Recent advances have given rise to new blepharoplasty techniques, some of which can benefit patients without the need for surgery. Filler and other rejuvenation options can achieve comparable cosmetic outcomes without the risks inherent in more invasive procedures.
"Much of blepharoplasty success essentially revolves around choosing the right operation or procedure for the right patient. Patient selection is crucial here, as many blepharoplasty patients could do equally well, if not better, with a filler procedure, sparing them the risks of surgery," says Robert Alan Goldberg, M.D., chief of orbital and ophthalmic plastic surgery and co-director of the Aesthetic Reconstructive Surgery Service at the University of California, Los Angeles' Jules Stein Eye Institute.
"I often choose the hyaluronic acid (HA)-based fillers for this indication, such as Restylane (Medicis) or Juvéderm (Allergan), as the HAs are by far the safest fillers that we have available. The drawbacks with Restylane and perhaps more so with Juvéderm is the transient edema occasionally seen following the periorbital treatment. Nevertheless, the side effects are by far more acceptable than the complications that can result from a surgical approach," Dr. Goldberg says.