When correcting the periorbital area with fillers, complications often occur, the most common of which are induration and swelling. How to avoid such unpleasant consequences with the help of the correct choice of the drug and the technique of administration, estet-portal.com was told by Dr. Kieren Bong – plastic surgeon, clinical director of the Essence Medical Cosmetic clinic in Scotland.
What are the most common complications during periorbital correction with fillers and how to avoid them?
Many practitioners, when faced with complications, attribute them to the product they are using. However, I believe that the result of the procedure is about 40% dependent on the drug and 60% – from physician technique. Let's look at a couple of examples. One of the most common complications that occur when using fillers based on hyaluronic acid in the periorbital area is compaction. Why do they appear?
All HA fillers have different percentages of crosslinking. Every esthetician is well aware that the higher the percentage of crosslinking, the thicker and more viscous the HA product will be. Due to the viscosity of the filler, a lifting effect is provided. However, in such delicate areas of the face, such as the periorbital, where the layer of skin, subcutaneous fat and muscles is particularly thin, the use of a high viscosity product is fraught with seals, the severity of which increases even more if the filler is injected too superficially. Therefore, the main rules for correcting the infraorbital zone with fillers are: 1) holding the product under the orbicular muscle of the eye; 2) the use of a product that has been developed taking into account the unique anatomical features of this area. Such a product should provide sufficient lifting effect, but at the same time not be characterized by too high a percentage of cross-linking, which makes the filler too thick and viscous. The injection of the drug is carried out under the circular muscle of the eye, which will hold the filler. Thanks to this introduction, the doctor can avoid the appearance of seals.
Another common complication associated with periorbital correction with fillers is edema. What is it caused by? When choosing a filler, we take into account its biochemical characteristics. Hyaluronic acid, which is the basis of the respective fillers, is distinguished by its hydrophilicity, i.e. has the ability to attract water. Because the higher the concentration of HA in the filler, the more water it attracts. This means that when choosing a product for work in the infraorbital region, we need to pay attention to its biochemical characteristics and choose a product with a relatively low concentration of HA. But this concentration should not be too low – in this case, the active ingredient is practically absent in the preparation, therefore the result will not be stable. Personally, I prefer to use Teosyal Redensity II, which contains 15mg/ml of hyaluronic acid. This amount of HA ensures the stability of the result and does not attract excessive amounts of water to the treated area. Deep injection of the drug under the orbicular muscle of the eye is necessary so that in case of excessive hydration, water remains under the muscle and does not appear on the face in the form of swelling.
The above complications occur in our practice almost daily. In this regard, the doctor must remember that in minimizing complications during filler correction, not only the product plays a huge role, but also the technique, the accuracy of its introduction. Therefore, I advise doctors not to associate a certain brand of filler with a specific area of the face, but to look deeper and study the biochemical characteristics of drugs and improve their injection technique – this will ensure a safe and effective outcome of the procedure.
Therefore, the main rules for correcting the infraorbital zone with fillers are: keeping the product under the orbicular muscle of the eye and using a product that has been developed taking into account the unique anatomical features of this zone.
Why is it important to consider its hydrophilicity when choosing a preparation for work in the periorbital area?
Some of the side effects and complications of periorbital fillers are a result of the hydrophilicity of hyaluronic acid. Why is HA included in so many skin care products today? Because we have become aware of how good this "magic" the ingredient attracts water, i.e. provides hydration to the skin. However, by using a product containing too high a concentration of HA, we increase the risk of puffiness as a result of too much water entering the treated area. The high hydrophilicity of hyaluronic acid is necessary to obtain volume in certain areas of the face, but not when working with the infraorbital region, which requires special care. This area of the face is very limited and is characterized by a thin layer of skin,
There are three most popular filler brands on the market – Juvederm (contains 34mg/ml HA), Teosyal PureSense (25mg/ml HA) and Restylane (21mg/ml HA). Why do all these products have different formulas? Because the concentration of HA is of great importance. Teosyal Redensity II is the only filler approved for periorbital rejuvenation due to its unique formula tailored to the area. One of the unique characteristics of Teosyal Redensity II is that it contains 15mg/ml HA rather than 20-30mg/ml HA. The person who developed this product is well aware that the introduction of a product with a high concentration of HA in this area is associated with the risk of swelling. To minimize this risk, the concentration of HA must be reduced and at the same time maintained at a levelShare:
Add a comment