Is there a non-surgical lower eyelid lift?

Aging lower eyelids can make you look chronically tired, even if you are well-rested. Several things happen during the aging process:

  • Skin texture changes, becoming more crepey in appearance.
  • Skin elasticity decreases, resulting in excess skin over the lower eyelids.
  • The connective tissue that spans between the cheekbone and lower eyelid, called the orbital septum, stretches out with age. This allows the fat which surrounds the eyeball and protects it to “pooch out”, causing bags under the eyes (see the image below).

    lower blepharoplsaty

    Original photo from emedicine.com

The gold-standard way to fix this is, of course, a lower eyelid lift (blepharoplasty). A blepharoplasty removes a small amount of the fat causing the bags under the eyes, and removes the excess skin as well. But what if you’re not ready to commit to having surgery?

There isn’t a non-surgical way to actually fix bags under the eyes, but we can camoflauge them. Adding filler at the top of the cheekbone to make the cheeks fuller will smooth the transition between the lower eyelid and the cheek. The filler I like for this area is Radisse®. Radiesse® is composed of calcium hydroxylapatite, a mineral found in your bones. It is gradually broken down by the body over 9-12 months, so it gives fairly long-lasting results. The key with filler is to place it over the cheekbone, not the actual lower eyelid. Lower eyelid skin is very thin and delicate, so filler can look unnatural in this area.  The picture below outlines ideal filler placement with the blue dots. lower eyelid filler

Do you have a question about lower eyelid rejuvenation or cheek filler? I would love to address your questions in the comments section!

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Disclaimer: This webpage is for general information only. It is not intended to diagnose or treat any medical illness, or give any specific medical advice. Because medical knowlege is constantly evolving, I cannot guarantee the accuracy or timeliness of any information in this blog.

Questions? I'll do my best to answer any questions left in the comments!