The Impact of Eyelid Filler Injections on Lower Blepharoplasty to Correct Under Eye Bags

Beverly Hills Oculoplastic Surgeon Dr. Mehryar (Ray) Taban

“More comprehensive research is needed, but the initial results show that a ‘revision’ lower blepharoplasty delivers impressive results,” said Dr. Taban

In cosmetic dermatology, eyelid fillers made of a cross-linked hyaluronic acid gel are widely used because they are effective at improving under eye bags, among other skin concerns, yet many patients have unsatisfactory results, such as a “residual fullness” that can include fat, scar tissue, or undissolved filler substance. However, this “residual fullness” could actually just be a puffy lower eyelid, which can be corrected with a lower blepharoplasty. Curious to learn what kind of impact a previous dermal filler treatment would have on this type of surgery, oculoplastic surgeon Dr. Mehryar (Ray) Taban conducted a three-year study that ended in December 2015. The initial findings, recently presented by Dr. Taban at the Vegas Cosmetic Conference in Las Vegas as well as published in the American Journal of Cosmetic Surgery, are important for other oculoplastic surgeons to consider.

“Eyelid fillers with hydrating hyaluronic acid gel are effective for improving under eye bags or orbital fat prolapse,” explained Dr. Taban, “but there are also limitations, including the relatively short duration of the effects and subsequent, though slight, anatomical changes. Plus, the previous injector may have injected too much gel or injected the filler in the wrong location; or perhaps the wrong diagnosis was made, which means the patient may have been better served by undergoing a lower eyelid surgery in the first place. Although unsatisfactory filler results can be removed with hyaluronidase injections, a…

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