Bridging the Gap Rather Than Filling the Entire Valley-Anatomic Insights When Treating the Medial Infraorbital Region.

Autor: Bernardini FP; Oculoplastica Bernardini, Genoa, Milano, Italy., Skippen B; Private Practice, Wagga Wagga, New South Wales, Australia., Cetto R; Private Practice, London, UK., Calomeni M; Clinica Bravo, Rio de Janeiro, Brazil., Cotofana S; Department of Dermatology, Erasmus Medical Centre, Rotterdam, The Netherlands.; Centre for Cutaneous Research, Blizard Institute, Queen Mary University of London, London, UK.; Department of Plastic and Reconstructive Surgery, Guangdong Second Provincial General Hospital, Guangzhou, Guangdong, China., Urso SU; Phlebology Center, Bologna, Italy., Paternostro F; Department of Experimental and Clinical Medicine, Anatomy and Histology Section, University of Firenze, Florence, Italy., Hartstein ME; Ophthalmic Plastic and Reconstructive Surgery, Tel Aviv, Israel.
Jazyk: angličtina
Zdroj: Journal of cosmetic dermatology [J Cosmet Dermatol] 2024 Sep 16. Date of Electronic Publication: 2024 Sep 16.
DOI: 10.1111/jocd.16582
Abstrakt: Background: The treatment of the medial infraorbital region also termed the tear trough has become increasingly popular by the use of soft tissue fillers in a minimally invasive approach using a cannula.
Methods: A total of 246 tear troughs were injected and investigated originating from 123 study participants. The clinical outcome was evaluated 6 months after the treatment by independent observers based on standardized frontal images and the procedure was documented by ultrasound imaging.
Results: On average, 0.26 (0.1) cc [range: 0.08-0.32] of soft tissue filler material was injected per tear trough. Tear trough depth was before the treatment rated as 2.12 (0.4), whereas after the treatment it was 1.15 (0.4) (p < 0.001). Hyperpigmentation score was 2.19 (0.4) before the treatment, whereas after the treatment it was 1.31 (0.5) (p < 0.001). Intraorbital fat pseudo-prolapse severity was rated before the treatment 1.88 (0.7), whereas it was rated after the treatment 1.14 (0.3) (p < 0.001). Wrinkle severity of the lower eyelid was rated before the treatment 1.51 (0.6), whereas it was rated after the treatment 1.12 (0.3) (p < 0.001).
Conclusion: The results of this retrospectively investigated case series revealed that the conducted injection technique for treating the tear trough for medial infraorbital hollowing with a cannula provided statistically significant clinical improvement with a limited adverse events profile. The technique utilized an injection approach which was perpendicularly oriented to the longitudinal axis of the tear trough thereby "bridging the gap instead of filling the entire valley."
(© 2024 The Author(s). Journal of Cosmetic Dermatology published by Wiley Periodicals LLC.)
Databáze: MEDLINE
Externí odkaz: