Eyelid skin — the thinnest and most sensitive among other areas of the face. Constant involuntary blinking, the use of decorative cosmetics, as well as exposure to environmental factors such as sun and wind, further accelerate the aging process of this delicate area.
Read the article on estet-portal.com for step-by-step instructions on how to use the UEFA (Upper Eyelid Filling Approach) technique with YVOIRE hyaluronic acid fillers.
- aging process of the periorbital area
- UEFA technique: upper eyelid contouring
- selection of a filler for contour plastic surgery of the overhanging upper eyelid
Ageing process of the periorbital area
Often, the first signs of aging are observed in the eye area.
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The main cause of physiological aging of the periorbital region — depletion of fatty tissue of the upper eyelid, which aggravates flabbiness and eventually leads to either the formation or aggravation of the condition of the upper eyelid. The lateral and medial parts of the nasal fat pad, which plays a major role in shaping the orbit, differ in appearance because they are formed from different tissue layers.
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The medial part is located inside the muscular frame, and the lateral part of the nasal fat pad is located outside the frame. The lateral part of the nasal fat pad is more prone to depletion than the medial part due to the different nature of these fatty tissues.
Loss of eyelid volume may be a congenital condition causing sunken eyes, or it can be the result of the aging processwhich causes sunken eyes and skin folds of varying severity that can transform into dermatochalasis.
UEFA technique: upper eyelid contouring
At the beginning of the procedure, under the tail of the eyebrow, supraperiosteally, a local injection of mepivacaine 2% and adrenaline in a ratio of 1:100,000 with 0.1 cm3 of anesthetic is performed. For the necessary vasoconstriction to occur, wait 15 minutes. For safety purposes, YVOIRE Classic filler by «Academy of Scientific Beauty» is only injected using a 25 G/50mm or 27G/37–40mm cannula . To insert the cannula, make a puncture with a needle of a larger diameter than the diameter of the cannula.
If a smaller needle is used to create the entry hole, it is difficult to insert the cannula into the muscle tissue and fascia under the skin. Therefore, for this manipulation, you can use a special guide device called "easy-guide". It is a grooved needle that easily and safely penetrates both muscle tissue and fascia, providing access to the correct plane of the supraorbital fat pad (ROOF) for the cannula.
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However, during its insertion, the guide wire may initially remain in place, it is removed when the cannula is in the ROOF plane. The cannula is advanced medially into the supraorbital plane and passed through the septum to reach the retroseptal plane containing the lateral part of the nasal fat pad. To ensure that the cannula is in the correct plane, the guidewire must first reach the ROOF, then the cannula is advanced medially until it reaches the Orbicular Support Ligament (ORL).
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A click is often felt as it passes. The septum is located behind the ORL, and the retroseptal zone is located behind the septum itself. The connecting line between the ORL and the orbital septum at the upper edge of the orbit is indistinguishable. Note that in the correct position, the tip of the cannula will only be visible if it is tilted, as it is in the deep layer. Next, YVOIRE Classic filler is injected ˗ gel based on HICE stabilized HA with tgδ approximately 0.28, then the cannula is withdrawn and bolus injections are given simultaneously, starting from the lateral part of the head of the eyebrow.
This is the critical area where depletion occurs first and always requires more YVOIRE Classic filler.
It is important to avoid over-correction as the YVOIRE Classic Filler itself will kick-start natural remodeling with long-lasting results. In injection practice, only 0.7/0.8 ml of YVOIRE Classic Filler is used on both sides and it is recommended never to inject more than 0.5 ml of filler on one
The UEFA technique has been standardized based on the classification of the degree of overhang of the upper eyelid. In particular, the required amount of YVOIRE Classic filler is individual for each patient and depends on both the degree of overhang and the presence of asymmetry.
Read also:Global rejuvenation: contouring of the middle third of the face The first follow-up examination is scheduled 3-4 weeks after filler correction, additional procedures should be avoided. Congenital sunken eyes may require additional injections after 2 or 3 months.
The choice of the YVOIRE Classic
filler by «Academy of Scientific Beauty» was based on evidence that, in a study of more than 500 patients with various types of upper overhangs, century, this filler has demonstrated its effectiveness both as an independent method of upper eyelid contouring and in addition to surgical blepharoplasty.
In the practice of using this upper eyelid plasty technique, only 10% of patients needed correction, which was performed using a small amount of filler (0.05-0.1 ml). As a rule, this procedure lasts
more than 1 year, and the results seem to be stable, which makes the choice of this filler one of the reasonable and affordable methods for correcting the upper eyelid. More useful information on our
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