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Facial Plast Surg 2022; 38(02): 143-151
DOI: 10.1055/s-0041-1741498
Original Article

Tear Trough and Lid–Cheek Junction Anatomy: Current Understanding and Nonsurgical Treatment

Steven Liew
1   Specialist plastic surgeon. Shape Clinic, Sydney, New South Wales, Australia
,
Dinuksha De Silva 
2   Department of Plastic and Reconstructive Surgery, St George Hospital, Sydney, New South Wales, Australia
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Abstract

The tear trough and lower eyelid are sentinel sites of facial aging and are increasingly the target of nonsurgical aesthetic procedures. This article will review the advances that have led to our current understanding of tear trough anatomy. We propose a new functional classification of the lid–cheek junction for soft tissue filler treatment, and suggest simpler stratification of patients seeking lower eyelid treatment based on the etiology of their tear trough depression. We aim to describe a stepwise approach to management, with specific technical considerations targeting the underlying causes of lower eyelid pathology. The common complications and pitfalls of nonsurgical tear trough management will be discussed.

Keywords

tear trough - lower eyelid - facial rejuvenation - hyaluronic acid filler - lid–cheek junction anatomy


Publication History

Article published online:
03 February 2022

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