Treating Sunken Upper Eyelid With Hyaluronic Acid: Recommendations and Results

Spada, Julieta

doi:10.36849/jdd.6745

Cited by 6 publications

(5 citation statements)

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“…With the advancement of blepharoplasty, there have also been developments in various methods for correcting sunken eyelids. Some studies have proposed correction through the injection of hyaluronic acid filler as a straightforward method 6,15,16 . However, this approach may give rise to concerns regarding the potential for filler migration and the likelihood of recurrence after filler absorption.…”

Section: Discussionmentioning

confidence: 99%

“…Some studies have proposed correction through the injection of hyaluronic acid filler as a straightforward method. 6,15,16 However, this approach may give rise to concerns regarding the potential for filler migration and the likelihood of recurrence after filler absorption. As a traditional solution for volume deficiency of sunken eyelids, fat grafting has been widely used.…”

Section: Discussionmentioning

confidence: 99%

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Surgical correction of sunken upper eyelid with upper arcus marginalis release and precision fat distribution technique

Hong,

Choi,

Baek

et al. 2024

J of Cosmetic Dermatology

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BackgroundSunken upper eyelids, characterized by hollowing in the upper orbital effects, involving the release of the arcus marginalis of the upper eyelid and the precise distribution of orbital fat.MethodsFrom December 2021 to March 2023, a total of 84 eyelids from 42 patients who underwent surgical correction for sunken upper eyelids, utilizing the upper arcus marginalis release and precision fat distribution technique, were included in this study. Preoperative and postoperative sunken depths were measured and statistically analyzed. Aesthetic satisfaction was assessed through patient questionnaires.ResultsPreoperative and postoperative sunken depths measured 9.2 ± 2.2 mm and 5.9 ± 2.3 mm, respectively. The mean improvement was 3.3 mm, a change of statistical significance. Aesthetic outcomes and patient satisfaction yielded favorable results. No major complications were observed during the follow‐up period.ConclusionThe upper arcus marginalis release and orbital fat distribution technique demonstrated favorable outcomes in correcting sunken upper eyelids. This procedure ensures stable placement of orbital fat at the deepest sunken point, resulting in aesthetically pleasing and enduring results. This technique serves as a valuable alternative for patients with moderate to severe sunken eyelids.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Surgical correction of sunken upper eyelid with upper arcus marginalis release and precision fat distribution technique

Hong,

Choi,

Baek

et al. 2024

J of Cosmetic Dermatology

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“…The correct above-mentioned ratio was achieved in all cases, the results were long-lasting and the complication rate was only 0.4%[ 57 ]. Natural and stable results were also recorded by Spada in a more recent article focusing on treatment of the same region with HA[ 58 ].…”

Section: Review Of Studies On Eyelid Surgerymentioning

confidence: 85%

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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“…The blepharoplasty, which treats not only the superficial skin tissue but also the connective and the muscle tissues, is defined as a medical act capable of inducing a localized alteration or transportation of live human tissues. Although Spada and Trinh et al 24,32 have been proposed, these procedures cannot be compared to a surgical procedure. The addition of CO 2 laser-assisted blepharoplasty to upper and lower blepharoplasty has proven to be a safe and efficient procedure.…”

Section: Discussionmentioning

confidence: 99%

“…The eyelids and periorbital regions can be rejuvenated using a variety of medical and surgical procedures 23–25,30,31 . However, blepharoplasty is still the most popular 2,26–29 .…”

Section: Discussionmentioning

confidence: 99%

Laser‐assisted blepharoplasty: An innovative safe and effective technique

Bonan¹,

Fusco

Bruscino³

et al. 2023

Skin Research and Technology

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Background: Blepharoplasty is one of the most popular esthetic procedures with an acceptable risk profile and a relatively quick procedure. Methods:The aim was to evaluate the efficacy and safety of a new CO 2 and 1540-nm laser-assisted blepharoplasty technique applied to the upper and lower eyelids. A total of 38 patients were enrolled. Photographs were taken before the treatment and at 6month follow-up. One "blind" observer assessed the performance of this technique by ranking the results in four categories of eyelid esthetic: 1 = no or poor results (0%-25%), 2 = slight improvement (25%-50%), 3 = moderate improvement (50%-75%) and 4 = marked improvement (75%-100%). All possible complications were monitored.Results: Thirty-two patients (84 %) achieved marked improvement, four patients (11%) moderate improvement, two patients (5 %) slight improvement, while zero subjects (0%) poor or no improvement. No serious adverse effects were observed. Conclusions:Our results from clinical evaluations suggest that the CO 2 and 1540-nm laser assisted blepharoplasty is proved to be a sophisticate intervention efficacious in improving the treatment of patients with various degrees of eyelid and periocular aging and also in reducing downtime.

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Treating Sunken Upper Eyelid With Hyaluronic Acid: Recommendations and Results

Cited by 6 publications

References 0 publications

Surgical correction of sunken upper eyelid with upper arcus marginalis release and precision fat distribution technique

Surgical correction of sunken upper eyelid with upper arcus marginalis release and precision fat distribution technique

Fat or fillers: The dilemma in eyelid surgery

Laser‐assisted blepharoplasty: An innovative safe and effective technique

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