University of Rome Tor Vergata, Italy
Posters & Accepted Abstracts: Surgery Curr Res
The tear trough deformity is such an important aesthetic concern that it is one of the most discussed landmarks in facial aesthetic surgery. However, its exact anatomical origin remains essentially unknown, with various authors offering conflicting descriptions of its anatomy and correction. The authors propose a gradual treatment in relation to the degree of deformity and type of the associated defects in the lower eyelid area. Techniques volume based, like fat injection or hyaluronic acid are used for patients with mild manifestations of the tear trough deformity and small protrusions of the lower lid fat bags, without significant tissue laxity. Lower blepharoplasty with orbicularis muscle flap is used for patients with moderate to severe manifestations of the deformity associated with more significant aging changes, like palpebromalar groove, lower lid bags, and skin laxity. Finally, midface lifting, associated when needed with fat injection, is preferred in the treatment of cases with deep tear trough deformity and severe descent of the entire midface soft tissues.