Abstract
Tear trough deformities and dark circles are important parts of periorbital aging.
In this study, the tear trough ligament was reset to correct the tear trough deformity,
and its effect on dark circles was analysed. The medical records of 60 patients who
underwent eye bag plastic surgery between January 2021 and February 2022 were analysed
(30 had traditional eye bag plastic surgery and 30 had the tear trough ligament reset).
The tear trough deformity score and the dark circle score showed that the corrective
effect on the tear trough deformity in the reset group was better than in the traditional
surgery group at six-month follow up (mean (SD) tear trough rating scale (TTRS) score = 4.82
(0.95) vs 5.92 (1.00), p < 0.0001; L* value 55.27 (2.90) vs 47.51 (3.00), p < 0.0001).
The satisfaction of patients in the reset group was significantly higher than it was
in the traditional surgery group (25/30 vs 18/30, p = 0.045). Tear trough ligament
reset is a safe and effective surgical method of periorbital rejuvenation, especially
for beauty seekers with obvious tear trough deformities.
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 accessOne-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 SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Eyelid reconstruction.Plast Reconstr Surg. 2017; 140: 724e-e735
- Sub-brow lift combined with orbicularis oculi folding for periorbital rejuvenation.Br J Oral Maxillofac Surg. 2022; 60: 779-784
- Recommendations for the treatment of tear trough deformity with cross-linked hyaluronic acid filler.J Cosmet Dermatol. 2021; 20: 6-17
- Mapping the emotional face. How individual face parts contribute to successful emotion recognition.PLoS One. 2017; 12: e0177239
- Nonsurgical treatments for infraorbital rejuvenation: a review.Dermatol Surg. 2019; 45: 700-710
- Tear trough implants for correction of tear trough deformity.Clin Plast Surg. 1993; 20: 403-415
- The tear trough and lid/cheek junction: anatomy and implications for surgical correction.Plast Reconstr Surg. 2009; 123: 1332-1340
- The tear trough ligament: anatomical basis for the tear trough deformity.Plast Reconstr Surg. 2012; 129: 1392-1402
- 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-e654
- 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
- Definition of the tear trough and the tear trough rating scale.J Cosmet Dermatol. 2007; 6: 218-222
- Evaluation of combination therapy with peeling added to minimal invasive blepharoplasty in lower eyelid rejuvenation.J Cosmet Dermatol. 2020; 19: 2922-2928
- Tear trough deformity: review of anatomy and treatment options.Aesthet Surg J. 2012; 32: 426-440
- Facial soft-tissue spaces and retaining ligaments of the midcheek: defining the premaxillary space.Plast Reconstr Surg. 2013; 132: 49-56
- Anatomy and nonsurgical correction of the tear trough deformity.Plast Reconstr Surg. 2010; 125: 699-708
- Tear trough ligament release and autologous fat injection as a new method for tear trough deformity correction.Aesthetic Plast Surg. 2022; (Online ahead of print)https://doi.org/10.1007/s00266-022-03002-6
- Relations of the superficial musculoaponeurotic system to the orbit and characterization of the orbitomalar ligament.Ophthalmic Plast Reconstr Surg. 1996; 12: 77-88
- Correction of tear trough deformity by hyaluronic acid soft tissue filler placement inferior to the lateral orbital thickening.Dermatol Ther. 2021; 34: e15045
- Analysis of the anatomic changes of the aging facial skeleton using computer-assisted tomography.Ophthalmic Plast Reconstr Surg. 2009; 25: 382-386
- 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: 479-490
- Corrective treatment for tear trough deformity in a young population utilizing two-dimensional fat injections.J Cosmet Dermatol. 2022; 21: 564-570
- 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
- Periocular dark circles: correlates of severity.Ann Dermatol. 2021; 33: 393-401
- Infraorbital dark circles: definition, causes, and treatment options.Dermatol Surg. 2009; 35: 1163-1171
- Infraorbital dark circles: a review of the pathogenesis, evaluation and treatment.J Cutan Aesthet Surg. 2016; 9: 65-72
Article info
Publication history
Published online: November 17, 2022
Accepted:
November 11,
2022
Received in revised form:
November 3,
2022
Received:
September 16,
2022
Identification
Copyright
© 2022 Published by Elsevier Ltd on behalf of The British Association of Oral and Maxillofacial Surgeons.