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Related Experiment Video

Updated: Jul 15, 2026

An Alternative and Validated Injection Method for Accessing the Subretinal Space via a Transcleral Posterior Approach
07:13

An Alternative and Validated Injection Method for Accessing the Subretinal Space via a Transcleral Posterior Approach

Published on: December 7, 2016

The Blending Technique: A New Approach for Tear Trough Correction.

Javier Beut1, Eva Guisantes2, Glenn W Jelks3

  • 1Director of the Academy of Continuing Medical Education (ACME), Beut Institute, Palma de Mallorca, Spain.

Aesthetic Plastic Surgery
|July 13, 2026
PubMed
Summary

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This study introduces a classification for tear trough deformities into "innies" and "outies" to guide effective filler treatments. The blending technique successfully improved patient appearance, with no reported complications.

Area of Science:

  • Aesthetic Medicine
  • Facial Anatomy
  • Dermatology

Background:

  • The tear trough area significantly reflects aging.
  • Understanding the anatomy of preseptal, premaxillary, prezygomatic, and deep pyriform spaces is crucial for successful filler treatments.
  • Orbital septum, tear trough, and orbicularis retaining ligaments' relationship is key.

Purpose of the Study:

  • To analyze the anatomical relationship between the orbital septum origin and tear trough/orbicularis retaining ligaments.
  • To classify patients undergoing tear trough filler treatment into 'innie' or 'outie' types.
  • To describe a blending technique based on patient classification for tear trough deformity.

Main Methods:

  • Analysis of the anatomical relationship between facial spaces and cheek fat compartments.
Keywords:
Beut techniqueBlending techniqueInnieLid-cheek junctionOutiePeriorbital rejuvenationTear trough correctionTear trough deformityTear trough fillers

Related Experiment Videos

Last Updated: Jul 15, 2026

An Alternative and Validated Injection Method for Accessing the Subretinal Space via a Transcleral Posterior Approach
07:13

An Alternative and Validated Injection Method for Accessing the Subretinal Space via a Transcleral Posterior Approach

Published on: December 7, 2016

  • Classification of patients into 'innie' or 'outie' tear trough deformities.
  • Application of a blending technique for tear trough filler treatments.

    • Main Results:

    • 38 patients (21 female, 17 male, mean age 53) were evaluated with a mean follow-up of 10.4 months.
    • All patients presented with 'innie' type tear trough deformities (Hirmand Type II or III).
    • 84.2% of patients showed significant improvement ('very much improved') following treatment with hyaluronic acid, with no complications.

    Conclusions:

    • The blending technique effectively corrects tear trough deformities and palpebromalar grooves.
    • Patient classification into 'innies' or 'outies' based on anatomical landmarks guides treatment.
    • 'Innie' patients benefit from preseptal space injections, while 'outie' patients require midface volumization.