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Unlocking the Secrets of Undereye Rejuvenation: Filler or Surgery?

lower eyelid filler

October 9, 2023

Tired of having lower eyelid bags and want a quick fix? Lower eyelid filler is the answer!

The best candidates for undereye filler are patients who have good skin tone, small to moderate lower eyelid bags, excellent lymphatic drainage, no history of puffy eyes or severe allergies, and more.

But wait! You may not be a candidate for this procedure! If you have a moderate to severe amount of loose skin, a larger lower eyelid bag, a history of severe allergies, a tendency to have puffy lower eyes, and other risk factors, you should NOT get undereye filler.

This is a more controversial topic in aesthetic surgery since many younger patients have early signs of puffy lower eyelids with some lower eyelid deeper wrinkles. The problem is that lymphatic drainage is critical to reducing puffy lower eyes, as well as less lower eyelid fat. If you have (relatively) poor lower eyelid drainage or are prone to puffy eyes, you are almost definitely a candidate for surgery – a lower eyelid lift.

If you have a deeper wrinkle, aka the tear trough and nasojugal groove, then you probably need surgery as well.

Finally, although there are some procedures that can reposition cheek and lower eyelid fat to mask the deeper tear trough and nasojugal groove areas, you may need fat grafting to really fill in the lower eyelid wrinkle and rejuvenate your skin color and texture.

It is sometimes difficult for me to tell younger patients that they should not get filler but get a lower eyelid blepharoplasty. However, I would always advocate for the best result for any of my patients.


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