Advertisement

Tear Trough Ligament Reset as a New Method for Tear Trough Deformity and Dark Circles Correction

  • Mandi Zhou
    Affiliations
    Department of Medical Cosmetology, The First Clinical Medical College of China Three Gorges University, Yichang Central People’s Hospital, Institute of Medical Cosmetology, China Three Gorges University, Yichang 443003, China
    Search for articles by this author
  • Lei Cui
    Correspondence
    Corresponding authors at: No. 183, Yiling Avenue Yichang City, Hubei Province, China, Jiabing Ran, No. 8 University Road Yichang City, Hubei Province, China
    Affiliations
    Department of Medical Cosmetology, The First Clinical Medical College of China Three Gorges University, Yichang Central People’s Hospital, Institute of Medical Cosmetology, China Three Gorges University, Yichang 443003, China
    Search for articles by this author
  • Shuai Jin
    Affiliations
    Department of Medical Cosmetology, The First Clinical Medical College of China Three Gorges University, Yichang Central People’s Hospital, Institute of Medical Cosmetology, China Three Gorges University, Yichang 443003, China
    Search for articles by this author
  • Lannan Chen
    Affiliations
    Department of Medical Cosmetology, The First Clinical Medical College of China Three Gorges University, Yichang Central People’s Hospital, Institute of Medical Cosmetology, China Three Gorges University, Yichang 443003, China
    Search for articles by this author
  • Jiabing Ran
    Correspondence
    Corresponding authors at: No. 183, Yiling Avenue Yichang City, Hubei Province, China, Jiabing Ran, No. 8 University Road Yichang City, Hubei Province, China
    Affiliations
    College of Biological & Pharmaceutical Sciences, China Three Gorges University, Yichang 443002, China
    Search for articles by this author
Published:November 17, 2022DOI:https://doi.org/10.1016/j.bjoms.2022.11.254

      Abstract

      Background

      Tear trough deformities and dark circles are important parts of periorbital aging. In this study, tear trough ligament reset was used to correct tear trough deformities, and its effect on dark circles was analysed.

      Methods

      The medical records of patients who underwent eye bag plastic surgery between January 2021 and February 2022 were analysed (n=60), including 30 patients of traditional eye bag plastic surgery and 30 patients of the tear trough ligament reset.

      Results

      The tear trough deformity score and the dark circle score showed that the corrective effect on tear trough deformity in the tear trough reset group was better than the traditional surgery group at the six-month follow-up (tear trough rating scale (TTRS) score = 4.82±0.95 vs 5.92±1.00,p= 0.000; L* value 55.27±2.90 vs 47.51±3.00, p= 0.000). The satisfaction of patients in the tear trough reset group was significantly higher than the traditional surgery group (25/30 vs 18/30,p=0.045).

      Conclusion

      Tear trough ligament reset is a safe and effective surgical method for periorbital rejuvenation, especially for beauty seekers with obvious tear trough deformities.
      Presented at (if applicable):
      _____Lei Cui_________________________
      Short Running Head (no more than 40 characters in length):
      _Tear Trough Ligament Reset__________

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to British Journal of Oral and Maxillofacial Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

      1. Chang, E. I., Esmaeli, et al.Eyelid Reconstruction. Plast Reconstr Surg 2017;140:724e-735e.

        • Jin S.
        • Cui L.
        • She J.
        • et al.
        Sub-brow lift combined with orbicularis oculi folding for periorbital rejuvenation.
        Br J Oral Maxillofac Surg. 2022; 60: 779-784
        • Anido J.
        • Fernandez J.M.
        • Genol I.
        • et al.
        Recommendations for the treatment of tear trough deformity with cross-linked hyaluronic acid filler.
        J Cosmet Dermatol. 2021; 20: 6-17
      2. Wegrzyn, M., Vogt, et al. Mapping the emotional face. How individual face parts contribute to successful emotion recognition. PLoS One 2017;12:e0177239.

        • Lipp M.
        • Weiss E.
        Nonsurgical Treatments for Infraorbital Rejuvenation: A Review.
        Dermatol Surg. 2019; 45: 700-710
        • Flowers R.S.
        Tear trough implants for correction of tear trough deformity.
        Clin Plast Surg. 1993; 20: 403-415
        • Haddock N.T.
        • Saadeh P.B.
        • Boutros S.
        • et al.
        The tear trough and lid/cheek junction: anatomy and implications for surgical correction.
        Plast Reconstr Surg. 2009; 123: 1332-1340
      3. Wong, C. H., Hsieh, et al. The tear trough ligament: anatomical basis for the tear trough deformity. Plast Reconstr Surg 2012;129:1392-1402.

      4. Chen, S., Ma, et al. Anatomical Characterization of the Tear Trough and the Lid-Cheek Junction: An Iodine Staining Technique Based on High-Resolution Micro-Computed Tomography. Plast Reconstr Surg 2022;149:646e-654e.

        • Majidian Ba M.
        • Bs K.
        • et al.
        Transconjunctival lower eyelid blepharoplasty with fat transposition above the orbicularis muscle for improvement of the tear trough deformity.
        J Cosmet Dermatol. 2021; 20: 2911-2916
        • Sadick N.S.
        • Bosniak S.L.
        • Cantisano-Zilkha M.
        • et al.
        Definition of the tear trough and the tear trough rating scale.
        J Cosmet Dermatol. 2007; 6: 218-222
        • Asilian A.
        • Shahmoradi Z.
        • et al.
        Evaluation of combination therapy with peeling added to minimal invasive blepharoplasty in lower eyelid rejuvenation.
        J Cosmet Dermatol. 2020; 19: 2922-2928
      5. Stutman, R. L., Codner, et al. Tear trough deformity: review of anatomy and treatment options. Aesthet Surg J 2012;32:426-440.

      6. Wong, C. H., Mendelson, et al. Facial soft-tissue spaces and retaining ligaments of the midcheek: defining the premaxillary space. Plast Reconstr Surg 2013;132:49-56.

        • Hirmand H.
        Anatomy and nonsurgical correction of the tear trough deformity.
        Plast Reconstr Surg. 2010; 125: 699-708
        • Huang R.
        • Yang J.
        • Fan J.
        • et al.
        Tear Trough Ligament Release and Autologous Fat Injection as a New Method for Tear Trough Deformity Correction.
        Aesthetic Plast Surg. 2022;
      7. Kikkawa, D. O., Lemke, et al. Relations of the superficial musculoaponeurotic system to the orbit and characterization of the orbitomalar ligament. Ophthalmic Plast Reconstr Surg 1996;12:77-88.

      8. Wollina, U., Goldman, et al. Correction of tear trough deformity by hyaluronic acid soft tissue filler placement inferior to the lateral orbital thickening. Dermatol Ther 2021;34:e15045.

        • Richard M.J.
        • Morris C.
        • Deen B.F.
        • et al.
        Analysis of the anatomic changes of the aging facial skeleton using computer-assisted tomography.
        Ophthalmic Plast Reconstr Surg. 2009; 25: 382-386
      9. Pessa, J. E. An algorithm of facial aging: verification of Lambros's theory by three-dimensional stereolithography, with reference to the pathogenesis of midfacial aging, scleral show, and the lateral suborbital trough deformity. Plast Reconstr Surg 2000;106:479-488; discussion 489-490.

      10. Su, Y., Zhong, et al. Corrective treatment for tear trough deformity in a young population utilizing two-dimensional fat injections. J Cosmet Dermatol 2022;21:564-570.

        • Gawdat T.I.
        • Elsherif E.A.E.
        • Alahmadawy Y.A.
        • et al.
        Management of tear trough deformity with and without tear trough-orbicularis retaining ligament complex release in transconjunctival blepharoplasty: a comparative study.
        Int J Ophthalmol. 2019; 12: 89-93
        • Lim H.G.Y.
        • Fischer A.H.
        • Sung S.
        • et al.
        Periocular Dark Circles: Correlates of Severity.
        Ann Dermatol. 2021; 33: 393-401
      11. Roh, M. R., Chung, et al. Infraorbital dark circles: definition, causes, and treatment options. Dermatol Surg 2009;35:1163-1171.

      12. Vrcek, I., Ozgur, et al. Infraorbital Dark Circles: A Review of the Pathogenesis, Evaluation and Treatment. J Cutan Aesthet Surg 2016;9:65-72.