HA Injections for Upper Eyelid Laxity

At the recent 2020 American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) virtual meeting, Amir Moradi, MD, facial plastic and reconstructive surgeon, Moradi M.D., San Diego, Calif., discussed his approach to thickening thin, crepey upper eyelid skin with hyaluronic acid injections.

In his presentation, “Upper Eyelid Treatments: Using Hyaluronic Acids to Improve the Thickness of Upper Eyelid,” Dr. Moradi discussed a study he conducted that examined the results of injecting micro-doses of a low hydrophilic HA filler (primarily Restylane) both deeply and superficially into the upper eyelid. Results suggest that this is an effective approach in patients in their 30s who may not need a blepharoplasty yet.

He also found that after a year post-HA injection, the HA could still be seen over the muscle and in the orbicularis oculi muscle.

Dr. Moradi emphasizes the need for gaining an extensive knowledge of the anatomical area before attempting treatment due to the high volume of vessels and related ocular risk.