Best Method for Injecting Around the Tear Trough Area?
asked 3 years ago by esme229 in Chicago, IL
Latest answer by Steven Wallach, MD
Question viewed 3,390 times
Tags: tear trough, tyndall effect
I know some practitioners inject straight up into the tear trough and then from above down the cheek bone; others use a "cross-hatching" method all along the nasojugal groove. Still, others do the injection from inside the mouth. I would like to know which of these method is most effective, and which entails the least amount of complications (bumps, bruises, tyndall effects, etc)? Also, which method is purported to last the longest, so I can be as informed as possible during my consultations. Thank you.
5 answers to Best Method for Injecting Around the Tear Trough Area?
+4
Tear trough injections are an art
The injection of Restylane into the tear troughs is not a simple procedure and should only be done by a doctor experienced in surgery and anatomy of the eyelid. In my practice, I do all of the injections in the tear troughs and do not relegate these to my aesthetician. So, first of all, I would be sure you go to a plastic surgeon who is going to do the injection him or herself. This is more important that the "technique" used.
I prefer the transcutaneous route because of the angle of...
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+4
Intraoral or transcutaneous
Placement of filler in the periorbital is 3-dimensional art, with a little biology.
Intraoral or transcutaneous injections are used for placing hyaluronic acids in the perioral area. Because of the slightly greater precision and more favorable angle of inclination of the needle of transcutaneous injection, I usually prefer this for perioral injections, especially in patients with a prominent globe. One of the key vessels to the infraorbital periorbital fat is located right in the middle...
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+3
Facial Fillers around the Eyes: Technique determines success
Several points to consider with facial fillers in the periorbital zone.
Longevity is dependent on the type of filler and the quality of the recipient tissue.
Cross hatching minimizes bolus injections into the eyelids, thus minimizing the risk of granuloma formation or noticeable lumps.
Conservative injection may minimize overcorrection and allows the patient to acclimate to the fillers and the change in appearance.
Bruising is a natural consequence of injectables in zones where there are...
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Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon
Los Angeles Plastic Surgeon
+2
There is no one technique that is best; it is what is comfortable and safe for the injector!
There is no outstanding technique that is absolutely the best. The most important factor is what is most comfortable and safe for the injector, physician or nurse, to consistently yield their best results. As you can tell from the other doctors’ answers, there are numerous technique available. And, there are specific times or situations where one certain technique may be more beneficial than another. In general, I tend to use more the percutaneous direct approach injecting just...
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Stephen A. Goldstein, MD
Englewood Plastic Surgeon
Englewood Plastic Surgeon
+1
Technique for injecting
There is no one technique that specifically is better than the other. It is the injector that makes the difference. It's like the bad golfer who can't hit the ball well with his clubs. He then gives them to a pro, and the pro kills the ball! So, it is not the club it the clubber!
