• Non-Surgical Nose Job

    "My non surgical nose procedure seems too good to be true, the results are amazing! Dr. Rivkin is so good at what he does, there was no pain, no swelling, no downtime! It's hard to believe that such a simple procedure can be so life changing!"


  • Friendly Service, Reasonable Prices

    "First of all, I'd like to say thank you for the complimentary second office visit. I can tell that you take great pride in your craft and care about what your clients want. Thank you so much for your skilled craftsmanship and an eye for such fine work."

    Sincerely, MP

  • Non-Surgical Face Lift

    "Dr. Rivkin did an AMAZING job on my face! Thank you, thank you, thank you!!!! I really appreciate everything you've done for me and all the help you've given me!! I'm just so happy! This DEFINITELY gives me the self confidence that I was looking for for next weekend!"


  • Fraxel Laser Skin Treatments

    "I just wanted to thank you for the wonderful service you gave me when I was in southern Cal a few weeks ago. You were the only office that responded to my email, and actually I'm grateful. I love my Fraxel & will plan more treatments. Thanks again for your professionalism, your friendly atmosphere and your patient care."

    Sincerely, PG

Juvederm for Upper Eyelid Contour Irregularity

Hi Dr. Rivkin,

I have a higher crease and some fat loss in one upper eyelid after granuloma and suture cyst removal. I have been told it would be easy to correct with a filler such as restylane. What filler do you prefer for the upper eyelids?

My main hesitation is that I am concerned about safety. If I inject the eye with temporary fillers every 6 months or so, I may have some bad luck one day where the filler occludes the retinal artery. I have read this happens once in a great while when lids are injected with an anesthetic agent prior to surgery. Do you think this is a possibility, albeit remote, with with filler injections?

I have also thought of a fat graft rather than fat or other injections, as that would be a one-time operation, but I hear fat grafts do not always retain well. Thank you for any feedback on these issues.

the concerns that you raise are certainly valid.
first off, i prefer juvederm for the upper eye area – it is smoother than restylane. second, these fillers last considerably longer than 6 months in the eye area. when i inject the lower eyelid crease with juvederm, it usually lasts for a year and a half or more. so, i wouldn’t worry too much about repeated injections – the filler stimulates collagen growth and so you may only need a few sessions to achieve fairly permanent results.
i would definitely never use any other filler aside from restylane or juvederm around the eyes.
lastly, you should go to a physician very experienced in filler injection first and injecting around the eyes second. just because someone is an opthamologist or an oculoplastic specialist does not mean that they are an experienced injector. don’t be shy to ask specific questions.
i don’t like fat that much, although i have seen good results with fat grafting. sometimes fat lasts for a long time, sometimes it lasts for 6 months. filler is so much easier that i do not see any reason to use fat.
in terms of artery embolism, i have injected about 700 patients under the eyes so far. i have never seen a problem and i do not expect to. i would not worry about it. the risk is very remote.

2 Responses to “Juvederm for Upper Eyelid Contour Irregularity”

  1. Kirsty says:

    I underwent a blepharoplasty in Amy which has left me with a hollow eye apperence. I am only 26 but feel I look 40.
    I had some jevederm 3 injected to improve my hollowness but it has been two weeks now and I still have some swelling and a pillow of swelling is this normal or is this no longer swelling and just too much product?

  2. Dr. Rivkin says:

    at this point it is probably too much product. i would consider enzyme to bring it down a bit.

Leave a Reply

11645 Wilshire Blvd., #800, Los Angeles, CA 90025  |  (310) 443-5273

flying in logo
separate icon

follow us pic

Westside Aesthetics Facebook Dr. Alexander Rivkin Twitter Dr. Alexander Rivkin Youtube