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Tear Trough Deformity: Study of Filling Procedures for Its Correction
Michele Pascali1, Davide Quarato, Marco Pagnoni
1*Department of Plastic and Reconstructive Surgery, University of Rome Tor Vergata †Private Practice, Rome ‡Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy.
The Journal of Craniofacial Surgery
|September 15, 2017
Summary
This study compares hyaluronic acid gel and autologous fat for tear trough deformity correction. Both methods effectively address periorbital hollowing, offering viable options for rejuvenation.
Area of Science:
- Plastic Surgery
- Anatomy
- Dermatology
Background:
- The tear trough is a common aesthetic concern caused by orbital fat concavity, influenced by genetics and aging.
- The periorbital region's complex anatomy, including fat compartments, muscles, and vasculature, necessitates careful consideration for safe and effective correction.
- Understanding these anatomical nuances is crucial for achieving optimal outcomes and preventing complications in tear trough treatments.
Purpose of the Study:
- To delineate the anatomy of the tear trough region, highlighting critical danger zones.
- To evaluate and compare two distinct methods for correcting tear trough deformities.
Main Methods:
- A comparative study involving 96 patients with periorbital hollowing.
- Patients were divided into two groups, receiving either hyaluronic acid gel injections or autologous fat grafting (lipo-filling).
- Treatments were administered between December 2013 and December 2015.
Main Results:
- Both hyaluronic acid gel and autologous fat grafting demonstrated effectiveness in correcting periorbital hollowing.
- The study provides insights into the successful application of these soft tissue fillers for tear trough rejuvenation.
Conclusions:
- Hyaluronic acid gel and autologous fat are suitable options for soft tissue correction in the tear trough area.
- Careful anatomical assessment is paramount for successful tear trough correction and complication avoidance.

