Comprehensive Treatment of Periorbital Region with Hyaluronic Acid

Abstract

The periorbital subunit is one of the first facial regions to show signs of aging, primarily due to volume depletion of the soft tissue and bony resorption. Surgical and office-based nonsurgical procedures form an important basis for periorbital rejuvenation. It is important to make a detailed clinical evaluation of the patient to indicate the most appropriate procedure to be performed. With the objective of showing a nonsurgical procedure for the rejuvenation of the periorbital area, the authors describe a technique of applying fillers in the upper and lower periorbital regions, paying attention to the anatomy of this facial region and the type of product to be used besides the expected results of the procedure and its possible adverse effects and complications. The nonsurgical rejuvenation of the periorbicular region with hyaluronic acid is a new and innovative technique. In the opinion of the authors, it is a great aesthetic impact area and consequently brings high satisfaction to patients.

Figure 1

The main branches of the blood supply of the periorbital region

Figure 2

A medial point is marked in the hemipupilar line in the upper eyelid crease and a lateral point is marked at the end of the crease.

Figure 3

The medial point is where the first application is made.

Figure 4

The lateral point is where the last application is made.

Figure 5

The cannula is inserted below the orbicular muscle of the eye with an angle of approximately 60 degrees.

Figure 6

Patient before and after hyaluronic acid treatment of the periorbital region