Erbium laser before filler for lower eyelids

March 4, 2011


Question:

I am scheduled for erbium laser resurfacing on lower eyelids in two months. If I wanted to get filler done under the eyes should this wait until after the resurfacing? Or how long after resurfacing would you recommend getting the filler injected if it can be done at all?

Answer:

It probably makes the most sense to first undergo the erbium laser resurfacing. Most likely you are considering injection of a filler to help fill in the tear trough between the lower eyelid and the nose. The erbium laser resurfacing will help smooth the wrinkles on the lower eyelid and may result in some improvement in the tear trough. Because there is some tightening of skin resulting from the erbium laser resurfacing, you may see modest improvement in the tear trough, which would enable the use of less filler.

The standard fillers including Restylane, Juvederm and Radiesse can be used to improve the tear trough but must be used with caution to avoid a visible lump or discoloration of the treated area. These fillers are usually placed deep beneath the skin, just above the bone. The results are temporary.

The best filler for the periorbital area, including the lower eyelid, is autologous fat. Fat is the only substance that can be evenly distributed throughout this area (it should be placed beneath the orbicularis muscle) and is also the only filler that gives permanent improvement. Fat grafting in the periorbital area is an advanced technique that must be done with care in this delicate area. Restoring lost volume in this area re-creates a youthful appearance and also reduces wrinkles because the skin has greater volume beneath it.

Laser Resurfacing Consultations Available

If you have further questions about Laser Resurfacing, we encourage you to schedule a consultation at The Langdon Center in Guilford, CT. Call us at 203-453-8625 or fill out our convenient online contact form.

Dr. Langdon and all of his nurses and staff are very friendly and they know how to make you feel very comfortable. He is a very experienced doctor, I call him an artistic dr. because he’s so precise in his work. If you would like something done right, dr. Langdon is the one to see. I am very pleased with my results and very grateful for him and his staff being here in Ct.

Take the Next Step

If you have further questions about Laser Resurfacing, we encourage you to schedule a consultation at The Langdon Center in Guilford, CT. Call us at (203) 453-8625 or fill out our convenient online contact form.

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Dr. Robert Langdon

Dr. Robert Langdon, MD is a triple-board-certified cosmetic surgeon in Dermatology, Cosmetic Surgery, and Facial Cosmetic Surgery. He specializes in advanced laser and low-impact procedures under local anesthesia, emphasizing quick recovery and low risks. With over 30 years of experience, he prioritizes personalized care and has authored significant publications, including a book on cosmetic laser surgery.

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