler would help this as well, however, if the darkness is pigment, the filler will not help, and could actually make the area appear darker. Again, an experienced injector would be able to guide you with this.
Good luck!

Leonard Grossman, MD · Answer

In my personal opinion, filling the hollows of the lower eyelids is best done with the use of your own fat. I’ve been performing fat grafting to the face for over 30 years with absolutely phenomenal results, which are natural looking and practically permanent. Generally speaking, I do not recommend having fillers in the lower eyelid done, but in the lateral aspect of the eyelid, you can definitely try to have the filler injected very gently, and I would rather have the procedure repeated more than once than overfilled in one setting. I hope to self, so good luck from New York City Plastic Surgery.

What are the risks of filler after a lower bleph? Can it be injected high enough to help camouflage the hole created? (Photo)

Answers (4)

Answer: Treating lower eyelid, hollow after blepharoplasty

Answer: Treating lower eyelid, hollow after blepharoplasty

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What are the risks of filler after a lower bleph? Can it be injected high enough to help camouflage the hole created? (Photo)

Answers (4)

Answer: Treating lower eyelid, hollow after blepharoplasty

Answer: Treating lower eyelid, hollow after blepharoplasty

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Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.