Hyaluronic Acid Filler Injections for Tear-Trough Deformity: Injection Technique and High-Frequency Ultrasound Follow-up Evaluation

Pasquale, Antonino De; Russa, Giuseppina; Pulvirenti, Mario; Rosa, Luigi Di

doi:10.1007/s00266-013-0109-1

Cited by 37 publications

(22 citation statements)

References 19 publications

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“… 63 De Pasquale et al observed that, in the subcutaneous tissue, hyaluronic acid is perceived as a regular, well defined, hypoechoic mass. 64 As different fillers have their own characteristics to HFUS, this may also be useful to differentiate their nature so as to detect possible complications. 61 …”

Section: Applicationsmentioning

confidence: 99%

High frequency ultrasound with color Doppler in dermatology

Barcaui

Carvalho

Lopes

et al. 2016

An. Bras. Dermatol.

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Ultrasonography is a method of imaging that classically is used in dermatology to study changes in the hypoderma, as nodules and infectious and inflammatory processes. The introduction of high frequency and resolution equipments enabled the observation of superficial structures, allowing differentiation between skin layers and providing details for the analysis of the skin and its appendages. This paper aims to review the basic principles of high frequency ultrasound and its applications in different areas of dermatology.

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Section: Applicationsmentioning

confidence: 99%

High frequency ultrasound with color Doppler in dermatology

Barcaui

Carvalho

Lopes

et al. 2016

An. Bras. Dermatol.

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“…Approximately 0.2–0.5 ml was injected at a time per side. This technique created a deep scaffolding that could fill the orbital hollow [6, 7]. …”

Section: Methodsmentioning

confidence: 99%

Tear trough deformity: different types of anatomy and treatment options

Jiang¹,

Wang²,

Chen³

et al. 2016

pdia

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AimTo explore the efficacy of tear trough deformity treatment with the use of hyaluronic acid gel or autologous fat for soft tissue augmentation and fat repositioning via arcus marginalis release.Material and methodsSeventy-eight patients with the tear trough were divided into three groups. Class I has tear trough without bulging orbital fat or excess of the lower eyelid skin. Class II is associated with mild to moderate orbital fat bulging, without excess of the lower eyelid skin. Class III is associated with severe orbital fat bulging and excess of the lower eyelid skin. Class I or II was treated using hyaluronic acid gel or autologous fat injections. Class III was treated with fat repositioning via arcus marginalis release. The patients with a deep nasojugal groove of class III were treated with injecting autologous fat into the tear trough during fat repositioning lower blepharoplasty as a way of supplementing the volume added by the repositioned fat.ResultsSeventy-eight patients with tear trough deformity were confirmed from photographs taken before and after surgery. There were some complications, but all had complete resolution.ConclusionsPatients with mild to moderate peri-orbital volume loss without severe orbital fat bulging may be good candidates for hyaluronic acid filler or fat grafting alone. However, patients with more pronounced deformities, severe orbital fat bulging and excess of the lower eyelid skin are often better served by fat repositioning via arcus marginalis release and fat grafting.

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“…The reported follow-up duration, when mentioned, ranged from 12 months [29] to 5 years [39,69] , with prolonged edema, the Tyndall effect and contour irregularities as the most commonly reported complications, along with diplopia [25] , and xanthelasma-like reactions [53] as a rare occurrence. Complications were also reported in several articles, even if not the focus of the study [13,17,22,28,32,[71][72][73][74][75] , and included two cases of cellulitis and one of migraine [13] .…”

Section: Complicationsmentioning

confidence: 99%

“…Research focused on personal techniques purposed by the authors have been published since 2005. Airan and Born [11] and Kane [12] wrote the first articles ever about this topic, both in 2005; technique refinement and new trends have been published in 2006 [22,23] , 2007 [24,33] , 2011 [16,32,76] , 2012 [26,41,42,66] , 2013 [73] , 2014 [43] , 2015 [48][49][50] , 2016 [27,28] , 2017 [17,52] , 2018 [19,71,74] and 2019 [21] .…”

Section: Techniquementioning

confidence: 99%