• Eye-Tear trough

Tear trough

Definition

The tear trough, also referred to as nasojugal groove, is a condition which is characterized by a semicircular dent which starts by affecting the eye’s  inner corner and then changes to a palpebromalar groove. When a tear trough deepens, it can lead to the creation of a shadow below the eye which appears to be a dark circle.

As people start to age, they develop a deep tear between their lower eyelids and cheeks. This makes them appear more tired and older than their actual ages.

Different techniques

1. Filler

Definition

This approach utilizes Hyaluronic acid which is naturally found in a human’s body, especially in the eyes’ and joints’ fluids. The acid for medicinal purposes is obtained from rooster combs or produced by laboratory bacteria.

Hyaluronic acid protects the skin which reduces wrinkling thus restoring youthful skin look. You need to get professional advice to choose the correct type of filler for treating nasojugal groove.

Filler method is suitable for:

  • Patients with a ‘hollow appearance’ or dark circles under their eyes
  • Patients whose lower eyelids have enlarging fat pockets
  • Patients proper skin elasticity and thickness

You shouldn’t use filler method if you:

  • Are allergic to Hyaluronic acid substance
  • Are allergic to Hyaluronic medicine
  • Are pregnant or lactating
  • Have prominence
  • Seem to have hypertronic scar
  • Are undergoing laser treatment

Do’s and don’ts after filler treatment

Once you receive filler treatment:

  • Avoid laser treatment or any other treatment until two weeks after filler treatement.
  • Avoid sun exposure or temperatures below 0 degree Celsius
  • Don’t apply makeup until 2 weeks are over.
  • Avoid sauna for 2 weeks
  • Avoid cigarette smoking or drinking alcohol for 2-3 weeks.

Side effects

After receiving filler treatment, you may:

  • Experience an itchy and/or painful swelling, inflammation or rash
  • Develop blood clot seven days after the treatment.
  • Develop nodules, staining or discoloration on treated part.

Procedure

The doctor introduces local anesthesia around the patient’s eyes and then injects filler on the target treatment area. The procedure may be slightly painful.

 

Results

Once you have a filler treatment, the tear trough will reduce instantly and the effect of this treatment will last for three to six months.

2. Fat transfer

Definition

Fat Transfer is a liposuction whereby fat it extracted from one body area by use of a syringe and it is injected again to another part to reduce tear trough.

The augmentation size is determined by the amount of supply of fat cells by blood and their survival rates. The procedure doesn’t cause allergies and its results become permanent two months after the treatment.

Who can get fat transfer treatment?

Fat transfer is perfect for people with deep and big tear trough.

Preparations for a fat transfer procedure

  • Two weeks before the procedure, don’t use anti-inflammatory drugs, supplementary drugs or smoke cigarettes.
  • You may be required to avoid using supplementary compounds with high vitamin E levels 3 to 5 days before the operation.
  • Two weeks before the procedure, avoid taking some supplementary like gluta, collagen and vitamin E.
  • Ensure that your surgeon knows your medical history concerning conditions such as high blood pressure, heart disease, diabetes and drug allergies.
  • Organize for a sick-leave sick lasting for 5-7 days.
  • Wash your face and remove any makeup before the operation starts.

3. Fat transfer Operation only

Steps

On the day of surgery, the surgeon:

  • administers local anesthetic to the target treatment area
  • opens the wound on the patient’s thigh or belly
  • conducts a gentle liposuction using a fine needle
  • Removes fat cell from blood and lymph
  • Injects the fat cell gently to the tear
  • Stitches the wound on the area from where the cells were extracted and the target treatment part.

What to do after the procedure

  • Remain upright for the first 4 hours after injections to allow the filler to settle.
  • Use an extra pillow when sleeping to lift your head.
  • For approximately 5 to 7 days, put cold pack on your eyes 4 times daily to reduce swelling
  • Avoid strenuous activities for a day after the operation.
  • Stop taking the prescribed drugs and seek medical attention in case you experience allergic reactions like rash, itchiness or vomiting.
  • Refrain from tanning, chemical peels, or any facial therapy for 5 to 7 days
  • The stitches will be removed 5 days after having the operation.
  • You will need to see your doctor 2 to 4 weeks after the procedure for a checkup.
  • Refrain from smoking and drinking alcohol for 2 weeks after undergoing the operation.
  • Make up can be worn on the next day after surgery.
  • Results of tear trough correction are seen immediately.
  • Benefits of non-invasive tear trough correction will remain for 8 to 12 months, other times longer.
  • When results begin to wane, repeat injections are recommended for better looking eyes

How to take care of a surgical cut after stitches are removed

  • The operated part may swell after removing stitches, but the issue will resolve after 2-4 weeks.
  • Clean the surgical cut with a clean, warm towel for 3-5 days.
  • Consult your doctor in case you develop conjunctivitis, eye irritation or if the wound opens.

4. Lower eyelid blepharoplasty

Lower eyelid blepharoplasty is a procedure which involves the transfer bulges in the lower eyelid to fill the tear trough.  Removal of excess skin on the lower eyelids may also be required to tighten the area.

 

Pre-Operation
  • Avoid anti-inflammatory medicines, cigarette smoking and supplementary compounds which cause anticoagulation 10 days before undergoing surgery.
  • You may be required to avoid using supplementary compounds with high vitamin E content 3-5 days before the operation. If you take them, ensure that you bring it to the surgeon’s attention.
  • Two weeks before the procedure, avoid taking some supplementary like gluta, collagen and vitamin E.
  • Ensure that your surgeon knows your medical history concerning conditions such as high blood pressure, heart disease, diabetes and drug allergies.
  • Organize for a 5-7 day sick-leave.
  • Wash your face and remove any makeup just before the commencement of the operation.
  • It is convenient for a friend to accompany you during the day of the procedure.
  • Carry along sunglasses to reduce the impact of the sun on your eyes after the procedure
  • Don’t wear contact lens on the operation day
  • People suffering from hypertension are required to have their pressure regulated to less than 140/90 mm Hg for them to be operated.
  • The operation is not suitable for patients who use pacemakers.
  • People who take aspirin, Cumadin or those suffering from Heart valve disease must consult the surgeon. In such cases, the surgery can only be done in the hospital.
The Procedure

The surgeon:

  • Injects the skin beneath the eyelids with aesthetic solution
  • Places metal protector over the cornea of the patient’s eye
  • Cuts along the eyelid
  • Extracts the excess fat and transfers it to fill the area under eye
  • Reassesses the position of the fat
  • Removes the excess skin for best results
  • Closes the cut with tiny stitch
Post Operation
  • Use an extra pillow when sleeping to lift your head.
  • For approximately 5-7 days, put a cold pack on your eyes four times daily to reduce swelling.
  • Stop taking the prescribed drugs and seek medical attention in case you experience allergic reactions like rash, itchiness or vomiting.
  • Prevent the surgical cut from coming into contact with water until it is stitched off.