Office-Based Periorbital Rejuvenation

Abstract

Periorbital aging involves changes that are multidimensional and multifactorial. Previous discussions have focused on soft tissue changes. Recent literature, however, has shown that changes occur in the bony structure surrounding the eye, which causes a substantial impact upon the aging process especially with respect to volumetric changes. Comprehensive analysis of both soft tissue and bony structural changes are essential. One procedure or technique alone is usually insufficient. Surgical procedures address some aspects of aging but leave many elements untreated. Office-based nonsurgical procedures form an important basis for periorbital rejuvenation including cosmeceuticals, chemical peels, laser and light treatments, neurotoxins, and fillers. Improved understanding of the pathophysiology of aging and technical advancements in nonsurgical techniques has enabled us to achieve better and more comprehensive improvement for our patients.

Keywords

periorbital - volumetric - nonsurgical - tear trough - orbital hollowing

• References

• 1 Shaw Jr RB, Katzel EB, Koltz PF , et al. Aging of the facial skeleton: aesthetic implications and rejuvenation strategies. Plast Reconstr Surg 2011; 127: 374-383
• 2 Gilchrest BA. Treatment of photodamage with topical tretinoin: an overview. J Cosmet Dermatol 2009; 8: 228-233
• 3 Hirmand H. Anatomy and nonsurgical correction of the tear trough deformity. Plast Reconstr Surg 2010; 125: 699-708
• 4 Lambros VS. Hyaluronic acid injections for correction of the tear trough deformity. Plast Reconstr Surg 2007; 120 (6, Suppl) 74S-80S
• 5 Lazzeri D, Agostini T, Figus M, Nardi M, Pantaloni M, Lazzeri S. Blindness following cosmetic injections of the face. Plast Reconstr Surg 2012; 129: 995-1012
• 6 Balikian RV, Zimbler MS. Primary and adjunctive uses of botulinum toxin type A in the periorbital region. Facial Plast Surg Clin North Am 2005; 13: 583-590 , vii
• 7 Lambros V. Volumizing the brow with hyaluronic acid fillers. Aesthet Surg J 2009; 29: 174-179