The Aging Process – multifaceted. However, certain changes signal the lived years most clearly. It is the loss of volume in the region of the infraorbital fat compartment that is an indisputable sign of age-related changes. Sometimes experts use such an expression as "aging orbit", which implies changes in the area of infraorbital fat, nasolacrimal sulcus, orbicular muscle of the eye, as well as the zone of palbepromal sacs.
Correction of this zone allows to significantly improve the appearance of the patient, make his look more fresh and open. Specialist in the field of plastic, aesthetic and reconstructive surgery, Dr. Patrick Trevidick, spoke about how to achieve the best result by working in this zone especially for readers of estet-portal.com.
Nasal trough: main mechanisms of aging of the infraorbital zone
What is the nasolacrimal sulcus? In 1969, a doctor from the USA called it internal depression of the lower crease of the eyelid. It is important to understand that the nasolacrimal groove – this is not a dark circle, but a depression in the corner of the eye, due to a lack of adipose tissue in this area in combination with palpebromalar depression.
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Anatomically, the appearance of the nasolacrimal sulcus is due to the peculiarity of the attachment of the circular muscle of the eye. A depression occurs at the point of attachment of this flat muscle to the bone.
With age, the bones of the facial skull undergo resorption and move backward, which aggravates depression in the area of attachment of the orbicular muscle of the eye, as a result of which the nasolacrimal sulcus becomes deeper and deeper.
Also, the aging of the infraorbital zone is exacerbated by an increase in the volume of palpebromalar sacs, which further shade the nasolacrimal groove.
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At what age does a person start to look much older? Experts say that at the age of 35. And this is due precisely to changes in the periorbital region. In this regard, for a specialist in aesthetic medicine – working in this zone is a real happiness, because the result can be simply amazing.
Plastic surgeons lift the muscle during the correction of the nasolacrimal trough, thus closing the depression. Injection doctors, in turn, do this with the help of fillers.
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As for the main dangers in the infraorbital zone – they are all located above the muscle, but, fortunately, outside the nasolacrimal trough. Vessels pass in the area of the nasopharyngeal groove towards the nose. In this regard, work in the area of the nasolacrimal sulcus – quite safe.
It is very important to choose the right dermal filler for correcting this area. My preference is for Teosyal fillers provided by
Academy of Scientific Beauty. Thanks to them I have full control over the entire procedure, and as a result –
Effective protocol for the correction of the nasolacrimal trough
Location of the nasolacrimal trough is best done in a sitting position. Subsequently, when the patient takes a horizontal position, this will not allow working too superficially.
It is best to start the injection with the needle insertion to the bone, which allows you to achieve the required injection depth and set the correct direction for advancing the cannula. This technique makes it possible to reduce the patient's pain sensations, since the cannula does not cross all layers.The filler can be injected both ante- and retrograde.
If there is difficulty in advancing the cannula, it is better to inject the dermal filler antegrade – this will reduce tissue resistance.
For the correction of the nasolacrimal trough, the best choice is the 25 G cannula, which is easier to control. It should also be long enough to allow you to inject from the entry point to the corner of your eye.
When choosing a preparation for the correction of the nasolacrimal sulcus, I prefer Teosyal Redencity 2, which is represented by
«Academy of Scientific Beauty». This filler allows you to achieve a pronounced, natural and long-lasting correction result.
It is necessary to move from the entry point to the corner of the eye. The needle then needs to be deployed to fill the outer orbital fat compartment. In this case, it is better to inject no more than 0.2-0.3 ml of dermal filler. After that, the palpebromalar fat package is filled. Share:
Correction of this zone allows you to reduce dark circles under the eyes, make the look fresher and more open. Thus, the introduction of the filler in the area of the nasolacrimal sulcus – this is one of the most important stages of complex aesthetic correction, which instantly improves the appearance of the patient.
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