Department of Dermatology, LECOMT/Larkin Community Hospital, Palm Springs Campus, Hialeah, Florida.
Hollywood Dermatology and Cosmetic Surgery Specialists, Hollywood, Florida.
Dermatol Surg. 2019 May;45(5):700-710. doi: 10.1097/DSS.0000000000001897.
Tear trough and infraorbital region changes are one of the first signs recognizable aging. This is a common consultation for cosmetic dermatologists and there are many treatment options available.
This article provides a review of the anatomy and changes that occur in the infraorbital region as we age. We also suggest the use of the osseous, color, underlying anatomy, laxity, adipose, rhytides (OCULAR) mnemonic to evaluate these changes and review the literature for treatments options.
A literature search was performed through PubMed, using search terms "Tear trough," "Infra-orbital," "Dark-circles," "Lower-Eyelid," and "Midface."
Fillers, lasers, radiofrequency devices, chemical peels, various topicals, and botulinum toxin are available non-surgical treatment options discussed in the literature found to significantly improve and rejuvenate the infraorbital region.
A complete understanding of the anatomy and changes that occur with aging are of most importance when assessing the infraorbital region. Organizing these changes into the OCULAR mnemonic is one way to assess the infraorbital region and achieve optimal rejuvenation.
泪槽和眶下区域的变化是最早可识别的衰老迹象之一。这是皮肤科美容医生常见的咨询内容,有许多治疗方案可供选择。
本文回顾了眶下区域随着年龄增长而发生的解剖结构和变化。我们还建议使用骨性、颜色、底层解剖结构、松弛、脂肪、皱纹(眼部)记忆技巧来评估这些变化,并回顾文献中治疗方案的选择。
通过 PubMed 进行文献检索,使用的检索词包括“泪槽”、“眶下”、“黑眼圈”、“下眼睑”和“中面部”。
文献中讨论的非手术治疗方案包括填充剂、激光、射频设备、化学换肤、各种局部治疗和肉毒毒素,这些方法被发现可以显著改善和恢复眶下区域。
在评估眶下区域时,对解剖结构和衰老引起的变化有全面的了解非常重要。将这些变化组织到 OCULAR 记忆技巧中是评估眶下区域并实现最佳年轻化的一种方法。