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Consumer Guide To Cosmetic Eye Surgery

Want to look as young as you feel? Cosmetic surgery such as an eye lift (blepharoplasty) and non-surgical procedures like Botox injections can take years off your appearance and restore a more youthful look.

This collection of articles contains unbiased, doctor-reviewed information, including the pros, cons and cost of the most popular cosmetic eye procedures and treatments.


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Safety Info

Cosmetic Facial Filler Injections Can Cause Severe Vision Loss, Studies Find

Injections of facial fillers to remove wrinkles between the eyebrows and from other areas of the face can cause severe visual side effects in some cases, according to two recent studies.

Woman receiving facial filler injection near her eye.

In both studies, published in 2014, researchers in South Korea evaluated vision problems occurring after these cosmetic procedures.

Facial filler injections often are used to remove wrinkles from the glabella (area between the eyebrows) and/or the nasolabial folds (skin folds on each side of the nose that separate the cheeks from the upper lip — where "smile lines" or "laugh lines" occur).

Both studies revealed that use of cosmetic facial filler injections can sometimes cause painful blindness due to blockage of arteries that nourish the retina (for example, central retinal artery occlusion or branch retinal artery occlusion; sometimes called "eye occlusions"). In some cases, retinal artery occlusion following these injections can be accompanied by brain infarction (stroke).

Patients injected with autologous fat (fat obtained from a different location on the same person's body) had worse visual outcomes and greater risk of stroke than those who were injected with hyaluronic acid or collagen. (Hyaluronic acid is a viscous fluid naturally present in the human body, particularly in the eyes and joints. Collagen is protein found in connective tissue throughout the body, including in the cornea.)

The study authors concluded that cosmetic filler injections between the eyebrows and for "smile lines" can sometimes cause painful blindness or even stroke, especially when autologous fat is used.

People who experience eye pain after cosmetic facial filler injections should undergo a dilated eye exam and brain magnetic resonance imaging (MRI), they said.

They added that caution should be used during cosmetic facial filler injections, and physicians should be aware of various possible complications afterward. — G.H.

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Page updated October 2016