The appearance of the nasolacrimal groove is one of the first signs of aging of the middle third of the face.. It is an area of \u200b\u200bdepression that descends from the medial canthus of the eye and follows to the midpupillary line.. Since light is distorted in this area, the skin visually looks darker than it really is, while creating a pronounced aesthetic defect - the face takes on a tired look, looks haggard and old. The picture is aggravated by the circular muscle of the eye, which in this place is practically devoid of fat and translucent through the skin, and therefore is especially noticeable.

The nasolacrimal groove is present not only in older patients, but is often found in younger people, which is usually due to overwork and lack of healthy sleep for a long time.. In such cases, this cosmetic defect disappears after a long rest and recuperation.. Heredity also plays an important role, since representatives of the same genus have a clear tendency to form this defect..

What difficulties do you face in correcting? Belotero injection contouring is the method of first choice when it comes to minimally invasive ways to correct the nasolacrimal trough. However, patients with hernial bulges should be aware that filler injections can exacerbate the situation, leading to so-called overcorrection, the creation of the Tyndall effect (when blue-gray areas are observed at the injection site against the background of skin discoloration) and the formation of an additional furrow between the lower eyelid and buccal. Surgery is recommended to prevent this..

Another problem may be the individual tendency of the patient to edema of the lower eyelids.. At the same time, Mesotech mesotherapy and other drugs that have a pronounced drainage effect and at the same time contain lipolytics are considered the most suitable method for correcting the nasolacrimal sulcus.. These cocktails are administered with a rigid cannula and placed under the orbicular muscle of the eye.. An alternative can be contouring with low-elastic hyaluronic fillers with low viscosity (the most successful examples are HyalStyle and RevitaJal fillers). They are great for patients with thick skin.

How is the procedure carried out?

Correction of the nasolacrimal sulcus with fillers involves the injection of drugs into the area bounded from above by the lower edge of the orbit and from below by the nasolacrimal ligament, which avoids gel migration and achieves the desired effect..

The bolus technique is considered the most appropriate if a needle is used, and linear if the doctor prefers a cannula.. In some cases, when the tear trough is particularly pronounced, a combination of both techniques within the same procedure is allowed..

After contouring, it is necessary to lightly massage the injection zones, which will ensure a more even distribution of the drug under the skin..

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