Why Some Patients Skip Fillers and Choose Lower Eyelid Surgery

Woman receiving dermal fillers around her eyes to correct fine lines and wrinkles

Tired, puffy eyes and deep under-eye hollows can make the face appear older and more fatigued. While dermal fillers are a popular option for restoring volume, they are not always the most effective solution for every patient. 

Dr. Ryan Mitchell, DO, FAOCO, FAACS, is a board-certified facial plastic surgeon who has practiced in the Las Vegas area since 2003. He completed his Facial Plastic Surgery residency at Pontiac Osteopathic Hospital and serves as Clinical Faculty at Touro University. Known for introducing advanced techniques to Nevada, Dr. Mitchell is dedicated to precision and innovation in aesthetic care. 

For those exploring ways to refresh the under-eye area, both surgical and non-surgical options are available depending on individual needs.

When Dermal Fillers Make Sense

For those with early signs of aging, dermal fillers can improve under-eye shadows and volume loss. They are most effective when skin remains smooth and tight. Many patients choose fillers because they are:

  • Non-surgical with no downtime
  • Quick to administer in-office
  • A temporary way to test the results of under-eye enhancement

Fillers may be a good first step for people exploring cosmetic procedures, especially when changes to the under-eye area are subtle.

Why Fillers Don’t Work for Everyone

While convenient, fillers are not always the right choice for individuals with more pronounced concerns. Patients with prominent fat pads or noticeable puffiness under the eyes often find that fillers cannot effectively smooth or conceal these issues. Similarly, those with loose or sagging skin may not see a significant improvement, as injectables do not tighten tissue. In cases of deep hollowing, filler may not restore volume in a way that looks natural.

In addition to these limitations, some individuals experience a puffy or uneven appearance after treatment. Others may grow frustrated with the need for repeated maintenance appointments to preserve their results, which can lead to mounting costs over time.

How Lower Eyelid Surgery Offers a Permanent Fix

Lower eyelid surgery, also known as blepharoplasty, is a surgical procedure that addresses the underlying causes of aging around the eyes. It is often recommended for patients seeking longer-term results and more dramatic improvements. Benefits include:

  • Removal or repositioning of fat pads to reduce puffiness
  • Tightening of loose or sagging skin
  • A smoother, more youthful contour

This procedure is often performed under local or general anesthesia and requires some recovery time, but the results can last for many years—making it a worthwhile investment for many.

Exploring Options in Henderson, NV

Choosing between dermal fillers and lower eyelid surgery depends on your concerns, goals, and how long you want results to last. A consultation at Mitchell Plastic Surgery can help determine the best option for your needs.

If you’ve been thinking about improving the appearance of tired or aging eyes, now is the time to explore your options. Call 702-376-3095 to schedule your consultation and take the first step toward refreshed, confident results.

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WHAT HAPPENS IN A CONSULTATION?

01. Get to know Dr. Mitchell.

02. Help him understand you and your goals.

03. Learn about his services and specialties.

“Recently got surgery with Dr Ryan Mitchell. He was amazing and very responsive. The staff was great. I really appreciate the doctor and very happy with my blepharoplasty results. I will be back for more surgery.”

– Karen Cartagena

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