Upper eyelid filler is a popular treatment at our Sydney clinic. The orbital are is a very important area on the face for age appearance and for beauty. As we age, the upper lid loses volume and becomes hollow. Filling this hollowness of the upper eyelid area dermal filler is an effective treatment with minimal downtime.
Eyelids can be injected with dermal filler to look younger, more symmetrical or more beautiful.
As we age, our upper eyelids lose volume, the bone and soft tissue dissolves, leaving us with reduced structural support in that area, creating loss of volume and a holowness. It is possible to replace the volume loss in the upper lid with dermal filler.
Some people were born with eyelid smoothness and fullness, and others were born with hollowness which can be improved. For those who weren’t born with the maximally beautiful and symmetrical upper eyelids, it is simple to just inject them to improve the appearance.
Dermal filler can improve:
The wrinkling on upper eyelid skin, can be improved with dermal filler, skin boosters, or PRP.
The shape of the upper lids:
Some patients need more volume medially, in the area of the A-frame, some need more lowering or projection laterally. The aim is a full, smooth contour of the upper lid that is parallel to the lash line. The patient will be assessed and the doctor will have a discussion with the patient about their anatomy, and how it can be improved.
As we age, we lose volume in the upper lid and hence structural support of the overlying tissue. This can be replaced.
Asymmetry of the eyelids is very common, and can be improved with dermal filler treatment
Choosing the amount of filler to use for the eyelids:
The dose required for eyelid filling is very variable. Usually up to 1ml is used per treatment
The doctor will assess the face and decide on the best dose after taking a history and examining the patient.
A topical numbing cream may or may not be applied to the area prior to the treatment at the cannula entry point, although this is not usually necessary
When a cannula is used, local anaesthetic may be used prior to the cannula being introduced into the skin
There is local anaesthetic in the dermal filler
Ice is always used to decrease pain and to reduce the risk of bruising.
Nitrous oxide (happy gas) is available for patients to use.
Eyelid Fillers Procedure
The makeup will be removed and the face will be cleaned.
When a cannula is used, a small injection of local anaesthetic may be injected into the skin and then a fine needle makes a small hole in the skin where the cannula is inserted.
How will I look straight after Eyelid Fillers:
There may be redness and swelling around the treated area. There may be a bruise at the cannula entry site.
Side effects /risks with eyelid fillers:
As it is a medical procedure, there are risks associate with eyelid fillers
Bruising occurs in a significant number of cases.
Swelling in the injection area will occur. This will laser for 48 hours
Asymmetry: Sometimes one side is better treated than the other, this is usually because the patient is asymmetrical to start with.
Infection is a very rare complication, but always a possibility when the needle goes into the skin.
Necrosis (blood vessel being blocked, interfering with blood supply to the skin) is very rare. This could lead to scarring.
Blindness due to a blood vessel being blocked is a rare but catastrophic risk of dermal filler
Need for further treatment: Often with eyelids, it will take several treatments to achieve the desired results.
After Cheek Fillers
Instructions for cheek filler aftercare
No makeup for 4 hours
No heavy exercise that day
No acid face products for 24 hours
No spas no saunas, no hot yoga for 1 week post treatment
What to expect after an eyelid filler treatment?
The effect of the dermal filler will be obvious immediately.
Straight after, there may be redness and swelling. the eyelids may be swollen.
What if I get asymmetry before the 4 week point?
With asymmetry before the 4 week point there is no need to call the doctor. Eyelids are often very asymmetrical to start with and the injector may choose to attempt to correct it during the treatment. Sometimes asymmetry will occur because one side is more swollen or bruised. Usually it will right itself by the time of the review appointment. If it doesn’t, then it can be examined at the review appointment. There is no point in coming in early for treatment of asymmetry as there is often swelling associated and so the final result cannot be seen until at least 4 weeks. Treating asymmetry too early could lead to further asymmetry. Most patients are asymmetrical prior to injection, we try to improve this asymmetry.
How long will the treatment last.
The answer to this is very individual and depends on the patient’s anatomy, metabolism, the dose, the placement, the product etc. Typically with our most commonly used dermal filler: If the patient is happy with the results at 1 month (ie there has been adequate fill) they should be treated at 6 months, then at 6 months and then once yearly. If the patient is not satisfied with the results at 1 month (ie more dermal filler is required to obtain the results that they desire), then further dermal filler should be injected every 1-3 months until the desired appearance has been reached, and then the patient should have treatment at 6 months, then 6 months, then once yearly.