Nonsurgical Management of Upper Eyelid Margin Asymmetry Using Hyaluronic Acid Gel Filler

Mancini, Ronald; Khadavi, Nicole M.; Goldberg, Robert A.

doi:10.1097/iop.0b013e3181c2a16d

Cited by 64 publications

(38 citation statements)

References 10 publications

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“…Botulinum toxin injection into the pretarsal orbicularis to give minimal elevation to a ptotic lid has been reported [63]. Conversely, a lid may be lowered with injection of a filler [64 ].…”

Section: Recent Advances In 'Complex' Ptosismentioning

confidence: 98%

The current state of ptosis repair

Allen

Saylor²,

Nerad

2011

Current Opinion in Ophthalmology

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Section: Recent Advances In 'Complex' Ptosismentioning

confidence: 98%

The current state of ptosis repair

Allen

Saylor²,

Nerad

2011

Current Opinion in Ophthalmology

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“…Among the eight upper eyelid margin asymmetry cases by Mancini et al ,29 three were TED patients. In the TED group, the mean pretreatment margin reflex distance-1 (MRD1) asymmetry of 1.7 mm was reduced to 1.2 mm after 0.2–0.4 mL of HA were injected on the upper eyelid.…”

Section: Resultsmentioning

confidence: 87%

Non-surgical treatment for eyelid retraction in thyroid eye disease (TED)

et al. 2017

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Thyroid eye disease (TED) is an autoimmune condition with an unpredictable course that may lead to permanent facial disfigurement. Eyelid retraction is one of the most common findings, and frequently demands attention due to ocular exposure and impaired cosmesis. Surgical treatment remains the most effective option, but there is a role for temporary corrections during the active phase of the disease, as well as in patients who are poor surgical candidates. The aim of this review is to describe the non-surgical modalities currently available for treatment of eyelid malposition in TED. The authors have focused on the use of hyaluronic acid, triamcinolone injections and botulinum toxin type A as non-surgical treatment alternatives, paying special attention to dosing, technique, efficacy and duration of effect. Non-surgical treatment modalities may represent viable in cases where surgical correction is not an option. Although temporary, these modalities appear to be beneficial for ocular exposure remediation, improving quality of life and broadening our therapeutic arsenal.

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“…One of 8 patients was injected bilaterally, two patients requested repeat injection for undercorrection. Average follow-up 24 Subdermal support of the lateral two-thirds of the brow with HA filler results in a non-surgical brow-lift. The appearance is softer and more relaxed compared to surgical overcorrections.…”

Section: Periorbital Rejuvenationmentioning

confidence: 98%

Hyaluronic Acid Dermal Fillers: Safety and Efficacy for the Treatment of Wrinkles, Aging Skin, Body Sculpturing and Medical Conditions

Goldman¹

2011

Clinical Medicine Reviews in Therapeutics

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Hyaluronic acid (HA) is a linear naturally occurring polysaccharide formed from repeating disaccharide units of N-acetyl-D-glucosamine and D-glucuronate. HA is omnipresent in the human body but highest amounts are found in soft connective tissues. HA is involved in several key processes, including wound repair, regeneration, and matrix organization. To increase stability, modifications of HA like various crosslinking substances and technologies have been developed. In recent years, most HA-fillers are of bacterial origin which ensures very low protein contaminations. HA fillers are temporary fillers, which can easily be digested by hyaluronidase, usually lasting for 6 to 9 months. They are safe for volumizing procedures when used with the appropriate technique and indications. Various types of clinical application are discussed. Best data are available for facial rejuvenation, in particular for nasolabial folds and the periocular region. Combining HA dermal fillers with other techniques allows an individualized treatment. In addition,

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Nonsurgical Management of Upper Eyelid Margin Asymmetry Using Hyaluronic Acid Gel Filler

Abstract: This pilot study suggests that upper eyelid injection with hylauronic acid gel filler may be an effective nonsurgical alternative to improve upper eyelid margin asymmetry in cases of relative upper eyelid retraction.

Cited by 64 publications

References 10 publications

The current state of ptosis repair

The current state of ptosis repair

Non-surgical treatment for eyelid retraction in thyroid eye disease (TED)

Hyaluronic Acid Dermal Fillers: Safety and Efficacy for the Treatment of Wrinkles, Aging Skin, Body Sculpturing and Medical Conditions

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