Correction of the nasolacrimal trough with fillers based on hyaluronic acid

What is the nasolacrimal trough?
Prevention
Indications for correction
How to eliminate a nasolacrimal trough
What fillers are used to correct the nasolacrimal trough?
Advantages
Contraindications
How does the procedure work?
Rehabilitation

Along with the well-known signs of aging, such as wrinkles, there are also less obvious signs of age. One of them is a pronounced nasolacrimal groove. This defect can be eliminated in one visit to the clinic using filler injections.

What is the nasolacrimal trough?

This is the name of the line separating the periorbital region from the buccal-zygomatic region. The groove starts from the inner corner of the eye and goes down to the cheekbone and then to the temple. The skin in this area is especially thin, delicate and dry, prone to early wilting.

Usually in youth the nasolacrimal groove is invisible due to the elasticity and good moisture of the tissues. With age, the skin stretches, shadows appear under the eyes, wrinkles appear, and due to a lack of subcutaneous fat, the eyes may look sunken.

The severity of the nasolacrimal groove depends not only on age, but also on the structural features of the face, but this defect always visually adds extra age.

Age-related changes and structural features are not the only reasons for the appearance of a defect. Stress, lack of sleep, dieting, weight changes and poor nutrition, endocrine diseases and bad habits also play a role.

Prevention

It is not always possible to prevent the appearance of a nasolacrimal trough. For example, if this defect is due to genetics and appears at an early age, preventive measures will be useless. In other cases it is recommended:

Do not get carried away with salty, spicy, smoked foods, as well as simple carbohydrates - especially before bed.
Try to maintain a stable weight, avoid extreme diets and fasting, and do not overeat.
Drink enough fluid - mainly in the first half of the day.
Use only products specifically designed for this area to care for the skin around the eyes.
Monitor the health of the heart and kidneys, treat diseases that cause swelling.

How to eliminate a nasolacrimal trough

Whatever the reason for the appearance of a “nasal tear,” the defect can be corrected. To eliminate the furrow, injections of hyaluronic acid fillers are used. The drug is injected into the area under the eyes and replenishes the volume deficit. As a result, the relief is evened out, the skin is smoothed, shadows under the eyes disappear, and the face looks rested and young.

Fillers for contouring are biodegradable gels that are not rejected by the body. Injections of such drugs allow you to create volume exactly where it is needed. One procedure is enough to forget about the nasolacrimal groove for several months. The fillers then gradually dissolve and the procedure can be repeated if necessary.

The choice of drug is made by a cosmetologist after examining and assessing the condition of the skin. Incorrect selection of the type of filler, as well as incorrect calculation of the dose, can lead to swelling and stretching of the skin. As a rule, the most delicate varieties are used in this zone in minimal quantities.

Possible complications and methods of their treatment

The obtained result may differ significantly from the expected effect when correcting the nasolacrimal groove.

Here are some possible reasons for the deterioration:

defective product;
a cosmetologist who does not have the necessary knowledge and experience;
violation of the conditions of the procedure;
contraindications not detected during the examination.

All consequences are removed by performing certain manipulations when the client goes to a medical institution. In severe situations, surgical operations may be performed.

1. Swelling.

The appearance of swelling is a standard reaction of the body to various outside interventions. Normal swelling goes away on the second or third day. If one of the requirements is violated during correction, then the recovery process will change.

If fillers are injected too deeply or if the volume of the product is incorrectly selected, swelling may not subside within one to two weeks.

If, in addition to swelling, bruises begin to form on the skin around the eyes and not only, then an urgent consultation with a doctor is needed. Such a complication may be an indicator of damage to the circulatory system or signal the onset of inflammation under the skin.

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2. Pain.

Pain may persist for a long time when pressing on the area that has undergone correction. There are several explanations for this:

nerve endings were affected;
muscle tissue was shifted due to the administration of unequal doses of the drug;
high sensitivity of the skin to the size of the needle used.

3. Inflammation.

Typically, inflammation is the body's reaction to the introduction of foreign substances. It usually goes away after two to three days. However, violation of sanitary and hygienic standards can lead to the development of infectious complications.

4. Necrosis.

Necrosis is the most dangerous and undesirable complication after correction of the nasolacrimal trough using fillers. Such changes develop if the administered drug gets between the vessels and disrupts the movement of blood in a certain area of the skin.

Swelling, inflammation, and bruising can cause necrosis. The gel, which has changed the movement of blood, itself begins to move and contributes to injury to the nerves. It is possible to eliminate the consequences and solve the problem of necrotic complications, but disturbances in the work of facial muscles are likely.

Nowadays, you no longer have to spend a lot of time performing complex and unpleasant procedures at home. It is much easier to seek help from real professionals - the Veronika Herba beauty and health center, equipped with effective and modern equipment.

Why clients choose Veronika Herba beauty and health center:

This is a beauty center where you will have your nasolacrimal gland corrected at a reasonable cost, and your face will be treated not by an ordinary cosmetologist, but by one of the best specialists in Moscow. This is a completely different, higher level of service!
You can receive qualified help at any time convenient for you. The beauty center is open from 9:00 to 21:00, seven days a week. The main thing is to agree with your doctor in advance on the date and time of your appointment.

What fillers are used to correct the nasolacrimal trough?

Dense dermal fillers should not be used for the periorbital area - they attract water too much and retain it in the tissues. As a result, swelling and contouring of the gel are possible (the filler shows through under the skin in the form of bumps or a bluish tint at the site of the dermal filler injection).

A good choice for the eye area would be fillers such as:

Teosial Redencity 2;
Juviderm Volbella;
Belotero Soft;
Belotero Balance.

All these preparations are safe and flexible, they are distinguished by low hygroscopicity and liquid consistency.

Fillers can be injected using a thin needle or cannula. The choice of technique remains with the doctor: the doctor is guided by his experience and the individual characteristics of the patient’s body.

What are the dangers of inexpensive filler drugs?

The most common complication after correction of the nasolacrimal trough is swelling in the area of the paint bags. There are several causes of edema:

Incorrect administration of drugs : incorrect technique, wrong layer of “layout” of the drug. These errors can occur even after the introduction of premium fillers and depend on the skill of the cosmetologist.
The filler was selected incorrectly (according to its properties). If the filler is weakly cohesive, swelling may form after 1-2 days, as soon as the drug begins to attract water. There is only one way out - to “dissolve” the drug with hyaluronidase, returning the patient his “native” dark circles.
The combination of these two factors : the filler is chosen correctly, but “laid” in the subcutaneous fat layer. With a high degree of probability, you can predict an excellent result immediately after the procedure and even after 2-4 months. But as soon as the patient’s immunity is weakened (for example, common colds), the filler will manifest itself as swelling.

It would seem, what does the price have to do with it? Inexpensive fillers are characterized by low cohesiveness and high density, which is a complete contraindication for injection into the eye area.

We do not recommend introducing drugs into this area without registration documents in the Russian Federation: Neuramis, Dermalax, Rejeunesse, Regenovue, Elravie, Revolax.

Recommended fillers

If you want to get a guaranteed result for more than 10 months, we recommend you the premium drug Belotero using Levon Chakhoyan’s original method of administration.

You can also use Juvederm Volbella, Teosyal Redensity and a number of others.

Dr. Chakhoyan is a trainer at the Merz cosmetology concern (Germany), a member of the Merz expert council, and conducts training seminars for cosmetologists, including on correction of the nasolacrimal trough.

Expert correction of the lower eyelid area is available to you too! The sooner you think about eliminating this deficiency, the younger you will look in 5-10 and even 20 years! Keep your youth now.

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Advantages

Contour plasty has several significant advantages over surgical blepharoplasty.

No preparation required. Correction can be carried out immediately after examination and consultation.
The procedure takes a minimum of time. After 30–60 minutes you can leave the clinic.
Low morbidity. Injection procedures are minimally invasive and involve minimal disruption of the integrity of the skin. Accordingly, the risk of complications tends to zero.
No traces. Tiny punctures heal quickly, leaving no marks, marks or scars.
Fast recovery. Redness and swelling persist for a maximum of 3 to 4 days.
Availability. The number of contraindications is minimal, and the cost is much lower than with surgery.

Contraindications

Pregnancy, lactation.
Blood clotting disorders (of any etiology).
Autoimmune, oncological diseases.
Exacerbations of chronic diseases.
Individual intolerance.
Rashes in the injection area.
Tendency to form keloid scars.

The procedure is not always suitable for people with a deformational type of aging and a predisposition to swelling of the area around the eyes (for example, due to individual characteristics of the body or diseases). In such cases, the issue is resolved individually after examination.

Indications and contraindications for the procedure

The area of the nasolacrimal groove is covered with thin skin, as a result of which the strip can form at a young age.

Factors contributing to this:

individual anatomical structure;
changes associated with age: the structure of muscle tissue changes, they stretch due to a lack of collagen, lumps, indentations, dark circles, etc. appear.

Fillers are recommended for use in the following cases:

depressions have formed under the eyes;
there is a clearly defined vascular network;
darkening of the skin under the eyes appeared.

It is allowed to perform manipulation on young clients who have reached the age of eighteen.

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Strict contraindications for correction of the nasolacrimal trough using fillers are:

blepharoplasty with a statute of limitations of less than six months and a year;
tendency to form scars;
acute kidney disease;
exacerbation of various inflammations;
skin pathologies that appear in the area of the proposed procedures;
neurological contraindications, including epilepsy;
hemophilia and poor blood clotting;
infectious diseases.

Relative restrictions are high temperature, acute respiratory viral infections, acute respiratory infections, pregnancy and the breastfeeding stage. It is allowed to apply procedures after the disappearance of conditional contraindications.

How does the procedure work?

The first stage of the procedure is examination and consultation. After this, an anesthetic gel is applied to the face, and as soon as it takes effect, the doctor begins the injections.

The filler is injected using a thin, flexible cannula, a type of blunt-tipped needle. Since the skin in this area is very thin and prone to stretching, the doctor is required to have exquisite precision and masterful technique. Gels are used in a minimal dosage - if necessary, the result can be adjusted after a couple of weeks.

Important! Entrust contouring only to an experienced and qualified cosmetologist. The main components of success are the correct administration technique, accurate dose calculation and a high-quality certified drug.

How dangerous is swelling?

Swelling always occurs after correction of the nasolacrimal trough; normally, this condition is not dangerous. The cause of swelling is minor tissue trauma, which always occurs when the skin is punctured. If you look at the photo of the swelling after correction of the nasolacrimal trough, you can see that it is small and does not interfere with the aesthetics of the face. Using decorative cosmetics to hide imperfections is strongly discouraged. If necessary (for example, you don’t want to appear in front of colleagues after a beauty procedure), take a short vacation.

Correction of the nasolacrimal groove before and immediately after the procedure. Doctor - Syomova A.M.

Correction of the nasolacrimal groove before and immediately after the procedure. Doctor - Golubeva M.S.

If minor swelling occurs after correction of the nasolacrimal trough, you do not need to do anything - just wait a few days. You may also be concerned about redness (it goes away in a few hours), small bruises at the injection sites (they also go away on their own). The recovery period takes no more than 1-2 weeks. Remember that effective non-surgical correction of the nasolacrimal groove without injections is almost impossible. There are a number of hardware techniques that can improve the condition of the skin in this area, but it is contour plastic surgery that allows you to fill the missing volume.