In particular, the fat in this zone sags or ‘melts’, creating a hollow, which gives the appearance of sadness and tiredness.
The tear trough is a hollow which, sits and lies between the cheekbone and the nose, beneath the ring/ under the eye circle. Which, gives the impression of sadness and tiredness that is corrected and or adjusted only by smiling, because smiling increases the volume of the cheeks.
The bone muscle and fat changes are the cause of its appearance of the tear through
Especially in this area, the fat sinks, sags or melts creating a hollow that gives a sad and tired look.
STAGES OF GRAVITY
THERE ARE THREE STAGES OF GRAVITY
Stage 1
Loss of volume limited medially to tear through.
Stage 2
Significant orbital lateral volume loss in addition to the medial orbit..
Stage 3
Circumferential depression along the orbital rim medially and laterally..
POSSIBLE TREATMENTS
Hyaluronic Acid
The disappearance of this hollow gives an immediate rejuvenation effect complemented by the apperence a face lift.
The treatment is according to the anatomy of the face:
- 1 –If the face is thin and skeletonized: we fill the triangle of the tear trough with highly crosslinked hyaluronic acid type Emervel Volume, Restylane or RestylanePerlane. The injection is deep needle bolus or cannula. Moreover, the result must be natural, avoid overfilling.
- 2 – If the face is heavier and ptosis: the solution will be more a medical lift by hyaluronic acid or threads to lift the sagging fat.
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L. SHERMAN
M. GREER
P. WISE
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