Correction of tear trough deformity by hyaluronic acid soft tissue filler placement inferior to the lateral orbital thickening

Tear trough deformities can be a sign of facial aging and exert a negative impact in facial attractiveness. Surgical techniques and adipose tissue transfer have been used to improve tear trough deformity. In recent years, minimal invasive procedures such as soft tissue filler injections became more popular. We report a retrospective evaluation of 45 Caucasian female patients >= 40 years (mean age of [58.8 +/- 8.9] years). Severity of tear trough was classified according to Hirmand: 3 as grade I, 28 as grade II, and 14 grade III tear trough deformities. We used a monophasic hyaluronic acid, low G prime filler placed inferior to the lateral orbital thickening. On average, 0.4 ml of hyaluronic acid (HA) filler were injected per side. The improvement was I grade 29 patients and II grades in 16 patients. The improvement lasted (10.8 +/- 2.3) months. No severe adverse events were noted. Vascular danger zones can be avoided.

Automated summary

This retrospective study evaluated the use of monophasic hyaluronic acid in treating tear trough deformities in 45 Caucasian female patients, with significant improvements observed in the majority of patients lasting for a considerable duration without severe adverse events.