Correction of tear trough deformity by hyaluronic acid soft tissue filler placement inferior to the lateral orbital thickening

2021 ◽  
Author(s):  
Uwe Wollina ◽  
Alberto Goldman
Keyword(s):  
Hyaluronic Acid ◽  
Soft Tissue ◽  
Tear Trough ◽  
Tear Trough Deformity ◽  
Soft Tissue Filler

Correction of Tear Trough Deformity Using Autologous Fibroblast Combined with Keratin: New Soft Tissue Filler

2018 ◽  
Vol 43 (1) ◽  
pp. 221-227 ◽  
Author(s):  
Wenshan Xing ◽  
Chen Zhang ◽  
Jiao Zhang ◽  
Qingguo Zhang
Keyword(s):  
Soft Tissue ◽  
Tear Trough ◽  
Tear Trough Deformity ◽  
Soft Tissue Filler

Dermal Fillers for Tear Trough Rejuvenation: A Systematic Review

2021 ◽  
Author(s):  
Lily N. Trinh ◽  
Sarah E. Grond ◽  
Amar Gupta
Keyword(s):  
Systematic Review ◽  
Patient Satisfaction ◽  
Soft Tissue ◽  
Dermal Filler ◽  
Injection Technique ◽  
Filling Material ◽  
Topical Anesthetic ◽  
Tear Trough ◽  
Tear Trough Deformity ◽  
Mesh Terms

AbstractThere is significant variation in treatment parameters when treating the infraorbital region. Thorough knowledge of these pertinent factors, choice of the optimal filling material, and proper understanding of the anatomy of this unforgiving region will contribute to a safe, effective, and natural result. We aim to conduct a systematic review of published literature related to soft tissue fillers of the tear trough and infraorbital region. A search of published literature was conducted in accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines and included PubMed, Embase, and Science Direct databases. The Medical Subject Headings (MeSH) terms used were “tear trough” OR “infraorbital” AND “dermal filler” OR “hyaluronic acid” OR “poly-L-lactic acid” OR “calcium hydroxyapatite” OR “Restylane” OR “Radiesse” OR “Perlane” OR “Juvéderm” OR “Belotero.” Different combinations of these key terms were used. The initial search identified 526 articles. Six additional articles were identified through references. Two-hundred twenty-five duplicates were removed. A total of 307 studies were screened by title and abstract and 258 studies were eliminated based on inclusion and exclusion criteria. Forty-nine articles underwent full-text review. The final analysis included 23 articles. Patient satisfaction was high, and duration of effect ranged from 8 to 12 months. Restylane was most commonly used. Injection technique varied, but generally involved placing filler pre-periosteally, deep to orbicularis oculi muscle, anterior to the inferior orbital rim via serial puncture or retrograde linear threading with a 30-gauge needle. Topical anesthetic was most commonly used. Side effects were generally mild and included bruising, edema, blue–gray dyschromia, and contour irregularities. Nonsurgical correction of the tear trough deformity with soft tissue filler is a minimally invasive procedure with excellent patient satisfaction with long-lasting effects. It is essential to have a fundamental understanding of the relevant anatomy and ideal injection technique to provide excellent patient outcomes and prevent serious complications.

scholarly journals Treatment of the Tear Trough Deformity With Hyaluronic Acid

2011 ◽  
Vol 31 (2) ◽  
pp. 225-231 ◽  
Author(s):  
Giovanni André Pires Viana ◽  
Midori Hentona Osaki ◽  
Angelino Júlio Cariello ◽  
Renato Wendell Damasceno ◽  
Tammy Hentona Osaki
Keyword(s):  
Hyaluronic Acid ◽  
Tear Trough ◽  
Tear Trough Deformity

scholarly journals Is the Treatment of the Tear Trough Deformity with Hyaluronic Acid Injections a Safe Procedure? A Systematic Review

2021 ◽  
Vol 11 (23) ◽  
pp. 11489
Author(s):  
Salvatore D’Amato ◽  
Romolo Fragola ◽  
Pierfrancesco Bove ◽  
Giorgio Lo Giudice ◽  
Paolo Gennaro ◽  
...  
Keyword(s):  
Systematic Review ◽  
Patient Satisfaction ◽  
Hyaluronic Acid ◽  
Cochrane Library ◽  
Injection Technique ◽  
Safe Procedure ◽  
Aesthetic Result ◽  
Tear Trough ◽  
Tear Trough Deformity ◽  
Mesh Terms

Among the various therapeutic options for the treatment of tear trough deformities, the use of hyaluronic acid-based fillers has constantly been increasing. The aim of this research is to conduct a systematic review of the published literature related to the use of hyaluronic acid-based dermal fillers for the treatment of tear trough deformities and possible related complications. A search of the published literature was conducted following the PRISMA guidelines, including PubMed, Cochrane Library, and Ovid databases. Text words and Medical Search Headings (MeSH terms) were used to identify nine articles included in our analysis. The most used filler was Restylane (Galderma). The injection technique was performed through the use of a cannula or, more frequently, with a needle, through the execution of boluses or retrograde release. The injection plane was predominantly the supra-periosteal layer. The most observed side effects were mild and included redness, edema, contour irregularities, bruising, and blue-gray dyschromia. The degree of patient satisfaction was high, with an optimal aesthetic result that was maintained for 6 to 12 months. Although the duration of treatment of tear trough deformities with HA fillers is not comparable to surgical treatment, this is a minimally invasive, safe procedure, quick to perform, and with a high degree of patient satisfaction.

Safe Glabellar Wrinkle Correction With Soft Tissue Filler Using Doppler Ultrasound

2020 ◽  
Author(s):  
Won Lee ◽  
Hyoung-Jin Moon ◽  
Ji-Soo Kim ◽  
Eun-Jung Yang
Keyword(s):  
Hyaluronic Acid ◽  
Botulinum Toxin ◽  
Soft Tissue ◽  
Doppler Ultrasound ◽  
Vascular Complications ◽  
Level Of Evidence ◽  
Filler Injection ◽  
Subcutaneous Layer ◽  
Soft Tissue Filler

Abstract Background Glabellar wrinkle corrections are usually performed by injecting botulinum toxin and hyaluronic acid fillers. The glabella is one of the most dangerous locations for filler injection because of possible visual complications. Objectives The aim of this study was to use Doppler ultrasound to determine the anatomic relation between glabellar wrinkles and the supratrochlear artery pathway, perform safe hyaluronic acid filler injection to correct glabellar wrinkles, and determine the efficacy of the procedure. Methods From January 2019 to July 2019, 42 patients (74 glabellar wrinkle lines; 32 bilateral and 10 unilateral wrinkles) were evaluated. Glabellar wrinkle lines were corrected with hyaluronic acid filler. Doppler ultrasound was used to avoid the supratrochlear artery. Results Among the 74 wrinkle lines, the supratrochlear arteries were located either at the glabellar wrinkle lines (30/74, 41%) or lateral to the glabellar wrinkle lines (44/74, 59%). In the latter 44 wrinkles, fillers were injected into the subdermal layer of the glabellar wrinkle lines. In the 30 wrinkles where supratrochlear artery was located at the glabellar wrinkle lines, the artery was located at the deep subcutaneous layer in 24 and at the subdermal layer in 6; thus, filler injection was not performed. Conclusions The supratrochlear artery may be located either at or lateral to the glabellar wrinkle lines. When performing glabellar wrinkle correction, Doppler ultrasound can be used to confirm the location of the supratrochlear artery before filler injection, which helps in avoiding vascular complications. Level of Evidence: 4

Periorbital rejuvenation and tear trough filler

2021 ◽  
Vol 10 (3) ◽  
pp. 106-110
Author(s):  
Natalie Haswell
Keyword(s):  
Hyaluronic Acid ◽  
Side Effects ◽  
Soft Tissue ◽  
Patient Selection ◽  
Tear Trough ◽  
The Face ◽  
Selection For

In this article, the author will explore the fundamental principles in delivering safe and effective tear trough treatment with a soft-tissue, hyaluronic acid filler. The article will explain what the tear trough is and why this area of the face becomes more apparent with ageing, as well as the reasons behind patients seeking tear trough filler and how they can present in aesthetic clinics. Furthermore, information will be detailed on enuring correct patient selection for tear trough treatments, contraindications for tear trough filler and possible side effects and which filler types and treatment tools are recommended.

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