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Treatment of Tear Trough Deformity with Hyaluronic Acid Gel Filler

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Advanced Surgical Facial Rejuvenation

Abstract

Volume loss and muscular hyperactivity are two major components of the aging process that contribute to the formation of the folds and wrinkles. Tear trough deformity is one of the most difficult depressions to correct surgically. Since January 2007, 150 patients have had their tears troughs treated with hyaluronic acid gel filler. Restylane® was used to treat all patients and it was injected in the preperiosteal tissues just inferior to the orbital rim. The mean volume per side needed to achieve correction was on the right side 0.63 ml (SD  =  0.37) and on the left side 0.6 ml (SD  =  0.3). Most common complications were some degree of bruising, erythema, local swelling, and pain at injection site. The effect of treatment has been lasting up to 18 months. All patients are very satisfied with their results.

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Author information

Authors and Affiliations

  1. Department of Ophthalmology, Vision Institute, Federal University of São Paulo, São Paulo, Brazil

    Giovanni André Pires Viana (Member of Brazilian Plastic Surgery)

  2. Alameda Jauaperi 732, São Paulo, SP, 04523-013, Brazil

    Giovanni André Pires Viana (Member of Brazilian Plastic Surgery)

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  1. Giovanni André Pires Viana
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Correspondence to Giovanni André Pires Viana .

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Editors and Affiliations

  1. Pear Tree Cottage, Cambridge Road, Wimpole 43, Cambridge, SG8 5QD, United Kingdom

    Anthony Erian

  2. Chatham Drive 17501, Tustin, 92780-2302, California, USA

    Melvin A. Shiffman

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© 2012 Springer-Verlag Berlin Heidelberg

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Viana, G.A.P. (2012). Treatment of Tear Trough Deformity with Hyaluronic Acid Gel Filler. In: Erian, A., Shiffman, M. (eds) Advanced Surgical Facial Rejuvenation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-17838-2_53

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  • DOI: https://doi.org/10.1007/978-3-642-17838-2_53

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-17837-5

  • Online ISBN: 978-3-642-17838-2

  • eBook Packages: MedicineMedicine (R0)

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