Eyelid and Periorbital Dermal Fillers

Montes, José Raúl; Santos, Elizabeth J.; Amaral, Claudia

doi:10.1016/j.fsc.2021.01.003

Cited by 5 publications

(5 citation statements)

References 31 publications

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“…The former has more consistency than HA fillers and minimal hydrophilic properties. The latter promotes fibroblast activity, thus stimulating collagen production and achieving a gradual soft tissue augmentation[ 61 , 63 ]. However, PLLA can cause chronic inflammation, leading to fibrosis, which can compromise subsequent treatments.…”

Section: Review Of Studies On Eyelid Surgerymentioning

confidence: 99%

Fat or fillers: The dilemma in eyelid surgery

Miotti,

De Marco,

Quaglia

et al. 2024

World J Clin Cases

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The aging of the periocular region has always aroused great interest. A fresh, young, and attractive sight determined an ever-greater attention to surgical and non-surgical techniques to obtain this result. In particular, the change in the concept of a young look, considered then “full”, led to the increasing use of surgical (fat grafting) or medical (hyaluronic acid) filling techniques. Eyelid rejuvenation became increasingly popular in the field of cosmetic treatments, with a focus on achieving a youthful and refreshed appearance. Among the various techniques available, the choice between using fat grafting or fillers presented a clinical dilemma. In particular, what surgery considered of fundamental importance was a long-lasting result over time. On the other hand, aesthetic medicine considered it fundamental not to have to resort to invasive treatments. But what was the reality? Was there one path better than the other, and above all, was there a better path for patients? The minireview aims to explore the physiopathology, diagnosis, treatment options, prognosis, and future studies regarding this dilemma. We analyzed the literature produced in the last 20 years comparing the two techniques. Current literature reveals advancements in biomaterials, stem cell research and tissue engineering held promise for further enhancing the field of eyelid rejuvenation. The choice between fat grafting and fillers in eyelid cosmetic treatments presented a clinical dilemma. Understanding physiopathology, accurately diagnosing eyelid aging, exploring treatment options, assessing prognosis, and conducting future studies were essential for providing optimal care to patients seeking eyelid rejuvenation.

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Section: Review Of Studies On Eyelid Surgerymentioning

confidence: 99%

Fat or fillers: The dilemma in eyelid surgery

Miotti,

De Marco,

Quaglia

et al. 2024

World J Clin Cases

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“…Para Goel & Sethi (2019), um preenchedor que possui boa espalhabilide, sendo moldável e apresentando baixa viscosidade, será ideal para reduzir significativamente a aparência de bolsas nos olhos, sem qualquer formação de grumos e irregularidades. Montes et al (2021), em seu estudo, esclarecem que os preenchedores utilizados nas áreas lacrimais e periorbitais devem ser feitos de partículas menores, ter baixa concentração de AH e ser menos hidrofílico. Os preenchedores com menor capacidade de absorção de água têm menor probabilidade de resultar em inchaços ou coloração azulada sob os olhos.…”

Section: Temporalunclassified

“…Preenchedores com alta concentração de AH e alto G' são recomendados para injeção profunda no terço médio da face, em que tais propriedades confere a eles uma alta capacidade de elevação, resultando no volume desejado (Montes et al, 2021).…”

Section: Malarunclassified

Hyaluronic acid-based fillers properties and its importance in the practice of Orofacial Harmonization

Marino,

Pinto,

Dias

2023

CLIUM

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Injectable fillers based on hyaluronic acid are now frequently used to correct tissue volume loss when facial rejuvenation is sought. The way in which these commercially available HA fillers are manufactured has direct implications for the properties of the gel and the clinical applications of these products. These properties can be described using the science of rheology, which describes the flow and deformation of matter, allowing researchers to understand how these fillers act under mechanical stress, either at the time of injection or after implantation of the gel. It is important to note that the mechanical forces exerted on each anatomical region of the face vary in intensity and frequency, causing the filler to deform in different ways. The aim of this study was to review the literature on the rheological properties of hyaluronic acid gels and to emphasize the importance of knowing these properties when selecting fillers, so that harmonizing professionals can achieve the desired results.

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“…Many studies have described the treatment of sunken superior sulcus, which can be classified into incision and non-incision methods. Non-incision volumetric upper periorbital rejuvenation methods include free autologous fat transplantation3,4 and absorbable fillers, such as hyaluronic acid injections 5,6. Surgical or incision methods involve using different upper-eyelid fat flap repositions, acellular dermal matrix implantation, orbicularis oculi muscle imbrication, periosteum flap, complex tissue flap transplantation, or a combination of 2 or more methods to augment the deep superior sulcus 7–14…”

mentioning

confidence: 99%

“…Non-incision volumetric upper periorbital rejuvenation methods include free autologous fat transplantation 3,4 and absorbable fillers, such as hyaluronic acid injections. 5,6 Surgical or incision methods involve using different upper-eyelid fat flap repositions, acellular dermal matrix implantation, orbicularis oculi muscle imbrication, periosteum flap, complex tissue flap transplantation, or a combination of 2 or more methods to augment the deep superior sulcus. [7][8][9][10][11][12][13][14] However, these methods are unsuitable for elderly patients because they are often associated with blepharoptosis and a higher eyelid crease beside the sunken upper eyelid.…”

mentioning

confidence: 99%

Anatomic and Magnetic Resonance Imaging-Based Correction of Upper-Eyelid Depression and Blepharoptosis in Senile Patients

et al. 2023

Journal of Craniofacial Surgery

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In senile patients with sunken superior sulcus, involutional ptosis, and higher eyelid crease, a single operation to correct depression or ptosis cannot achieve good results. We demonstrated the anatomy of periorbital septum fibers, which may contribute to the levator muscle's volume depletion and dynamic power transmission disorder, and described a procedure for correcting upper-eyelid depression and blepharoptosis in senile patients. The fibrous webs in these patients connected the posterior aspect of the orbicularis and the orbital septum and extended to the orbital fat and levator aponeurosis. These fibers were dissected to release the periorbital septal fibers, and the orbital septal fat flap was transferred to the depressed region. Advancement or plication of the levator aponeurosis was performed in patients with uncorrected blepharoptosis after the procedures described above. The technique was applied to 13 Chinese patients (25 eyes) between May 2021 and April 2022. Postoperative magnetic resonance imaging revealed that the preaponeurotic fat was displaced forward and down to the upper margin of the tarsus, and the curvature of the upper-eyelid depression was significantly improved. Moreover, the superior sulcus deformity improved, the ptosis was corrected, and the uppermost crease decreased in all patients. No recurrence of ptosis or abnormal adhesion was observed. We believe this is the first study using magnetic resonance imaging to evaluate eyelid anatomy and the effects of surgery in this patient group. Releasing periorbital septum fibers is crucial for correcting a portion of the sunken eyelid and ptosis in Asians.

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Eyelid and Periorbital Dermal Fillers

Cited by 5 publications

References 31 publications

Fat or fillers: The dilemma in eyelid surgery

Fat or fillers: The dilemma in eyelid surgery

Hyaluronic acid-based fillers properties and its importance in the practice of Orofacial Harmonization

Anatomic and Magnetic Resonance Imaging-Based Correction of Upper-Eyelid Depression and Blepharoptosis in Senile Patients

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