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Comparison of two techniques using hyaluronic acid to correct the tear trough deformity
M Shane Hamman1, Mitchel P Goldman, Sabrina G Fabi
1Department of Dermatology, University of California San Diego, CA, USA. shane.hamman@gmail.com
Background:
Hyaluronic acid (HA) can be used to correct volume loss associated with periorbital aging.
Objective:
To report and compare the efficacy and safety of HA used to treat tear trough deformities with two different injection techniques.
Materials And Methods:
This is a retrospective, single-center study of 81 patients comparing the two injection techniques used for the treatment of tear trough deformities from 2003 to 2011. Hyaluronic acid was administered either in a single depot in the nasojugal groove and massaged into position or in multiple small aliquots along the inferior orbital rim and massaged into position. Patient satisfaction and the incidence of adverse reactions were evaluated.
Results:
Of the 194 patients treated during the study period, 81 (42%) were successfully contacted. The overall patient satisfaction with the correction was similar for both techniques. Two patients treated with a single depot of HA were later given hyaluronidase, but otherwise, there was no statistically significant difference in the incidence and severity of side effects.
Conclusions:
We describe and compare an alternative technique for the correction of tear trough deformity using a single deposition of HA in the nasojugal groove with favorable outcomes.
