Can fillers be done on the upper eyelid, and what are the risks?

Doctor's Answers 3

Yes, fillers can be done for the upper eyelids.

It is especially done for upper eyelid hollowness caused by 2 main issues:

1. age-related volume loss

2. volume loss related to excess peri-orbital fat removal during previous eyelid surgeries

Administration of fillers of hyaluronic acid (restylane)or calcium hydroxyapatite has been shown to improve the aged appearance caused by the hollowness.

If done right, fillers for upper eyelid hollows is a quick, hassle-free lunch-time procedure. results can be seen almost immediately after treatment, and patients can resume their normal activities with ease.

Side effects are similar to all dermal filler injections. Bruising, local infection, may occur. More serious complications like skin necrosis or nerve damage, and very rarely blindness can also theoretically occur due to the proximity to crucial blood vessels in the region.

This is a techinically challenging area and I would advise seeking a doctor who has experience in injecting fillers in this area.

Hope that helps!

Best regards

Dr Heng

Fillers can be done on the upper eyelid for upper eyelid hollowness, which can be present due to genetics, aging-related atrophy of upper eyelid fat tissue as well as iatrogenic causes such as post eyelid surgery volume loss.

Risks will include the same general risks as with all dermal fillers, such as bleeding/vasular injury, bruising, swelling, and infection. However, this area of the face requires extra care as it is highly vascularised, thin and near the eye.

Hence it requires the careful placement of an appropriate filler in the correct plane to prevent rare but serious complications such as skin necrosis, nerve injury and blindness. It is prudent that you choose a doctor who is experienced and proficient in performing this.

Yes, in short, fillers can be performed for upper eyelid hollowness and eyebrow lift.

Besides the general risks of swelling and bruising with fillers, filler placement in this area requires careful placement in the appropriate plane to prevent the small but serious risk of skin necrosis and blindness because of blood vessels that lead to the back of the eye in this area.

Using the right type of fillers and performed appropriately, there can be a significant and natural aesthetic result for upper eyelid hollowness.

Do consult an experienced doctor for treatment.

Hope this helps.

Best Regards,

Dr David Deng

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