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Non-aesthetic indications for periocular hyaluronic acid filler treatment: a review
  1. Petrina Tan1,2,
  2. Tsong Qiang Kwong3,
  3. Raman Malhotra2
  1. 1 Ophthalmology, National University Health Systems, Ng Teng Fong General Hospital, Singapore, Singapore
  2. 2 Corneo-plastic Unit, Queen Victoria Hospital NHS Foundation Trust, East Grinstead, UK
  3. 3 Ophthalmology, Moorfield’s Eye Hospital, London, UK
  1. Correspondence to Mr Raman Malhotra, Corneoplastic Unit, Queen Victoria Hospital, NHS Foundation Trust, East Grinstead RH19 3DZ, UK; raman.malhotra1{at}


Dermal fillers have been in use for many years for aesthetic rejuvenation of the face. More recently, however, fillers have been increasingly used as an alternative to traditional surgical procedures for non-aesthetic indications. These indications include lagophthalmos, eyelid malpositions and orbital volume deficiency. The advantages of these filler injections are multiple: minimally invasive, repeatable, titratable and even reversible (depending on the product used). We review the current literature of functional uses of filler injections as mentioned above and evaluate the safety profile and efficacy of filler injections for this purpose.

  • eye lids
  • treatment medical
  • treatment other
  • orbit

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  • Contributors RM was involved with the proposal of the topic for the manuscript. PT and TQK were involved in the review of the literature and appraisal of the literature. PT, TQK and RM were involved in drafting, editing and final corrections of the manuscript. All authors reviewed and approved the final manuscript for submission.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data sharing statement Not applicable.