Can Injectable Fillers Stretch Out Over Resected Upper Eyelid Skin From A Blepharoplasty?

Q: Dr. Eppley, Hello. So, after blepharoplasty only on the left upper eyelid as you can see my left eye is much more open. I would like to avoid the skin graft for aesthetic reasons. As you can see my left upper eyelid is more hollow and the crease is more higher than my right eyelid. So here is my question. Is it possible “to create more skin” with fillers on the left upper eyelid? So the crease will be lower, i mean we will make bigger the distance between the brow and the crease so, the eye will have more skin and the eye will close and be symmetrical with the right eye. I don’t want to have any skin graft. The thought of that is really devastating bcz it will be visible and i want my eye to be normal. So that is why i thought about fillers. I also thought lowering the brow surgically bcz i have seen that you have performed that surgery. 

A: You are referring to whether injectable fillers can create enough stretched skin to avoid the need for a skin graft. I would doubt it but there is one way to find out…have some injectable fillers placed and see what happens. Also I do not think that lowering the eyebrow will be of much help either.

In my opinion the best thing to do is have a small skin graft placed, let it heal and then work out the skin graft later when the tissues are more healed and have relaxed.

Dr. Barry Eppley

Indianapolis, Indiana