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Definitions of groove and hollowness of the infraorbital region and clinical treatment using soft-tissue filler

Clarification is needed regarding the definitions and classification of groove and hollowness of the infraorbital region depending on the cause, anatomical characteristics, and appearance. Grooves in the infraorbital region can be classified as nasojugal grooves (or folds), tear trough deformities,...

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Autores principales: Lee, Ji-Hyun, Hong, Giwoong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Plastic and Reconstructive Surgeons 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5968317/
https://www.ncbi.nlm.nih.gov/pubmed/29788683
http://dx.doi.org/10.5999/aps.2017.01193
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author Lee, Ji-Hyun
Hong, Giwoong
author_facet Lee, Ji-Hyun
Hong, Giwoong
author_sort Lee, Ji-Hyun
collection PubMed
description Clarification is needed regarding the definitions and classification of groove and hollowness of the infraorbital region depending on the cause, anatomical characteristics, and appearance. Grooves in the infraorbital region can be classified as nasojugal grooves (or folds), tear trough deformities, and palpebromalar grooves; these can be differentiated based on anatomical characteristics. They are caused by the herniation of intraorbital fat, atrophy of the skin and subcutaneous fat, contraction of the orbital part of the orbicularis oculi muscle or squinting, and malar bone resorption. Safe and successful treatment requires an optimal choice of filler and treatment method. The choice between a cannula and needle depends on various factors; a needle is better for injections into a subdermal area in a relatively safe plane, while a cannula is recommended for avoiding vascular compromise when injecting filler into a deep fat layer and releasing fibrotic ligamentous structures. The injection of a soft-tissue filler into the subcutaneous fat tissue is recommended for treating mild indentations around the orbital rim and nasojugal region. Reducing the tethering effect of ligamentous structures by undermining using a cannula prior to the filler injection is recommended for treating relatively deep and fine indentations. The treatment of mild prolapse of the intraorbital septal fat or broad flattening of the infraorbital region can be improved by restoring the volume deficiency using a relatively firm filler.
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spelling pubmed-59683172018-05-31 Definitions of groove and hollowness of the infraorbital region and clinical treatment using soft-tissue filler Lee, Ji-Hyun Hong, Giwoong Arch Plast Surg Review Article Clarification is needed regarding the definitions and classification of groove and hollowness of the infraorbital region depending on the cause, anatomical characteristics, and appearance. Grooves in the infraorbital region can be classified as nasojugal grooves (or folds), tear trough deformities, and palpebromalar grooves; these can be differentiated based on anatomical characteristics. They are caused by the herniation of intraorbital fat, atrophy of the skin and subcutaneous fat, contraction of the orbital part of the orbicularis oculi muscle or squinting, and malar bone resorption. Safe and successful treatment requires an optimal choice of filler and treatment method. The choice between a cannula and needle depends on various factors; a needle is better for injections into a subdermal area in a relatively safe plane, while a cannula is recommended for avoiding vascular compromise when injecting filler into a deep fat layer and releasing fibrotic ligamentous structures. The injection of a soft-tissue filler into the subcutaneous fat tissue is recommended for treating mild indentations around the orbital rim and nasojugal region. Reducing the tethering effect of ligamentous structures by undermining using a cannula prior to the filler injection is recommended for treating relatively deep and fine indentations. The treatment of mild prolapse of the intraorbital septal fat or broad flattening of the infraorbital region can be improved by restoring the volume deficiency using a relatively firm filler. Korean Society of Plastic and Reconstructive Surgeons 2018-05 2018-05-15 /pmc/articles/PMC5968317/ /pubmed/29788683 http://dx.doi.org/10.5999/aps.2017.01193 Text en Copyright © 2018 The Korean Society of Plastic and Reconstructive Surgeons This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Lee, Ji-Hyun
Hong, Giwoong
Definitions of groove and hollowness of the infraorbital region and clinical treatment using soft-tissue filler
title Definitions of groove and hollowness of the infraorbital region and clinical treatment using soft-tissue filler
title_full Definitions of groove and hollowness of the infraorbital region and clinical treatment using soft-tissue filler
title_fullStr Definitions of groove and hollowness of the infraorbital region and clinical treatment using soft-tissue filler
title_full_unstemmed Definitions of groove and hollowness of the infraorbital region and clinical treatment using soft-tissue filler
title_short Definitions of groove and hollowness of the infraorbital region and clinical treatment using soft-tissue filler
title_sort definitions of groove and hollowness of the infraorbital region and clinical treatment using soft-tissue filler
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5968317/
https://www.ncbi.nlm.nih.gov/pubmed/29788683
http://dx.doi.org/10.5999/aps.2017.01193
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