Significant deepening and bright manifestation of the nasolacrimal sulcus becomes one of the most frequent reasons for a visit to a beautician, since it is this area of ​​the face that attracts the attention of others more than others and demonstrates age-related changes. Usually, surgery is proposed to correct an accentuated nasolacrimal sulcus, especially if zygomatic bags and manifested hernias in the lower eyelid region are added to this. However, in the early stages of age-related deformation of this area of ​​the face, injection correction with fillers will help. How to carry out such a correction, and what preparations to use for it, will tell estet-portal.com.

What reasons for the accentuation of the nasolacrimal trough should be taken into account when correcting it?

The main reason for the formation of the nasolacrimal sulcus is the age-related sagging of the muscular-aponeurotic system – ligamentous apparatus in the near-orbital, zygomatic and temporal regions. The gradual weakening of muscles and ligaments over time results in:

  • infraorbital and malar fat gradually, under the influence of gravitational forces, descends, forming the zygomatic and nasolacrimal grooves;
  • Through the weakened orbital septum, fat enveloping the eyeball begins to push through and form hernias;
  • temporal fat gradually shifts and deforms the proportions of the eyelids, exacerbates the protrusion of the infraorbital fat.

In order to restore the correct ascending horizontal axis of the eyes, to prevent the deepening of the nasolacrimal sulcus and the appearance of fatty hernias, the weakened orbital plate should be corrected.

In advanced cases, blepharoplasty is indispensable, but in the early stages, mesotherapy will be quite helpful.

Read also: "Nasal trough filling, best cosmetic techniques"

Algorithm for mesotherapeutic correction of furrows in the problem area «eyelid– cheek»

To eliminate defects in the periorbital region, such as accentuated nasolacrimal grooves, hernias and zygomatic sacs, volume correction is applied using fillers containing hyaluronic acid.

First stage. We correct the temporal region with a dense filler HyalStyle Forte.

What do we want to achieve? Creating volume in this area allows you to pull up descending tissues. With deformative ptosis of the 1st degree and correctly placed filler, the zygomatic furrow is smoothed out, and the zygomatic sac is visualized much less.

What are we doing? Inject 1 ml of HyalStyle Forte into the temporal area – 0.5 ml each side.

Second stage. We correct the nasolacrimal trough with HyalStyle Regular hyaluronic filler.

What do we want to achieve? The problematic transition from the eyelid to the cheek is smoothed out. The appearance is significantly rejuvenated.

What are we doing? We inject the HyalStyle Regular preparation with a cannula under the orbicular muscle of the eye using a fan technique. The amount of the drug should not exceed 0.3 ml per lower eyelid. In total, we use no more than 0.6 ml of the drug for the right and left lower orbital regions in order to avoid overcorrection.

The HyalStyle phosphate buffer system of hyaluronic acid molecules will ensure painless injection of the filler into the periorbital area and guarantee results when small volumes of the drug are injected. 

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Third stage. Supportive therapy in the form of a course of biorevitalization with HyalStyle Light.

You can also use non-surgical lifting products SAKURA, EJI Instan beauty, EJI Extra, which are provided by I-Cosmetolog. It is carried out 2 weeks after the end of all post-traumatic side processes, usually manifested after volume plastic surgery of the face.

What do we want to achieve? Contained in HyalStyle Light preparations. SAKURA, EJI Instan beauty, EJI Extra, elements of the placenta, collagen, elastin and hyaluronate will reduce the effect of hyaluronidase on the inserted hyaluronic implants and activate the skin components responsible for the lifting effect. At the same time, the skin will retain a tightened, radiant and attractive appearance for a longer time.

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Working with fillers in the temporal, circumorbital and zygomatic areas requires excellent knowledge of anatomy and certain tactile skills. You can learn all the nuances of clinical injection cosmetology in complex areas of the face and neck at the I-Cosmetolog training center. You will be told about the layered anatomy of the face and neck, about the techniques for manipulating cannulas and needles at different levels, as well as about all the innovative aspects of injectable rejuvenation techniques.

Good luck in your wonderful profession, which improves not only the aesthetic appearance of people, but also the quality of their life!

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