Navigating Lower Eyelid Blepharoplasty in Patients with Under-Eye Filler: Challenges, Complications, and Recommendations

Individuals receiving HA-filler to the eyelids and cheeks may in time seek eyelid surgery many years later. Eyelid surgeons should therefore be prepared to recognise and deal with HA filler-related issues in all individuals seeking eyelid surgery.The presence of HA filler in this region can significantly influence outcomes of lower blepharoplasty surgery, both intra-operatively and post-operatively. Early identification and anticipation of these issues with pre-operative counselling to avoid unrealistic expectations is required.