What is tear trough correction? The tear trough ligament, as well as other retaining ligaments, like orbicularis retaining ligament, and zygomatic cutaneous ligament, plays an important role on the facial contour during aging process. They can be released partially through non-surgical approach as a first step to eliminate the tear trough.
Tear trough ligament release should ameliorate the tethering effect of the tear trough ligament other than injecting fillers such as hyaluronic acids or autologous fat only. In this approach, tear trough ligament releases completely or partially by using blunt cannula or subcision, the elevation of the mid cheek as well as correction of tear trough can be achieved at the same time with inferior approach.
Subsequent injection of hyaluronic acid or fat will result in more volume restoration and prevent reattachment of the tear trough ligament to the maxilla. Injection level should not be placed above or directly into the tear trough, as this can aggravate the tear trough. The fillers should be placed in the area right below the tear trough ligament.
In general, these technique are only effective for patients with mild tear trough presentation and slight protrusions of the lower eyelid fat pads. The effectiveness of fillers in softening the tear trough is due to restoration of the volume loss underneath this ligament.
This technique improves the tear trough by using an 18 gauge 70mm blunt cannula inserting from the lateral cheek directly to the point below the tear trough. With fanning technique firstly to release the tear trough ligament along with linear threading injections of hyaluronic acid right beneath the ligament.
The advantage of this procedure is immediate correction of tear trough without Tyndall effect, surface irregularity, or bruising.
Tear trough treatment side effects
Current technique in tear trough treatment entail release of tear trough ligament to smooth the lower eyelid bags and tear trough depressions in mild to moderate cases, it is quite safe and is an approved technique.
However there are some complications after filler injection such as ecchymosis and swelling, which can be decreased with application of ice packs and infiltration of local anesthesia containing epinephrine; pain and erythema at injection site, which is usually self-limiting; irregularities, which usually can be massaged away at the time of injection ; discoloration, which may result from superficial injection that renders a faint bluish tint to the skin (Tyndall effect).
Treatment cost
Tear trough treatment is an advanced technique and charge more for this than other procedures. This need disposable cannulas for subcision and filling of tear troughs with fillers or fat.
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