The Nasojugal Groove, also known as the Tear Trough, is the inner portion of the lower eyelid; a place most people give very little thought to. However, as we age, there is a natural decrease of fatty tissue under the lower eyelid and upper cheek area. The skin and muscles of the lower lid slowly lose elasticity and no longer remain tightly tethered in place. These changes can eventually cause the Tear Trough depression to become puffy or bulge away from the face (pseudo herniation of the infraorbital fat pads). When the tissue under the eye pushes outward, ‘bags’ begin to develop. The unevenness of the area can become shadowy, which in turn will look like ‘dark circles’ under the eyes. No matter how much makeup is worn, the face can still looked exhausted and unhealthy.
The Correction of Tear Troughs
Unsightly Tear Troughs can be efficiently corrected without surgery. Using tiny injections of Belotero or Restylane, a dramatic improvement for moderately deep Tear Troughs can be seen. Both are dermal fillers, comprised of Hyaluronic Acid, which will expand the tissue of the Tear Trough, making it look smoother and healthier. With the area no longer sunken, the dark ‘circles’ are eliminated. Best of all, the results from Belotero or Restylane will be immediate. Patients leave the office looking refreshed, rejuvenated, even years younger.
Hyaluronic Acid (HA):
- Substance found naturally in the body
- Building block of healthy tissue
- Binds with the skin cells to add volume
- Stimulates the body’s production of Collagen
- Benefits are immediately evident
- Results will continue to improve
The Ideal Candidate for Tear Trough Correction
While deep Tear Troughs normally appear in the 30s or 40s, patients as young as 20 may begin to notice this early sign of aging. The ideal candidate for Tear Trough correction is anyone who understands the procedure, is in generally good health, and holds realistic expectations for their results. At the consultation appointment, Dr. Naderi or Dr. Kulak will review the available choices for Tear Trough correction, determining if the procedure is right in the individual situation.
The initial appointment at the Naderi Center will provide an opportunity to get to know the surgeon and staff. It will also be the time for a quick skin evaluation, a review of the medical history, and a discussion of the desired results. If it is decided that Tear Trough correction will provide the intended results, a personalized treatment plan will be established.
The Tear Trough Correction
Noninvasive Tear Trough correction is performed in the Naderi Center’s state-of-the-art office. The injections will take 30 minutes or less to perform. The procedure is not considered largely painful; most people report feeling a pinch or some pressure during the injections. A local anesthetic will be utilized, however, to increase patient comfort. The surgeon will then administer small amounts of Hyaluronic Acid in the predetermined area. This will continue until the desired correction is achieved.
Potential Risks From Noninvasive Tear Trough Correction
Hyaluronic Acid Fillers, such as Belotero and Restylane, are considered safe and effective in the rejuvenation of the Tear Trough. As the vessels below the eyes are more fragile than those elsewhere on the body, they should be treated carefully. Tear Trough correction should only be performed by a cosmetic surgeon with experience and demonstrated skill. Although complications are rare, they can occur. This may include infection, scarring, asymmetry of the eyes, embolism, and blindness.
The Recovery from Tear Trough Correction
For the first four hours after the injections, patients are encouraged to remain upright, to allow the filler to settle. Stenuous activity and exercise should be postponed for 24 hours. Makeup can be worn the following day. It is important that patients avoid tanning, chemical peels, or facials of any kind for five to seven days, as the tissues will be extremely sensitive. Patients can expect mild bruising and redness at the injection site over the first several days after their injections. Cold compresses can be used to keep down the any swelling. These side effects will dissipate over the first week.
The results from Tear Trough correction can be seen immediately. Hyaluronic Acid injections will dramatically smooth the under eye area, filling the Tear Trough. The benefits from noninvasive Tear Trough correction will last eight to twelve months, sometimes longer. When the results begin to fade, repeat injections will be necessary to maintain healthy, youthful looking eyes.
Who is a good candidate for Tear Trough correction?
Any man or woman experiencing dark circles or ‘bags’ under their eyes may make an excellent candidate for Tear Trough correction.
How long does the Tear Trough correction take?
After Tear Trough correction, patients are back out of the office in 30 minutes or less.
How long is the recovery period, after Tear Trough correction?
Little downtime is required after Tear Trough correction; patients are back to their normal routine in 24 hours.
How long will my Tear Trough results last?
Patients can expect their results to last from six to twelve month, even longer. At which time, a repeat treatment with Belotero or Restylane will maintain a healthy looking Tear Trough.