Getting Lower Eyelid Fillers When You Have Ocular Allergies

September 2, 2016 1:49 pm

If you’re considering lower eyelid fillers to fix eye bags, under-eye hollows, or wrinkles under your eyes, understanding how your ocular allergies fit into the picture before you get your treatment can be the difference between results you love and results you’re unhappy with.

Ocular allergies, like most environmental allergies, have become much more common and severe over the past several years. This means that even if you’ve never had allergies before, you may have them now.

What are ocular allergies?

First, you should know what ocular (eye) allergies are. Like other allergies, ocular allergies are a response by your immune system to foreign substances (like pollen or dust) that enter your eyes. Signs of ocular allergies are eye itching, red eyes, and excessive swelling of the eyelids in the morning (and possibly throughout the day).

That’s right– ocular allergies are a major cause of eyelid swelling. This swelling can cause eye bags as well as fine lines or wrinkles under the eyes, which may be why you’re considering eyelid fillers in the first place. It also complicates filler procedures if your doctor isn’t properly prepared.

Ocular allergies and eyelid fillers

How can the swelling caused by ocular allergies complicate eyelid filler procedures?

In many cases, swelling is an influx of fluid to a part of your body. This is true of the swelling caused by ocular allergies; the allergies draw fluid to the area under your eyes. Hyaluronic acid dermal fillers like Restylane and Voluma also attract fluid (although not in the same way as allergies)- it’s how they work. So, if you already have fluid accumulating under your eyes from ocular allergies, and then a doctor treats your lower eyelids with dermal fillers, there is a risk that the dermal fillers will attract more fluid than they’re supposed to. As a result, the treatment may not produce the desired results. It may look like the filler was placed wrong, or that too much was administered.

This doesn’t mean that you can’t get eyelid fillers to improve the appearance of your lower eyelids, though. What it means is that 1) you have to control your ocular allergies before getting your treatment, and 2) you have to talk to your cosmetic surgeon about your ocular allergies before getting your treatment.

There are several very good prescription and over-the-counter ocular allergy drops, but not all allergy drops are created equal. Because of this, we recommend that you get help from your eye doctor or cosmetic surgeon when choosing which drops to use.

Once your ocular allergies are under control and you speak to your cosmetic surgeon about your ocular allergies, your cosmetic surgeon will have a more accurate picture of how much fluid is naturally under your eyes and how much dermal filler he or she should administer for you to achieve great results.

Cosmetic surgeons and ocular allergies

It’s important to note that some cosmetic surgeons are better prepared to handle cosmetic procedures surrounding the eyes.

Oculoplastic surgeons, sometimes called oculoplastic cosmetic surgeons or oculofacial surgeons, are board certified ophthalmologists (eye doctors) who have undergone additional training in cosmetic surgery.

Because oculoplastic surgeons are trained as eye doctors and cosmetic surgeons, they are specially suited to care for eye issues like ocular allergies and to treat the eyes with dermal fillers, Botox, eyelid surgery, and other treatments.

Drs. Cohen and Swartz are both oculoplastic surgeons. To read more about their training, visit our Team page.

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