Non-surgical alternatives have shown improvement with patients exhibiting early indications of facial aging. Lasers, chemical peels, botulinum toxin, and dermal fillers are all used in some degree to treat periorbital tissue. Although effective, these treatments are not technically blepharoplasty.
Botulinum toxin is used to relax the muscles in the forehead and between the eyes, therefore does not address most of the issues a patient is seeking through blepharoplasty.
In non-surgical blepharoplasty, topical applications of acids and/or the use of lasers are used to tighten and decrease skin volume in the upper and lower eyelids. Injectable dermal fillers are also used to temporarily increase volume in the trough area between the lower eyelid and the cheek.
These techniques are effective yet have not replaced surgical treatments, and should not be confused with blepharoplasty, which treats not only the superficial skin tissue, but also underlying connective and muscle tissues.