Upper eyelid filler causing ptosis? (Photo)

Question

I got upper eyelid filler 4months ago due to uneven eyelids , the injector is clearly very skilled and from straight on it looks great and has added volume to the eye that needed it. However the issue is I can’t fully open the eye with filler or look up at all, it looks like I have ptosis which it didn’t before. I became a bit self conscious when my friend pointed out that my eye looks like it is half open. Should I reach out to the injector or should I be fully happy with the results?

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. Given your experience with upper eyelid filler and the resulting difficulty in fully opening your eye or looking up, it is important to address your concerns rather than accepting the situation as is. While the injector may have achieved excellent results from a frontal perspective, the functional issues you're experiencing suggest that the filler might be affecting your eyelid's ability to move properly. This could be due to the placement or amount of filler impacting the surrounding structures. It's advisable to reach out to your injector to discuss these issues. A skilled professional should be open to addressing your concerns, evaluating the situation, and considering possible adjustments. Whether it's a minor adjustment or a revision, the goal should be to achieve both aesthetic satisfaction and proper function. Open communication with your injector is crucial in ensuring that you feel comfortable and confident with your results. I hope this helps and best of luck!

Anna Chacon, MD, FAAD · Answer

Hello,

Thank you for sharing your concern. Upper eyelid ptosis after filler injection is a rare but possible complication. It is important to address this issue with your injector, as they can assess the situation and determine whether the filler is contributing to the ptosis or if there is another underlying cause.

Here are a few steps you might consider:

Consult Your Injector: Reach out to the professional who performed the procedure. They can provide a thorough assessment and discuss potential solutions, such as adjusting the filler or exploring other treatments.

Consider a Second Opinion: If you are unsure about the advice given by your injector, seeking a second opinion from another experienced practitioner in cosmetic dermatology or oculoplastic surgery can be beneficial.

Monitor the Condition: Sometimes, ptosis can improve over time as the filler settles or is metabolized by the body. However, if the condition persists or worsens, further intervention may be necessary.

Your satisfaction and comfort with your appearance are very important. Do not hesitate to communicate your concerns with your injector to achieve the best possible outcome.

Upper eyelid filler causing ptosis? (Photo)

Answers (2)

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