Use of Hyaluronic acid fillers in treatment of peri ocular melanosis induced by shadow effect of tear trough deformity: Anatomical considerations, patient satisfaction and management of complications.

2021 ◽  
Author(s):  
Soni Nanda ◽  
Shikha Bansal ◽  
Ridhima Lakhani
Keyword(s):  
Patient Satisfaction ◽  
Hyaluronic Acid ◽  
Shadow Effect ◽  
Tear Trough ◽  
Tear Trough Deformity ◽  
Management Of Complications

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.

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

Diplopia after Hyaluronic Acid Gel Injection for Correction of Facial Tear Trough Deformity

Orbit ◽  
2012 ◽  
Vol 31 (5) ◽  
pp. 330-331 ◽  
Author(s):  
Mohsen Bahmani Kashkouli ◽  
Abtin Heirati ◽  
Farzad Pakdel ◽  
Victoria Kiavash
Keyword(s):  
Hyaluronic Acid ◽  
Tear Trough ◽  
Tear Trough Deformity ◽  
Gel Injection ◽  
Acid Gel ◽  
Hyaluronic Acid Gel

Nonsurgical Tear Trough Volumization: A Systematic Review of Patient Satisfaction

2021 ◽  
Author(s):  
Enrique Gorbea ◽  
Sarah Kidwai ◽  
Joshua Rosenberg
Keyword(s):  
Systematic Review ◽  
Patient Satisfaction ◽  
Facial Rejuvenation ◽  
Filler Material ◽  
Filler Materials ◽  
Complication Rates ◽  
Level Of Evidence ◽  
Filler Injection ◽  
Tear Trough ◽  
Tear Trough Deformity

Abstract Background Nonsurgical rejuvenation of the tear trough area via the use of injectable filler material has become a popular procedure in facial rejuvenation. This procedure offers immediate, albeit temporary, results with minimal recovery time. Objectives The aim of this systematic review was to report on patient satisfaction and complication rates to further guide practitioners. Methods PubMed, Cochrane, and Scopus libraries were queried for articles containing relevant terms. Articles with more than 5 patients who reported on satisfaction and/or complications from the procedure were included for review. In addition to these variables, we noted other aspects of injection, including filler material, technique, and needle or cannula delivery. Studies that did not otherwise fulfill inclusion criteria for statistical analysis but reported on intravascular injection–related complications were cited. Results Initial query resulted in 1655 studies which were assessed for duplicates and inclusion/exclusion criteria. After screening, 28 articles were included for analysis. In total, 1956 patients were captured who had been injected with 1 of 4 materials: hyaluronic acid (1535), calcium hydroxyapatite (376), autologous fibroblast/keratin gel (35), and collagen-based filler (10). Short- and long-term satisfaction rates were 84.4% and 76.7%, respectively. Minor complications were common (44%). Secondarily, we found the use of cannula for filler injection of this region to be associated with a lower rate of ecchymosis (7% vs 17%, P < 0.05). Conclusions Filler injection volumization of tear trough deformity is an effective technique for facial rejuvenation associated with high patient satisfaction. Multiple filler materials offer acceptable satisfaction and complication profiles. Level of Evidence: 4

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