Can a lower blepharoplasty be performed with filler in the tear trough and Sculptra in the upper cheeks?

Question

I tried (2) tubes of Sculptra in my upper cheeks 10 months ago in an effort to avoid additional tear trough injections. It worked until 1-1/2 months ago when the eyes started looking different so .5cc of Restylane was injected under each eye. The surgeon recommends skin pinch blepharoplasty with canthopexy since I have little fat. He contends by tightening the lower lid skin, the fat will be camouflaged. When I pull the loose skin towards the outer corner of my eye, he appears to be correct.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

In my opinion fillers in the eyelid area is a " no no". Either you need a blepharoplasty or you don't.

John J. Martin, Jr., MD · Answer

Tough to tell you what might be good without some pictures.  However the filler in the tear trough and face will not affect the surgery.  The inflammation of a surgery may make the tear trough filer absorb a little more quickly, but it can be redone in the future as needed.

Bahman Guyuron, MD · Answer

It depends on the filler. If it contains HA it can be dissolved with an enzyme shortly before the surgery to help the final decision. Sculptra does not dissolve with the enzyme. The retained volume depends on the time interval between the injection and the contemplated blepharoplasty. Usually most of the volume is gone within a year of injection.

Suzanne Kim Doud Galli, MD, PhD, FACS · Answer

because of the longlasting fillers present below your eyes, it will be difficult to assess accurately the status of your lower lids. Undergoing blepharoplasty at this time may not be in your best interest.

Naveen Somia, MBBS, PhD, FRACS · Answer

Yes, provided you did not have a complication such are infection when the filler was done.Hope this helps. All the best

Can a lower blepharoplasty be performed with filler in the tear trough and Sculptra in the upper cheeks?

Answers (5)