Can I get upper blepharoplasty, eye bag filler and LASIK surgery, without any conflicts?

Question

I want to remove some excess skin on top of my eyes and get some fillers for my eye bags. These will be done before the lasik surgery (may happen a year after I get these procedures). I am Asian if that's relevant.

Kenneth D. Steinsapir, MD · Answer

The risk of blindness is actually higher for surgery than for filler.  The risk is low.  That is honestly not my concern for you.  I just do not want you to turn your back on an essential treatment option because of ill informed opinions by doctors who post here. The history of lasik surgery has a giant impact on the ability to perform eyelid surgery on you.  Lasik permanent reduces corneal sensitivity and contributes to dry eye.  Eyelid surgery also contributes to dry eye.  It is incumbent on the potential eyelid surgeon to advocate for your eye comfort.  That sometimes recludes recommending eyelid surgery due to the risk of dry eye.  Caution is advised as you look into the issue of potential eyelid surgery.

John Layliev, MD · Answer

Great question. It is highly recommended to wait at least 6 months after LASIK surgery before undergoing an upper eyelid blepharoplasty. This is to prevent dry eye symptoms and complications. If you are planning to wait 1 year after blepharoplasty to get the LASIK surgery, that is fine too. Fillers to treat lower eyelid aging is unaffected by the timing of LASIK surgery, however, not everyone is a candidate for this. See a plastic surgeon to discuss your specific goals for an upper eyelid blepharoplasty and lower eyelid rejuvenation. The occidental upper eyelid is unique with regards to the position of the eyelid crease and presence of an epicanthal fold, both of which can be managed during surgery depending on your goals.

Arthur Yu, MD · Answer

I wouldn’t be concerned about the blindness with filler injection into the tear trough below the eye bags. It’s quite safe, as long as your plastic surgeon knows what he is doing. As for the upper eyelid surgery, different surgeons have totally different techniques. Just be sure to see a few doctors before you make a decision. Good Luck!
-Dr. Art Yu

Katrinka L. Heher, MD · Answer

The only potential conflict would be that you should not have lasik within 6 months of an upper lid blepharoplasty.  While you are healing from the upper lid surgery your blink will be affected and can potentially create problems with the health of your cornea with lasik.  The risk to the cornea goes away after the 6 months so if you’re thinking around a year that should be fine.  Best of luck.

William Portuese, MD · Answer

Yes it is possible to undergo an upper lower blepharoplasty procedure  to rejuvenate the upper and lower lids. In our practice, we do not recommend fillers placed in the lower lids for a variety of issues including blindness. LASIK surgery should probably be performed six months to a year later.

Lisa Lynn Sowder, MD (retired) - Account Suspended · Answer

I would recommend LASIK first and then the blepharoplasty.  Blepharoplasty tightens the eyelids and this can make retracting the eyelids for LASIK more difficult for the ophthalmic surgeon.  LASIK itself is painless but the retractor is quite uncomfortable, especially when your lids are tight.  I am speaking for personal experience!

Harrison C. Putman III, MD (retired) · Answer

There should be no problem with having upper lid blepharoplasty and lower lid fillers 1 year before lasik, in my opinion. A complete eye exam should precede surgery of course, and be sure to let your surgeon know about dryness, thyroid problems, and all other medical conditions ahead of time as this may affect the recommendation for surgery.

Can I get upper blepharoplasty, eye bag filler and LASIK surgery, without any conflicts?

Answers (7)

More Eyelid Surgery Questions

WE SEND PRETTY
EMAILS

Answers (7)

More Eyelid Surgery Questions

How long does it take for upper lid wound dehiscence post blepharoplasty, to heal completely? (Photo)

What can I do to fix my lower eyelids? (photos)

What type of doctor is best to use to remove a chalazion? An eye doctor or a plastic surgeon? Or other?

I have one hooded and one “normal” eye, should I get eyelid surgery or Botox over my eyebrow to lift? (Photos)

I have deep set eyes, I want to remove my fine lines and extra skin, would fillers or eyelid surgery be my best option? (Photos)

Malar bags at young age? (Photo)

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS