Response to the Comment on "Static and Dynamic Filler-Associated Tear Trough Deformities: Manifestations and...

The chief objective of this paper is to respond to the comment regarding "Static and Dynamic Filler-Associated Tear Trough Deformities: Manifestations and Treatment Algorithm" and to provide further explanation on the surgical details discussed therein. For patients undergoing transcutaneous approaches, if there are significant lower eyelid laxity and poor skin elasticity, we recommend lateral canthopexy to reduce postoperative ectropion and enhance midface suspension. For patients undergoing transconjunctival approaches, although mainstream techniques suggest no need for conjunctival suturing, we believe that in the absence of more evidence-based medicine, both suture and sutureless are acceptable.Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .