Are Fillers Better than Eyelid Surgery?

The tissue on the body loses firmness and elasticity over time. The question is not “if” but “when.” Usually, people start to notice this change first in the tissue around their eyes. The loss of firmness can make the upper eyelids heavy and the lower eyelids droopy. This makes the whole face look tired or possibly unfriendly. Today, people who are concerned about their aging eyes may consider one of two popular paths for correction: dermal fillers or eyelid surgery. Knowing the importance of being well-informed, we discuss both treatment options here.

Two Ways to Refresh the Eyes

Blepharoplasty is an outpatient surgery that is completed in about two hours. After the procedure, patients need 10 to 14 days to recover enough to go back to work and socializing. This is due to common side effects like swelling and bruising. The way that blepharoplasty works is by physically manipulating fat, muscle, and skin. This is done through small, hidden incisions, either in the crease of the upper eyelid or just inside the lower eyelid. The use of a local anesthetic and sedation or general anesthesia eliminates discomfort during surgery. Blepharoplasty can be performed on the upper eyelids or the lower eyelids to correct bags and saggy skin. The results of blepharoplasty are permanent and only affected by the aging process.

Dermal filler treatment takes less than thirty minutes. The procedure takes place in the office without any anesthesia. Many of the dermal fillers that are used today contain a numbing agent to provide comfort, but the tiny needle also helps. Unlike blepharoplasty, dermal fillers are typically only used to correct concerns on the lower eyelids. The way that these products work is by adding volume to the skin. Many dermal fillers do this with hyaluronic acid. This natural sugar compound binds to water molecules, making tissue look smoother and plumper. To decrease the appearance of undereye puffiness, a filler is inserted in the tear trough, the line where the upper cheek and the lower eyelid meet. There is no downtime needed to recover after dermal filler treatment. Results can last from one to two years.

A trained professional can help you understand what is possible for you based on the severity of eyelid laxity and the condition of your skin. To consult with Dr. Holds about blepharoplasty or dermal fillers, call our St. Louis office at 314-567-3567.