Evolving Minimally Invasive Techniques for Tear Trough Enhancement

Hill, Robert H.; Czyz, Craig N.; Kandapalli, Srinivas; Zhang-Nunes, Sandy; Cahill, Kenneth V.; Wulc, Allan E.; Foster, Jill A.

doi:10.1097/iop.0000000000000325

Cited by 22 publications

(27 citation statements)

References 10 publications

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“…Alloplastic materials such as hyaluronic acid are a good option when patients want procedures which are more practical [24] . Fat grafting is the author's preference due to many reasons: the fat is abundant, the procedure is autologous, fat grafting is a cell transplant which has anti-inflammatory "anti-fibrotic" and "trophic" effects with a possibility of achieving better skin quality, and the results are natural [25][26][27] .…”

Section: Discussionmentioning

confidence: 99%

Tear trough – Anatomy and treatment by autologous fat grafting

Chia

2016

J Surg Dermatol

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Tear trough is the main irregularity at midface, of which treatment is difficult. There is no agreement in literature about its anatomy and best treatment. The author presented an anatomical study and personal autologous fat grafting technique for tear trough treatment. Anatomical dissections were done on two fresh cadavers to examine the skin, subcutaneous, muscle and bone layers, spaces, and attachments. Safety and efficacy were evaluated via retrospective analysis of the last 200 consecutive procedures performed by the author. Tear trough is caused by the abrupt transition of the palpebral orbicular oculi muscle (OOM) (i.e., thin skin without subcutaneous fat compartment) to the orbital OOM (i.e., thicker skin with malar fat compartment). The tear trough region is located at the OOM bony origin at the medial canthus where no specific ligament was found. The grafted fat volume stabilized at two or three months after the procedure, instead of six months as stated in literature, with excellent results and no severe complications. Tear trough is a personal characteristic, a natural anatomical depression caused by subcutaneous irregularity and can worsen with age. The lack of volume is not effectively corrected by surgeries and thus it must be filled. Fat grafting has several advantages over alloplastic fillers, although it may be more difficult. Fat graft is autologous and abundant, and tissue transplantation could enhance skin quality. Fat grafting is a simple, safe, and effective solution for adding extra volume to correct the deflation phenomenon of the midface aging process. There is no specific anatomical plane for volume injection; the fat graft must be evenly distributed in the deep and superficial plane for uniformity.

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Section: Discussionmentioning

confidence: 99%

Tear trough – Anatomy and treatment by autologous fat grafting

Chia

2016

J Surg Dermatol

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“…Eight review articles have been written, the first in 2007 [33] , then in 2010 [36] , 2012 [38][39][40] and from 2016 to 2020 [44][45][46][47] , and two comparative studies were published in 2006 [13,22] . Twenty-nine papers are case-series [11,18,[27][28][29][48][49][50][51][52] , thirteen are case-reports [20,30,31,37,39,[53][54][55][56][57] whilst the remainder [26,34,35,40,[58][59][60][61][62][63][64][65][66] are related to general content [ Figure 1].…”

Section: Study Typementioning

confidence: 99%

“…Research focused on personal techniques purposed by the authors have been published since 2005. Airan and Born [11] and Kane [12] wrote the first articles ever about this topic, both in 2005; technique refinement and new trends have been published in 2006 [22,23] , 2007 [24,33] , 2011 [16,32,76] , 2012 [26,41,42,66] , 2013 [73] , 2014 [43] , 2015 [48][49][50] , 2016 [27,28] , 2017 [17,52] , 2018 [19,71,74] and 2019 [21] .…”

Section: Techniquementioning

confidence: 99%

Hyaluronic acid for lower eyelid and tear trough rejuvenation: review of the literature

Diaspro¹,

Sito²

2020

Plast Aesthet Res

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“…This can become more prominent as the maxillary bone regresses, soft tissues of the midface descend inferiorly and medially, and inferior orbital fat prolapses. 27 As the midface descends, the superior convexity lengthens vertically and creates a shadow inferiorly, causing patients to complain of "dark circles. "…”

Section: Midfacementioning

confidence: 99%

“…Skin changes, including rhytids, photodamage, thinning, laxity, and a decrease in dermal collagen, elastin, and hyaluronic acid, are also a part of the facial aging process. 27,39 Optimal periorbital rejuvenation should treat these skin changes and not just the soft tissue and osseous changes. Various therapies have been described to stimulate dermal collagen synthesis and to improve the appearance of rhytids and dyschromia.…”

Section: Skin Rejuvenationmentioning

confidence: 99%

Selecting the Best Eyelid Techniques

2018

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The periorbital region is a focal point on the face. Dermatochalasis, fat herniation, blepharoptosis, brow ptosis, deep tear troughs, and malar fat pad descent are all age-related changes that occur around the eyes, and successful rejuvenation involves addressing all of these changes. Restoring a youthful, vibrant appearance to the eyes and periorbital areas can often only be accomplished with a combination of surgical and nonsurgical interventions. Facial plastic surgeons should have a comprehensive knowledge of all of these options and their applications to ensure good patient outcomes and satisfaction.

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Evolving Minimally Invasive Techniques for Tear Trough Enhancement

Cited by 22 publications

References 10 publications

Tear trough – Anatomy and treatment by autologous fat grafting

Tear trough – Anatomy and treatment by autologous fat grafting

Hyaluronic acid for lower eyelid and tear trough rejuvenation: review of the literature

Selecting the Best Eyelid Techniques

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