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Semin Plast Surg 2007; 21(1): 057-064
DOI: 10.1055/s-2007-967750
Copyright © 2007 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Evaluation and Treatment of the Tear Trough Deformity in Lower Blepharoplasty[*]

Gabriela Mabel Espinoza1 , John Bryan Holds1 , 2
  • 1Department of Ophthalmology, Saint Louis University, St. Louis, Missouri
  • 2Otolaryngology-Head and Neck Surgery, Saint Louis University, St. Louis, Missouri
Further Information

Publication History

Publication Date:
05 March 2007 (online)

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ABSTRACT

The tear trough deformity is a natural consequence of the anatomic attachments of the periorbital tissues. A variety of techniques have evolved to address this cosmetic issue including subtractive blepharoplasty techniques, elevation of ptotic eyelid and midface tissues, and the injection or implantation of autogenous or alloplastic materials to diminish its appearance. Greater anatomic understanding of the pathogenesis of the tear trough deformity has led to more anatomically conservative and appropriate cosmetic surgical treatments. The decline in purely subtractive surgical techniques in blepharoplasty surgery and the advent of fat-repositioning techniques and new subdermal fillers have improved surgical outcomes.

KEYWORDS

Tear trough deformity - blepharoplasty - hyaluronic acid fillers

1 The authors have no commercial or proprietary interest in any of the materials noted in this article.

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1 The authors have no commercial or proprietary interest in any of the materials noted in this article.

Dr. John Holds

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#266, St. Louis, MO 63141

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