Contour plastic surgery of the nasolacrimal groove - a fresh and rested look

Description of procedures

The epidermis in the periorbital zone is extremely thin, which is why it is primarily subject to age-related changes. In addition, deformation of the architectonics of the face is a natural process, which is determined by the anatomy of the muscles involved in facial expressions.

The muscles themselves are connected to the lower edge of the orbital foramen and a skin flap in the same area.

With age, the ligaments that act as cables stretch and a skin fold forms near the inner corner of the eye.

• pathologies of the endocrine system;
• systematic overwork;
• regular lack of sleep;
• wrong lifestyle;
• sudden weight loss.

Nelly Mezerya (Cosmetologist):

An important feature of the facial muscles is the lack of clear bilateral fixation, as in the skeletal muscle tissue and even the masticatory muscles. Due to this feature, it is impossible to “pump up” the facial muscles, because at one end they are attached to the bone, and at the other - directly to the subcutaneous tissue, the structure of which does not have muscle fibers. In this regard, cosmetologists use artificial “strengtheners” and fillers.

Indications for use

Highlight:

• dark circles under the eyes;
• vascular network;
• depressions in the lower eyelid area.

Features of the anatomical zone

The nasolacrimal groove is located on the face just below the bony line of the inferior orbital space. The length of the line varies from 1 to 1.5 cm, the direction of which is framed in the infraorbital region from the outer to the inner edge of the eye.

There are two main types of furrow, characterized by the continuation of the line:

• nasozygomatic (continuation to the buccal-zygomatic zone):
• palpebromalar (otherwise infraorbital, as a continuation to the outer edge of the eye).

The formation of such a furrow on the facial skin is explained by the anatomical structure and the presence of a dense septum (septum).

The septum is fixed in the area of ​​the upper edge of the bone and connects to the circular muscular structure of the periorbital zone. This is why there is less displacement of the tissues of the upper third of the face than in the middle part.

If in youth the nasolacrimal groove is invisible due to sufficient tissue elasticity and active hydration processes, then in adulthood the septal ligaments lose their elasticity and contribute to sagging and protrusion due to changes in tension during muscle contractions.

A pronounced tear trough appears in the form of bluish bags under the eyes, translucency of blood vessels in the eye area, the face takes on an exhausted appearance, facial expressions are similar to the expression of a sick and eternally sad person.

The main reasons for the formation of a defect include:

• soft tissue ptosis due to age-related changes:
• changes in bone facial structures (smoothing or thinning of the surface);
• dystrophic changes in subcutaneous fat tissue;
• endocrinological diseases;
• chronic diseases of internal organs and systems;
• bad habits (drinking alcohol, smoking);
• excess of normal body weight;
• violation of the regime of wakefulness and rest.

An important factor in the formation of the nasolacrimal groove is heredity. If close relatives have a similar defect, then their children have a high probability of having a similar cosmetic problem with age.

It is worth considering that if there are provoking factors, they must be eliminated first.

Is it possible to remove nasolabial folds with hyaluronic acid and how effective is the procedure? Read here about the use of fillers in cosmetology.

At this address https://cosmetolog-expert.ru/plastika-litsa/feyslifting/filleryi/osobennosti-provedeniya-konturnoy.html watch a video of facial contouring using fillers.

Efficiency of fillers

A dermal filler introduced into the area of ​​the nasolacrimal groove smoothes the relief, fills the intercellular space, and can additionally eliminate the bluish tint of the skin.

Some products also promote powerful rejuvenation, stimulate the production of your own collagen fibers and elastin, and normalize the water balance of cells.

Nelly Mezerya (Cosmetologist):

Fillers strengthen the connection between the skin and muscle fibers, increasing muscle tone, thereby eliminating gaps at the junction of muscles and subcutaneous tissue. Accordingly, sagging skin and formed deep furrows - wrinkles - disappear.

As a result, the face looks toned, fresh and rested.

Efficiency

The first results are noticeable after the injection of the filler. The maximum result is observed after swelling and redness decrease after 14 days.

Everything depends entirely on the individual characteristics of the body and the patient’s skin type. The final result appears 4 weeks after the injection of fillers.

If the effect is insufficient, the doctor can inject the drug and make up for the deficiencies. After the procedure, the face takes on a young and blooming appearance, fatigue goes away, and wrinkles are smoothed out.

Thanks to fillers, it is possible to solve problems even with pronounced age-related changes in facial skin (deep creases, wrinkles, crow's feet).

Advantages

Cosmetologists include the following benefits of contour plastic surgery of the nasolacrimal groove:

• possibility of filling deep wrinkles;
• naturalness of the result;
• minimal risk of biological gel displacement;
• when choosing hyaluronic fillers, there is no rejection of the substance by the epithelial tissue;
• increasing skin tone, which remains in the same condition after degradation of the filler;
• the production of collagen and elastin is additionally activated, due to which the facial frame is strengthened and the epidermis is nourished;
• the possibility of eliminating an undesirable result through the intradermal administration of special drugs (hyaluronidase);
• The gel contained in the biomatrix does not affect facial expressions.

ANATOMY OF THE NASOLACRIMAL FOOTH

To understand why the nasolacrimal groove appears, we need to talk a little about the anatomy of our face and remember the features of the appearance of age-related changes:

The lower eyelid and the underlying tissues of the infraorbital region are separated by a ligament, which some authors (B. Mendelson) called the orbicularis retaining ligament (ORL), and others (F. Nahai) called the orbitomalar. On one side it is attached to the periosteum of the entire lower edge of the orbit, and on the other it is woven into the skin.

Fig. 2 Ligaments of the midface according to B. Mendelson: suspensory ligament of the orbicularis oculi muscle (ORL) and zygomatic ligament (ZL).

Under the outer part of the orbicularis oculi muscle of the lower eyelid, closer to its outer edge, below the ORL there is infraorbital fat (SOOF). It belongs to the deep fatty compartments of the face, is surrounded on all sides by its own membrane (“fat in the bag”) and, according to some authors (Yves Saban), acts as a lymphatic collector. In front is the orbital part of the orbicularis oculi muscle. And between it and the skin, merging very tightly, there is a superficial fat packet - the zygomatic fat layer - or the so-called. “Malar fat pad”. Both of these formations provide visible volume to the zygomatic region, and are also responsible for the formation of crow's feet and the transition between the eyelid and cheek - the nasolacrimal groove.

And I would like to draw your attention to the fact that SOOF, in addition to the shell itself, has a dense, inextensible environment: it is rigidly limited above and below by strong ligaments, and behind it is “propped up” by the zygomatic bone and, when fluid is retained, can bulge only forward, into the area of ​​the paint sac, increasing the projection of the latter is the mechanism for the formation of the notorious, causing a lot of inconvenience, paint bags.

Fig. 3 Location of SOOF and malar fat pad relative to the ligaments (J. Pessa, R. Rochrich. Facial topography. Clinical Anatomy of the Face, 2012).

REVIEWS ABOUT CORRECTION OF THE NASOLACRIMAL FROWS

“I had an appointment with cosmetologist O.V. Stepanova. Olga, after looking at the condition of my skin, recommended a course of biorevitalization. If anyone doesn't know, these are injections of hyaluronic acid. I had my first procedure done right away. I noticed the effect after a few days. The skin became more pleasant to the touch, smooth and silky. After the second procedure, I saw how fine wrinkles around the eyes, mouth and forehead smoothed out. The overall condition of the skin has improved. After biorevitalization, the face looks rested and radiant. I am very pleased. “Vera, 41 years old. You can read other reviews here.

Types of drugs

Several types of drugs are used in injection cosmetology, each of which has its own advantages and disadvantages.

Synthetic

They are considered liquid implants due to the fact that they are not excreted from the body. Often the preparations contain silicone, polyacrylamide or paraffin.

The advantages include long-term preservation of the result and low cost of the procedure.

However, in some cases, migration of the gel or its uneven distribution may occur, and allergies may occur.

Biosynthetic

A distinctive feature is the complete compatibility of the gel components with the human body.

The most popular biosynthetic fillers:

• Based on polycaprolactone. This substance is an ether that undergoes biological decomposition. There are no units of bacterial or animal origin, so they practically do not cause complications. The drugs help tighten the skin.
• Based on collagen of animal origin (mainly extracted from bovine skin) or donor (human). The synthetic unit is often polymethyl methacrylate, which ensures long-lasting results.
• Based on calcium hydroxyapatite, which is an inorganic substance and is present in decent quantities in human bone tissue. Thanks to the component, the synthesis of endogenous collagen is stimulated.

Biodegradable

They are among the safest, due to the guaranteed biodegradation of fillers in soft tissues.

Dermal fillers may contain hyaluronic or polylactic acid, as well as a combination of unstabilized hyaluronate and tri-calcium phosphate.

The disadvantage is the relatively short retention of the effect for a period of 3 to 12 months.

Fillers in the nasolacrimal groove: what results can be expected from contour plastic surgery?

The area under the eyes is one of the first to react to inevitable changes in our body associated with age and other unfavorable factors. There is very thin skin, very little fatty tissue and a complex microcirculation system that is prone to swelling.

Correction of the nasolacrimal trough with fillers allows us to compensate for the external signs of aging and significantly improve the way our face looks and feels. But this procedure has a lot of pitfalls: simply filling the folds will not always give the desired effect, and not all drugs are suitable for this purpose. How should the procedure be organized so that the result is truly pleasing? What gels are best and are there options other than hyaluronic acid? Are there complications and side effects? TecRussia.ru offers a detailed educational program:

↑ What is a nasolacrimal groove and what are the reasons for its appearance?

This term refers to the fold that originates from the inner corner of the eye and runs under the lower eyelid to the zygomatic arch. In young people it is invisible due to the high tone of the dermis and muscle fibers. But by the age of 25-30, the skin here stretches, the ligaments that supported it weaken, and the adjacent fatty tissue begins to steadily shift downward. The result is a very unaesthetic deformation. This process occurs especially quickly in the presence of a hereditary predisposition. Also, chronic diseases and an unhealthy lifestyle can accelerate it: smoking, frequent alcohol consumption, improper work and rest schedules, poor nutrition.

• Learn more about the causes of the defect and different ways to fix it
• Mesotherapy for the area around the eyes: who needs this procedure and why

A pronounced tear trough visually ages the face, and in combination with nasolabial and labiomental folds, it forms the so-called “Christmas tree” - a cascade of diagonal wrinkles, which is consistently associated with the age of “well over 40”. It is not surprising that procedures that help smooth the skin and eliminate swelling in this area are extremely in demand. And the most popular method of correction is, of course, injection.

↑ How fillers work

The general principle is as follows: using one or several injections, a light plastic gel based on hyaluronic acid (HA) is injected under the orbicularis oculi muscle. It fills hollow areas and slightly lifts them, so that folds and recesses are smoothed out and the skin stops sagging. The combination of these two effects immediately makes the face visually younger.

Contour plastic surgery of the nasolacrimal groove is a simple and convenient procedure, its main advantages:

• immediate result, which is noticeable immediately and lasts from 3 to 6-9 months;
• the ability to adjust folds of any depth;
• low trauma, minimal number of marks, natural appearance of the face;
• there is no need for special training;
• Just 1 session lasting 20–30 minutes is enough;
• it is possible to combine with other rejuvenating procedures and techniques;
• tissue trophism is not disturbed.

The main disadvantages of fillers:

• pain during injections;
• If the drug is administered incorrectly, inflammatory reactions, facial asymmetry due to compactions, poor circulation, severe swelling in the area around the eyes are possible;
• To maintain the effect, the procedure must be repeated every six months to a year.

These difficulties are minimized if you carefully choose a clinic and a doctor. An experienced specialist will take into account all the features of the skin condition, select the right drug and injection technique.

↑ Are there alternatives to hyaluronic acid?

Gels based on HA are completely biocompatible with our body. Immune and inflammatory complications in response to their administration appear extremely rarely. This alone is enough to make a choice in their favor, but let’s see what other options are in the arsenal of cosmetologists and plastic surgeons, what pros and cons they have:

• Other synthetic absorbable fillers are denser and more durable - for example, based on calcium hydroxyapatite (Radiesse) or polylactic acid (Sculptra). They are well suited for restoring the volume of the face, but in the case of the nasolacrimal groove, everything is more complicated: if you introduce such a strong drug into this delicate area with very thin skin and a small amount of fatty tissue, problems are possible - the gel will show through, form bumps, etc. In rare cases, they are still used to work with older patients, but the cometologist must very clearly understand what and how he is going to do.

• Lipofilling. In this case, the patient's own fat, taken from the thighs or abdomen, is used as a filler. It is believed that the result of such a procedure, firstly, lasts a very long time, and secondly, it looks the most natural, since, unlike hyaluronic acid, fat does not attract water and, accordingly, does not add puffiness to the face. But there are also disadvantages: high cost and difficult to predict results. Exactly how many transplanted cells will take root in the new location is unknown in advance, and several more very expensive sessions may be required for the full effect. Otherwise, the option is working; the advisability of its use should be discussed with your cometologist or surgeon (for more details, see also the article “Facial lipofilling”).
• Non-absorbable drugs. It’s unlikely that anyone would think of putting a biopolymer gel under their eyes today, but just in case, we warn you: under no circumstances should you use such fillers for this or any other areas of the face or body! The high probability of gel migration (displacement), frequent inflammatory and allergic reactions and a large number of complications are quite compelling arguments in favor of safer alternatives.

↑ Top 6 best fillers for the tear trough

Our rating includes drugs that, firstly, have collected a large number of positive reviews from cosmetologists and their patients, secondly, are legally clear and are supplied according to white schemes, and thirdly, do not raise any doubts in our minds from the point of view of safety of use. The distribution of places is conditional, any of these gels will give an equally good result, what will be much more important is which of them your cosmetologist knows how to work with:

↑ How the procedure is performed

The session begins with an in-person consultation with a cosmetologist, during which the doctor clarifies the presence of indications and contraindications, talks about the planned results, and also selects the optimal filler and injection scheme (as we mentioned above, facial contouring almost never begins with filling the nasolacrimal groove, therefore a separate consultation may not be necessary). The injections themselves take no more than 10–15 minutes, and approximately the same amount of time will be required for skin preparation and anesthesia. The session proceeds as follows:

• The patient takes a semi-sitting position.
• The face is cleansed of impurities and treated with an antiseptic.
• The correction zone is marked with a special marker.
• Anesthetic cream is not always applied - it all depends on the patient’s wishes. In addition, you can use fillers with lidocaine (almost all leading manufacturers have these in their lines), which blocks pain sensitivity after the first injection.
• Using special needles or cannulas, injections are made along previously marked lines. It is not advisable to inject more than 0.5 ml into one furrow.
• The skin under the eyes is lightly massaged so that the gel is distributed as evenly as possible, without sudden transitions.
• The face is re-treated with an antiseptic; a soothing mask or cold compress may be applied. Next, the cosmetologist gives recommendations on skin care to reduce recovery time and avoid complications, after which you can go home and return to your normal routine with minor restrictions.

After the procedure, redness remains throughout the chipped skin for about half an hour. Swelling may persist for several days (in the area around the eyes it can be especially strong) and there may be a feeling of fullness. To reduce rehabilitation time and prevent undesirable consequences, you must follow simple rules:

• Wipe the chipped area with an antiseptic several times a day, apply cold compresses to remove swelling and relieve pain.
• Until needle wounds are completely healed, avoid makeup, saunas, and solariums.
• It is recommended to sleep on your back for the first days.
• Do not apply moisturizers under the eyes for 1 week.
• When going outside, you should use protective SPF creams.

Injection marks disappear after 2-5 days, but complete tissue restoration takes longer, up to 2-3 weeks. During this time, the filler will be completely distributed and take its final position.

↑ Contraindications, possible complications and side effects

Correction of the nasolacrimal trough with fillers is not carried out in the following cases:

• dermatological diseases localized on the face;
• malignant neoplasms;
• diabetes mellitus;
• individual intolerance to HA or other components of the gel;
• exacerbations of chronic diseases.
• the patient's age is under 18 years;
• during pregnancy and lactation;

In addition, it is not recommended to perform contouring simultaneously with therapy with anti-inflammatory drugs and anticoagulants.

Common side effects include:

• Swelling after injections normally resolves within a few days; this process can be accelerated by briefly applying cold compresses.
• Bruises (hematomas) - occur if you injure a blood vessel with a needle; in the area under the eyes this is almost inevitable. They dissolve on their own in about a week.
• Lumps under the skin are normal for some medications, but the nasolacrimal area is corrected with very low-density fillers, and they are placed quite deep, which means there should be no such formations. If they appear, you should contact the cosmetologist who performed the injections for an in-person examination.

Serious complications after the procedure are extremely rare. Usually they are caused by incorrect correction technique, as well as the introduction of a drug of low quality or inappropriate density. It is worth paying attention to the following symptoms:

• pain and/or swelling, hematomas that do not go away within 1-2 weeks;
• blurred vision (possibly when filler gets into a large blood vessel);
• signs of infection: inflammation, redness, local increase in temperature in the area of ​​the injections;
• see also the article “Complications after contouring”.

In all these cases, you need to urgently seek help from your cosmetologist or any other available doctor. Self-medication is unacceptable and can further aggravate the situation.

Popular drugs

Cosmetologists identify a number of top fillers that they prefer in their practice.

Juvederm

A product from a French manufacturer with a high concentration of hyaluronic acid.

The peculiarity is a unique way of connecting long and short chains of active substance molecules. As a result, the risk of side effects such as swelling is minimal.

For correction, it is recommended to use the Volbell modification, in which hyaluronate is presented in a ratio of 15 mg/ml and supplemented with lidocaine. The latter allows for invasion with virtually no pain.

Surgiderm 30 xp

The product is produced by the same company that produces Juvederm gels.

The drug base is hyaluron in a three-dimensional matrix, due to which a 3D effect is achieved. This ensures long-term results and good ductility of the filler.

Teosyal redensity 2

A Swiss-made drug based on hyaluronic acid of non-animal origin, supplemented with amino acids, a complex of minerals and vitamins, and lidocaine.

To correct the relief of the nasolacrimal groove, it is recommended to use Redensity 2 Puresense.

Filorga m-ha 18

Designed for the age group 30-50 years. Soft gel with good viscosity. Does not create lumps in the subcutaneous space.

Indicated when necessary to eliminate pronounced wrinkles and tighten the skin flap. Additionally, it has a deep moisturizing effect.

Suitable for use in clients with thick skin and active sebaceous secretion.

Style s

Hyaluronic acid in the filler reaches 16 mg/ml. The product contains mannitol, which acts as a protective barrier against free radicals and adverse environmental influences. A variation with lidocaine, identical in its main components, is produced.

During injections, additional hydration of the dermis occurs due to the normalization of cell hydrobalance.

Radiesse

Volumizer based on calcium hydroxyapatite. Originally developed to fill lost soft tissue in AIDS patients. Promotes the production of your own collagen fibers.

Disadvantage - can only be entered correctly by a highly qualified specialist.

Princess

A commonly used base filler that is also used to fill wrinkles of varying severity. The results from biogel invasion last up to one year.

It is based on hyaluronic acid of uniform consistency (produced by processing raw materials of non-animal origin). Suitable for use on young skin. Fully compatible with the human body.

Contraindications

To avoid complications after contouring, the following contraindications should be taken into account:

• age under 18 years;
• pregnancy;
• breastfeeding period;
• critical days;
• tendency to edema;
• autoimmune system diseases;
• epilepsy;
• mental disorders;
• inflammatory processes in the intended correction area;
• cancerous tumors;
• infection/virus;
• tendency to form atrophic scars;
• hernias in the eye area;
• chronic diseases in acute form;
• hemophilia;
• elevated blood glucose levels;
• predisposition to allergies;
• intolerance to the components of the drug/anesthetic.

Why is she becoming so visible?

The main reason for the bluish color of the furrow is that the vessels and orbicularis oculi muscle are visible through the skin. Triggers for the formation of this deficiency are age-related or genetic “weight loss” of adipose tissue under the eyes. Because of this, the relief of this area changes, unnecessary shadows are formed, which visually gives the eyes a tired look.

Most often, a pronounced furrow becomes noticeable after 35-40 years.

Precautionary measures

Filler must be injected into the nasolacrimal groove by a qualified specialist; injecting yourself at home is strictly prohibited.

To avoid complications and to exclude all contraindications, the cosmetologist has the right to prescribe certain tests and visits to related doctors.

In some cases, anti-inflammatory medications are pre-treated.

When choosing a clinic, you should study reviews about the center. Saving money on the procedure can have serious consequences.

Price

Smoothing the nasolacrimal groove will cost 9-15 thousand rubles. The price is determined by the type of filler, number of injections, type of clinic and doctor’s qualifications, as well as the anesthetic.

In many cases, the procedure requires several steps (usually 2 steps). If it is necessary to carry out auxiliary facial skin care procedures, the cost can increase significantly.

How the procedure is performed correctly is described in detail in the video.

Side effects

After drug injections, some side effects may occur.

• Edema . Standard reaction of the skin to microdamage. The degree also depends on the filler used. If it is based on hyaluronic acid, then due to its hydrophilicity, more pronounced swelling occurs.
• Painful sensations . There are several reasons for the phenomenon: mechanical impact on the skin with a needle and oppression of soft tissues by the drug (the epidermis needs some time to adapt).
• Inflammatory processes are a consequence of opportunistic flora that develops after insertion of a needle into the biomatrix. They can also be triggered by a natural immune response, an infection, or due to the activation of bacteria.
• Necrosis . Occurs due to a violation of the filler injection technique. If the gel enters a blood vessel or is pushed to an inappropriate depth, an embolism occurs. Symptoms include pain on the first day after injections and subsequent severe redness of the skin.
• Fibrosis . They are peculiar dense capsules that arise as a result of the body’s perception of the filler as a foreign body or in the case of an undetected latent infection.
• Tyndall effect, or vascular network contouring . It appears after exposure to a dense product on the surface layers of the skin.
• Deviations of a neuropathic nature (loss of sensitivity) . The reason is the pressure exerted by the filler on the vessels.
• Pigmentation , as a protective reaction of the body, is associated with a large amount of melanin produced.

These symptoms go away without additional treatment and last no longer than a week. In case of complications, you should consult a doctor.

Possible complications

After almost every injection with fillers, swelling and redness occur at the injection site. Such phenomena are natural and disappear after 3 days.

Serious adverse reactions occur in a small number of patients. These include:

• infection at the puncture site;
• necrotic changes in soft tissues;
• embolism;
• scarring and fibrosis.

Usually all complications arise due to the fault of the doctor. If the injection is administered too deeply, if the technique of the method is violated, as well as if the dosage is incorrectly determined, serious changes occur in the structures of the dermis.

How does plastic surgery work?

The first stage that needs to be completed is a consultation with a cosmetologist. It discusses the patient’s wishes, assesses the complexity of the situation, and selects the most appropriate drug.

Preparation

Filler injections do not require special preparation; it is enough to follow some recommendations.

During this period it is prohibited:

• drinking alcohol;
• exert physical stress on the body;
• smoke;
• sunbathing in a solarium;
• carry out aggressive cosmetic procedures.

In the case of fragile blood vessels and capillaries close to the surface of the skin, the doctor may prescribe ascorutin.

Administration technique

Filling the nasolacrimal trough with fillers looks like this:

• Cleansing the skin of makeup and dust particles, treating with an antiseptic.
• Marking the lines of influence with a special marker to prevent errors in the accuracy of the needle puncture due to swelling that occurs during the invasion.
• Anesthesia. Not required if the filler contains an anesthetic component. If it is not there, lidocaine can be injected, Emla cream or its analogue “Anestop” can be applied. However, some experts recommend skipping this step so as not to provoke hyperemia or swelling.
• Carrying out injections. There are two options: using a plastic cannula or a needle.
  1. In the first case, the process is least traumatic, because no more than two points of influence are required to achieve the result. The cannula also has a blunt tip, which not so much pierces the dermis as “spreads” the integument. Manipulations are carried out according to the principle of linear-retrograde technique from the outer corner of the eye to the inner corner.

  If the cosmetologist chooses a needle for correction, then the procedure takes place within the framework of the microbolus method.

It is necessary to control the exact amount of filler. On average, 1 ml of the drug is enough to eliminate defects on both sides. It is not recommended to introduce a larger volume.

• Final surface treatment with a disinfecting solution.
• If it is necessary to distribute the gel more evenly in the subcutaneous space, give a light massage.
• Applying an anti-inflammatory mask or serum.

Duration of action

The duration of the session does not exceed 20 minutes; taking into account anesthesia, the time is doubled.

How does the procedure work?

Depending on the age and reasons for the formation of the furrow, the doctor chooses the drug. Usually these are fillers from the Juvederm line with VYCROSS technology. It is separately noted that these particular fillers do not cause additional swelling, which is what many patients are so afraid of.

Most often, the doctor will suggest not just filling the area of ​​retraction, but carrying out a complete correction of the cheekbone, that is, correcting the buccal groove - this is a continuation of the tear groove in the cheek area and the cheekbones themselves.

A story about injectable fillers from 03:00

Rehabilitation period

After correction of the fold in the area of ​​the nasolacrimal gland, it is necessary to adhere to a number of restrictions that relate to:

• applying makeup (you should refrain for at least a day);
• baths or saunas;
• visiting a solarium or tanning in natural conditions (if it is necessary to stay in the sun, it is recommended to apply protective creams);
• physical activity;
• alcohol;
• any mechanical effects on the corrected area.

Nelly Mezerya (Cosmetologist):

The recovery time after filler installation is no more than 7-8 days. Usually, after one week, all restrictions are lifted.

METHODS FOR CORRECTION OF THE NOSATHRIMAL FROWS

Of course, a healthy lifestyle and a balanced diet can slow down the aging process and the formation of unwanted folds on the face. However, sooner or later age-related changes will make themselves felt. When a nasolacrimal groove has already appeared, turning to cosmetologists and plastic surgeons will be the only right decision.

Aesthetic medicine can effectively cope with such problems. They are solved not only by plastic surgeons, but also by cosmetologists with the help of:

• contour plastic surgery;
• lipofilling;
• lower fat-saving bepharoplasty.

Photos before and after

Comparison with other correction methods

To eliminate a defect in the periorbital zone, there are other methods of influence.

• Hardware lifting . Aimed at stimulating the production of your own collagen fibers and elastin. To achieve the result, specialized equipment is used that affects the skin through radio waves or electromagnetic pulses.
• Blepharoplasty . Recommended if there are additional problems in the periorbital area. It is a full-fledged surgical intervention. During the procedure, general anesthesia is used. Characterized by a longer rehabilitation period.
• Lipofilling . The subcutaneous space is filled using the patient's fatty tissue. To obtain raw materials, liposuction must first be performed. There is a risk of swelling during the recovery period during critical days and migration of material to nearby areas.
• Mesotherapy/biorevitalization . These procedures bear fruit only in the case of the primary manifestation of the nasolacrimal groove. Light hyaluronic cocktails are used for injections. The result lasts no longer than 9-12 months.
• Thread lifting . During the invasion, the cosmetologist uses mesothreads with notches that are fixed in the soft tissues. The effect lasts up to 7 years. Lactic acid, gold, caprolac can be used as material for threads.

AGE CHANGES IN THE AREA OF THE NASOLACRIMAL FOOTH

In addition to all of the above, it is worth noting that all facial tissues undergo age-related changes: skin, fat, muscles, bones:

• The skin slows down the production of collagen, elastin and hyaluronic acid - the main elements responsible for skin hydration and elasticity. As a result, the skin becomes dry, its turgor decreases, color deteriorates, etc.
• Changes in fatty tissue also contribute: deep packets decrease in volume, while superficial ones fragment and slide down.
• The muscles lose their tone, stretch and cease to hold the fatty tissue that is located underneath them, causing the latter to shift downward, and in some places anteriorly, forming rolls and bags.
• However, there is also an opposite point of view: French surgeons Claude LeLouarne and Jacques Buie suggested that the facial muscles (especially the depressor muscles, which give the face a sad expression) due to constant work become tense, dense, inextensible, and short. They “squeeze out” fat from deep spaces more superficially, which leads to the formation of ridges and unevenness on the face.
• Bone tissue undergoes resorption - resorption, which causes its subsidence and posterior displacement. This process is especially pronounced in the area of ​​the upper-inner and lower-outer edges of the orbit, the upper jaw, the pyriform opening and the pre-mandibular fossae.

It is worth noting that unfavorable internal and external factors contributing to the early manifestation of the nasolacrimal trough are:

• Genetic predisposition!
• The influence of direct sunlight, or rather ultraviolet radiation (so-called photoaging);
• Alcohol abuse and smoking;
• Stress, both chronic and acute;
• Hormonal imbalance due to a pathological process occurring in the body (gynecological, endocrine and other disorders);
• Poor nutrition.

Cost of the procedure in clinics

The price for nose tear correction directly depends on the rating of the clinic, the level of qualifications of the staff, the chosen filler, and the consumables used.

Moscow

Belgorod

Novosibirsk

Nizhny Novgorod

Minsk

Ekaterinburg

Yakutsk

Opinion of cosmetologists

The opinion of cosmetologists regarding the correction of nasal tears can be judged by looking at highly specialized forums on the Internet.

Doctors pay special attention to the careful selection of a specialist who can correctly select the filler and carry out the procedure itself:

The surgeon notes the high effectiveness of using dermal fillers:

The specialist talks about the optimal technique for introducing gels using cannulas:

Significant benefits

The introduction of beauty fillers has a beneficial effect on different dermal layers, which is reflected on the surface of the skin. Wrinkles disappear, a facial contour is created, and a youthful and blooming appearance returns.

Among the main advantages are:

• immediate results with increasing effectiveness;
• a small number of contraindications;
• lack of special preparation for administration;
• combination with many procedures;
• preservation of tissue trophism and nutrition;
• procedure time – about 30 minutes;
• no incisions or surgical manipulations.

The absence of serious complications, a long rehabilitation period, high efficiency of the procedure and cost are important advantages in determining the method of correcting age-related changes.