Lower Eyelid Blepharoplasty vs. Dermal Fillers: Which Is Right for Me?
- Posted on: Oct 31 2025

How do you know which one is the right fit for your needs? When is surgery better than a less-invasive solution?
At Ophthalmic Plastic & Cosmetic Surgery Inc., our experienced team – led by Dr. John B. Holds, a Fellow of the American College of Surgeons – helps patients select the most effective service for their unique anatomy, goals, and lifestyle.
What Is Lower Eyelid Blepharoplasty?
Lower eyelid blepharoplasty is a surgical procedure that removes or repositions excess fat, skin, and muscle beneath the eyes. It’s ideal for individuals with:
- Prominent under-eye bags
- Loose or sagging lower eyelid skin
- A tired or aged appearance that doesn’t respond to non-surgical treatments
The results are long-lasting and often permanent. This is an excellent choice for those seeking a more dramatic and durable transformation.
What Are Dermal Fillers?
Dermal fillers, often made with hyaluronic acid, are injected into the under-eye area (tear troughs) to reduce hollowing and enhance contours. They’re best suited for patients with:
- Mild to moderate volume loss
- Minimal skin laxity
- No significant fat bulging under the eyes
Fillers offer immediate improvements, typically with no downtime. However, they are temporary and usually require touch-ups every 6–12 months.
Lower Eyelid Blepharoplasty vs. Dermal Fillers: How Do I Choose?
The most appropriate choice depends on your unique anatomy and aesthetic goals. Here’s a quick breakdown:
- Blepharoplasty is recommended if you have significant puffiness, loose skin, or want long-lasting results.
- Fillers are suitable if you prefer a non-surgical solution, have mild volume loss, or are new to cosmetic treatments.
A consultation with an experienced practitioner can help you better understand your options and decide which will work best for you.
Schedule a Consultation in St. Louis
Having a hard time choosing between lower eyelid blepharoplasty and fillers? The team at Ophthalmic Plastic & Cosmetic Surgery Inc. can evaluate your under-eye area and recommend the right plan to restore a refreshed, youthful appearance.
Call 314-567-3567 today to schedule a personalized consultation at one of our three locations: St. Louis, St. Peters, or Arnold, MO.
Posted in: Eyelid Surgery
