Periocular rejuvenation using hyaluronic acid fillers

Abstract

The eyes and periocular region are critical for emotive display and play a key role in social interactions. This region includes the upper and lower eyelids, brow-lid complex, and lid-cheek complex. Perturbances in this area can lead to a prematurely aged appearance and patients complain of emotive misinterpretation. It often shows the earliest signs of facial aging, leading to a tired, sad, or angry appearance. With the evolution of medical and surgical knowledge on facial aging, there has been a shift from isolated volume reducing interventions for periorbital aging to volume replacement techniques. The treatment of periocular aging is multifactorial and often includes resurfacing, chemodenervation, surgical interventions, and volumization. The minimally-invasive, office-based nature of fillers has resulted in their increased popularity and filler placement has become one of the most commonly performed cosmetic oculoplastic interventions. With a multitude of fillers emerging over the past decade or so, facial plastic surgeons have been equipped with the means to address age-related periorbital hollowing and skeletonization in an outpatient setting. An appropriate knowledge of periocular anatomy, types of fillers, proper injection technique, and management of potential complications is required for safe injection and to achieve optimal aesthetic outcomes. This paper reviews the use of hyaluronic acid fillers for periocular rejuvenation.

Detection of the Safe Zone for Upper Eyelid Hyaluronic Acid Injections

“…It has been reported that HA with a higher molecular weight and viscosity provides a better volumetric augmentation for deep facial injections, and products with low molecular weight should be preferred for superficial subcutaneous injections. [ 29 ] However, this study indicates that it is safer to use low-viscosity and low-molecular-weight HA, even if the injection is performed in the deep supraperiosteal plane in the upper eyelid. Performing injections in this area using thin cannulas or syringe needles and high-viscosity products increases the injection pressure.…”

Rejuvenescimento periorbicular por indução ultrassônica: um estudo de casos

“…Discussão Fisioterapia Brasil 2021;22 (6):904-911 Este estudo analisou o uso de terapia ultrassônica em duas pacientes voluntárias, apresentando rugas periorbitais, dermatocalase e flacidez palpebral. Os achados deste estudo mostraram que a terapia com US foi visivelmente positiva aos pesquisadores e considerados muito satisfatórios pelas participantes.…”

“…O ultrassom (US) tem se mostrado um método seguro e eficaz para melhorar a flacidez da pele, por meio da coagulação e retração do tecido dérmico. Por isso o US também pode ser uma opção para o rejuvenescimento facial de regiões delicadas, como as áreas periorbiculares [6]. Assim o objetivo deste trabalho foi relatar em um estudo de casos de correção da dermatocalase, por procedimento estético não invasivo com ultrassom.…”