Concealing of under eye orbital fat pads with hyaluronic acid filler: A case report

Abstract

Under eyelid bags and tear troughs are the two most common concerns for the patients coming to an aesthetic center, and specially their correction without undergoing a surgery. Efficacy of hyaluronic acid fillers has been proven successfully in correction of periorbital volume loss but no reports have been published for their role in concealing infraorbital fat pads. Hence, the effectiveness and safety of hyaluronic acid filler in treatment and correction of tear troughs thereby concealing under eyelid bags are being reported in this article. A 43‐year‐old woman who presented with grade 3 tear troughs and bulged out infraorbital fat pads underwent a single treatment session with 1ml 15mg/mL cross‐linked hyaluronic acid filler (Juvederm Volbella®). Assessment of the periorbital area was done immediately after the procedure and after 3 days. Hyaluronic acid filler injection not only showed significant improvement in periorbital hollowness but also concealed the bulge of infraorbital fat pads remarkably. Correction of tear troughs is known to be done with the help of hyaluronic acid but it can also become an excellent alternative to surgery for concealing under eye orbital fat pads without any formation of lumps and irregularity.

Efficacy Evaluation of a Cosmetic Product for the Periocular Area in Caucasian Women Aged Over 40 Years Old

“…[1][2][3] Different aesthetic treatments/procedures have been shown to have effective periocular area appearance. 4,[6][7][8] However, subjects can be reluctant to them, due to invasiveness, side effects, and cost.…”

“…The nature of these imperfections is multifactorial and is exacerbated by aging. 4,5 Due to the multifactorial nature of the imperfections, cosmetic practitioners, and dermatologists have plenty of potential treatment options to propose to their patients, including botulinum toxin, 6 hyaluronic acid fillers, 7,8 wavelength tunable laser devices, and fractionated laser therapy. 4 Even if effective, these treatments are costly, invasive and may have side effects.…”

Management of Tear Trough with Hyaluronic Acid Fillers: A Clinical-Practice Dual Approach

“…It has been reported that HA fillers may be a valuable option for treating not only periorbital hollowness but also concealed the bulge of infraorbital fat pads. 18,26 Additionally, it was recently proposed a treatment strategy with HA fillers that had into consideration different anatomic aspects of TTD. 27 We propose two patient-tailored treatment approaches, according to their facial structure.…”

“…[31][32][33] For example, VYC-25L, VYC-20L, and VYC-17.5L, for their rheologic characteristics, are specially indicated for addressing structural deficiencies, 27 whereas VYC-15L is more indicated for refining. 26,27 Regarding safety, as indications for HA fillers expand, the number and spectrum of adverse events will increase. Most adverse events of HA fillers are mild and transient.…”

“…31–33 For example, VYC-25L, VYC-20L, and VYC-17.5L, for their rheologic characteristics, are specially indicated for addressing structural deficiencies, 27 whereas VYC-15L is more indicated for refining. 26 , 27 …”