Volumetric Eyebrow Lifting with the Aid of a New Hyaluronic Acid Dermal Filler (Intraline) and Upper Surgical Blepharoplasty; Enhancing Outcomes
Periocular aging is characterized for a volumetric skeletonization of the orbit, eyebrow ptosis and dystrophic changes in the eyelids skin, such as blepharochalasis, dyschromia and elastosis. Frequently only part of this elements are addressed, with incomplete resolution of the inestetisms, unnatural results and unsatisfied patients. Private setting patients with wishes of periocular rejuvenation were given combined approach of volumetric eyebrow lifting with the aid of a new hyaluronic acid dermal filler (Intraline Canada Inc, Kelowna BC, Canada) and upper surgical blepharoplasty. Through this combined method both volumetric changes, ptosis and blepharochalasis were corrected, and results in the short and medium term were satisfactory for both patients and surgeon. No complications were observed and the lengthening of the primary surgery was minimal in experienced hands.
Periorbital area is the principal facial feature as it takes most of the attention at the eye of the beholder. Periocular changes are one of the main features of facial aging. They are characterized by volumetric variations around the orbit; mostly skeletonization or onset of fat bags hypertrophy, eyebrow ptosis and dystrophic changes in the eyelids skin such as blepharochalasis, dyschromia and elastosis. Medical management with topical ointments are recommended to treat dyschromia and elastosis. Aesthetic medicine corrections such as botulinum toxin injections and dermal fillers have been traditionally used for eyebrow lifting or skin dehydration. Surgical corrections such as blepharoplasty and eyebrow lifting generally offer a long lasting correction, but the latter is frequently associated with a more complex and invasive surgery with greater swelling and downtime. All above frequently determines partial resolution of the inestetisms, unnatural results and unsatisfied patients.
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