Department of Dermatology and Allergology, Städtisches Klinikum Dresden, Dresden, Germany.
Department of Plastic Surgery, Hospital São Lucas da PUCRS, Porto Alegre, Brazil.
Dermatol Ther. 2021 Sep;34(5):e15045. doi: 10.1111/dth.15045. Epub 2021 Jul 6.
Tear trough deformities can be a sign of facial aging and exert a negative impact in facial attractiveness. Surgical techniques and adipose tissue transfer have been used to improve tear trough deformity. In recent years, minimal invasive procedures such as soft tissue filler injections became more popular. We report a retrospective evaluation of 45 Caucasian female patients ≥40 years (mean age of [58.8 ± 8.9] years). Severity of tear trough was classified according to Hirmand: 3 as grade I, 28 as grade II, and 14 grade III tear trough deformities. We used a monophasic hyaluronic acid, low G prime filler placed inferior to the lateral orbital thickening. On average, 0.4 ml of hyaluronic acid (HA) filler were injected per side. The improvement was I grade 29 patients and II grades in 16 patients. The improvement lasted (10.8 ± 2.3) months. No severe adverse events were noted. Vascular danger zones can be avoided.
泪槽畸形可能是面部衰老的一个迹象，并对面部吸引力产生负面影响。手术技术和脂肪组织转移已被用于改善泪槽畸形。近年来，微创程序如软组织填充物注射变得更加流行。我们报告了对 45 名≥40 岁的高加索女性患者（平均年龄为[58.8±8.9]岁）的回顾性评估。根据 Hirmand 对泪槽的严重程度进行分类：3 级为 I 级，28 级为 II 级，14 级为 III 级泪槽畸形。我们使用单相透明质酸，将低 G'值的填充剂放置在眶外侧增厚的下方。平均每侧注射 0.4 毫升透明质酸（HA）填充物。29 名患者改善为 I 级，16 名患者改善为 II 级。改善效果持续了（10.8±2.3）个月。未出现严重不良事件。可以避免血管危险区域。
