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Case Reports
. 2024 Jun 11;12(6):e5894.
doi: 10.1097/GOX.0000000000005894. eCollection 2024 Jun.

The Dual-plane Technique for Correcting Sunken Upper Eyelid Deformity with Hyaluronic Acid Filler Injections

Bulent Bagci  1
Affiliations
Case Reports

The Dual-plane Technique for Correcting Sunken Upper Eyelid Deformity with Hyaluronic Acid Filler Injections

Bulent Bagci. Plast Reconstr Surg Glob Open. .

Abstract

The dual-plane technique is an effective and safe method that aims to correct sunken upper eyelid deformity by increasing the volume of retro-orbicularis oculi fat, and especially supraorbital fat, through hyaluronic acid filler injection. Filling in the superficial plane allows for a more precise correction of sunken upper eyelid deformity with a smaller amount of filler. Contrary to common knowledge in the literature, this technique-filling the superficial plane with a filler, such as subcutaneous fat-does not lead to irregular filler accumulation and surface irregularity on the skin. Additionally, the risk of complications is much lower compared with techniques that recommend filling the deep plane using a sharp needle.

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Conflict of interest statement

The author has no financial interest to declare in relation to the content of this article.

Figures

Fig. 1.
Fig. 1.
HA filler injection with a cannula into ROOF and SOF. The first and second cannula entry points are shown as a and b, respectively. IFS, inferior frontal septum; ORL, orbicularis retaining ligament; SOA, supraorbital artery. Illustration by Levent Efe. Used with permission.
Fig. 2.
Fig. 2.
Changes in m and N values before (A) and after (B) filler injection using the dual-plane technique.
Fig. 3.
Fig. 3.
In zone 1, the white circle indicates the HA filler within the subcutaneous fat, and red arrows point to the orbicularis oculi muscle.
See this image and copyright information in PMC

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