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A New Technique for the Correction of Tear Trough Deformity via Filler Injections

Bagci, Bulent, MD

Plastic and Reconstructive Surgery – Global Open: August 9, 2018 - Volume Latest Articles - Issue - p
doi: 10.1097/GOX.0000000000001901
Latest Articles: PDF Only

Summary: The nonsurgical treatment of valley-type tear trough (TT) deformity with diffuse depression in preseptal segment aims a more effective and safer treatment alternative to present padding techniques through the use of hyaluronic acid fillers to the preseptal space. 22G 50-mm cannula was inserted into the preseptal space, 2 cm inferolateral to the lateral canthus, and a low concentration of monophasic hyaluronic acid filler was applied. TT deformity was treated through the elimination of the contrasting subcutaneous fat tissue quality and quantity both above and below the TT, which contributes to the accentuation of the TT deformity. Valley-type TT deformity was successfully treated without any complications via filler injections to the preseptal space in which no structures pass.

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From the Department of Dermatology, Epiline Aesthetic Dermatology Clinic, Istanbul, Turkey.

Published online 9 August 2018.

Received for publication April 11, 2018; accepted June 19,2018.

The author indicates that the principles outlined in the Declaration of Helsinki have been followed.

Disclosure: The author has no financial interest to declare in relation to the content of this article. The Article Processing Charge was paid for by the author.

Bulent Bagci, MD, Epiline Aesthetic Dermatology Clinic, Valikonagi Caddesi, Melek Apartmani No: 74/1 Sisli, Istanbul, Turkey, E-mail:

Copyright © 2018 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Society of Plastic Surgeons. All rights reserved.