Why do patients decide to have a nasolacrimal sulcus repair? Changes in this area give the face a tired and exhausted look.
In the modern world, when sleep is a luxury, bruises under the eyes become frequent human companions. When the first changes occur in the periorbital region, there is no point in immediately resorting to blepharoplasty, and the situation can be corrected with the help of dermal fillers.
The correction of the nasolacrimal trough requires experience from the doctor, since this is a rather specific area for correction. Read about the technical features of this procedure on estet-portal.com in an interview with with doctor clinic America
Who is the nasolacrimal trough correction indicated for
Nasal trough correction is indicated for:
• appearance of dark circles under the eyes;
• "tired" look;
• appearance of mimic wrinkles in this area.
The advantage of this procedure for patients is that the correction effect is completely natural. No one from even the closest circle of a person will guess that cosmetic manipulations have been carried out, and the face will look fresh, rested, young and beautiful.
Usually, a very small amount of filler is used for the procedure, so contouring of this area is also economically affordable.
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Choice of filler for the correction of the nasolacrimal trough
Hyaluronic acid-based preparation with lidocaine Juvederm® Volbella injected with a 30 G1/2 Juvederm® Volbella – is a unique dermal filler in which hyaluronic acid chains are cross-linked using VYCROSS™. This technology uses 10% high molecular weight hyaluronic acid and 90% low molecular weight hyaluronic acid, which creates a more uniform and softer structure and therefore a more natural result.
Using this technology, Allergan specialists have been able to create a soft and viscous gel that facilitates smooth insertion and provides long-lasting correction results.
Lidocaine, which is part of the drug, helps to relieve pain during and after the injection, making the patient feel as comfortable as possible.
Technique for correction of the nasolacrimal trough
After assessing and marking the nasolacrimal sulcus, an anesthetic ointment or cream is applied to the lower eyelids at least 20 minutes before injection.
After cleaning the skin with an antiseptic, a 30-gauge needle is inserted. The filler is injected deep into the periosteal plane by vertical injection to reduce the visibility of the product.
To correct the nasolacrimal trough, successive injections of 0.02 to 0.05 ml per point are recommended.
The filler should be injected at the supraperiosteal level, along or below the margin of the orbit. In this case, the doctor must control the orbital margin with his free hand in order to avoid injecting the drug over this structure. Most of the filler should be injected under the orbicular muscle of the eye. However, in the medial part of the muscle that attaches to the bone, direct injection into the muscle itself is required.
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General recommendations for correction of the nasolacrimal trough
Several of the most important points for the correction of the nasolacrimal trough can be distinguished:
• injections should be carried out at the supraperiosteal level of the orbital margin;
• care should be taken regarding the infraorbital foramen;
• after the procedure, it is necessary to carry out a gentle massage to evenly distribute the drug;
• over-correction should be avoided, as this is fraught with edema;
• patients should avoid increased pressure on the area of correction;
• patients should be informed about aftercare: it is recommended to avoid massage, exercise, and exposure to cold or heat for six hours after treatment;
• It is important to schedule subsequent sessions to evaluate the clinical outcome. If necessary, a repeated contouring procedure can be performed.
A correction carried out according to these recommendations is simply doomed to success. Original preparations of the company "Allergan" You can only purchase from the official distributor.
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