Correction of the nasolacrimal trough is one of the elements of the broad topic of age-related facial changes. Deep nasolacrimal groove
makes the face tired, aged, even in the absence of pronounced wrinkles.
How to work with this problem and what methods are effective, says the leading cosmetologist of the EMC clinic, candidate of medical sciences, member of the national Society of Aesthetic Medicine of the Russian Federation - Yana Vyacheslavovna Khodnevich
.
Yana Vyacheslavovna, let’s describe the localization of this zone so that there is no confusion in the future.
The nasolacrimal groove (palpebromalar groove) is a line that runs from the inner corner of the eye, then along the lower edge of the orbit to the cheek-zygomatic area.
What are her anatomical features?
This zone is devoid of subcutaneous fat and is formed only by skin and thin muscle fibers. Therefore, with age it becomes more and more noticeable.
Are paint bags included in this area?
No, the painters are located more laterally (outward). But very often they are corrected together, since one zone passes into another. The nasolacrimal groove passes into the buccal groove, which is located in the area of the zygomatic bone.
What type of face is this problem typical for? A pronounced nasolacrimal groove.
For almost any type of face and for any type of aging. As we age, the lower part of the orbit recedes a little and we have a more noticeable area of depression in the nasolacrimal groove.
Is it possible to solve this problem cosmetically?
The most effective way is to fill the groove with filler. Fillers based on stabilized hyaluronic acid. It must be liquid, low molecular weight hyaluronic acid. Dense preparations are not applicable here.
What drugs do you use in your practice to correct this area?
We use Teosyal Redensity II.
This is a very liquid and plastic drug. Of course, in the area of the nasolacrimal groove - this is jewelry work. But the drug is laid out very deep, on the bone (along the bony edge of the orbit). This ensures a natural effect and the filler does not migrate.
What is the nasolacrimal trough?
The periorbital zone is a particularly “capricious” area where age-related changes begin to appear among the first. Wrinkles appear under the eyes, bags form, eyelids droop, and a nasolacrimal groove appears. The latter can be either a congenital feature or a sign of aging. A pronounced tear groove creates the effect of a tired look and circles under the eyes, making a person visually older.
Previously, such an aesthetic problem was solved only through blepharoplasty, but today a timely visit to a cosmetologist allows you to avoid a visit to the surgeon. A moderately pronounced nasolacrimal groove is corrected using contour plastic surgery using gels based on stabilized hyaluronic acid.
conclusions
So, to summarize, I would like to say that the nasolacrimal groove in most cases is not a serious cosmetic defect.
Before deciding to choose a surgical correction method, we need to weigh all the pros and cons. Surgical methods have many contraindications and serious consequences.
First, we need to try home correction methods, regularly take care of ourselves, and lead a healthy lifestyle. In most cases, these prevention methods are enough to prevent our nasolacrimal trench from appearing.
Contour plastic surgery of the nasolacrimal groove
Filler injections are designed to fill the missing volume in the area of the nasolacrimal groove, and the gels are adapted for injection into the area around the eyes: they have a low density and do not cause swelling. Our clinic uses drugs of different names, but all of them have been certified and are of high quality. The doctor selects the gel and dosage based on the severity of the defect and skin type. Taking into account the complex anatomical features of the structure of this area of the face and preventing possible post-procedural complications, the cosmetologist introduces filler using a cannula. A cannula is a special needle with a rounded end that causes minimal tissue trauma. The effect is obvious: the skin texture is evened out by filling the grooves with hyaluronic gel, circles disappear, and the look is transformed. The patient immediately looks younger.
Clinical cases
Patient 1, 32 years old
Restylane® filler. A 25G cannula was used. Approx. entered at one time. 0.01–0.05 ml
The total volume of injected filler is 0.3 ml on each side.
Patient 2, 40 years old
Restylane® filler. A 25G cannula was used. Approx. entered at one time. 0.01–0.05 ml
The total volume of injected filler is 0.3 ml on each side.
Patient 3, 34 years old
Restylane® filler. A 25G cannula was used. Approx. entered at one time. 0.01–0.05 ml
The total volume of injected filler is 0.3 ml on each side.
Correction of the nasolacrimal trough with fillers
The peculiarity of correction of the area around the eyes is that the doctor introduces a small amount of filler to avoid swelling, the gel showing through the skin, as well as the effect of overcorrection.
After a few weeks, a follow-up examination of the patient is scheduled, at which the cosmetologist decides whether additional filler is required to enhance and consolidate the effect of the procedure.
Correction of the nasolacrimal groove using contour plastic surgery takes about 25 minutes.
After the procedure, for the first time it is necessary to observe some restrictions: you cannot massage the injection area, expose your face to other mechanical stress, sunbathe, or visit a sauna, bathhouse, or swimming pool. Following your doctor's recommendations will allow you to get the best results and prevent gel migration.
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Does it happen that you understand that fillers will not help a given patient?
Yes, it happens that they come with a pronounced nasolacrimal groove and with very pronounced hernias of the lower eyelid. In this case, we refuse the injection procedure, since we are 100% likely to worsen the appearance. Because anyway, a small amount of moisture will be attracted to the lower eyelid area. And if there is a hernia, the swelling and manifestation of hernias will intensify.
What do you recommend in this case?
We advise you to go to a plastic surgeon. He will remove hernias and perform blepharoplasty. And only then we can add volume somewhere using injection methods.
And if there are no hernias, but cosmetology is not effective, what to do?
If the retraction is very severe, surgeons perform lipofilling. This is a fat tissue transplant.
On the Internet you can find a lot of discussions and advice that if the nasolacrimal groove is pronounced, there is no point in practicing cosmetology and you should immediately go for transconjunctival blepharoplasty...
Often transconjunctival blepharoplasty ends with hernia repair. But a lower eyelid hernia and a nasolacrimal trough are two different things. Not everyone needs a lower eyelid lift.
If the hernia is mild, then by injecting the drug into the nasolacrimal groove, the level can be leveled: the nasolacrimal groove can be raised to the level of the hernia. If the hernia is severe, then we do not do fillers because of the inevitable additional swelling.
If the client is in doubt, you can always go for a consultation with a surgeon. Sometimes it happens the other way around: surgeons refer you to us when in fact there is no need for blepharoplasty. The main thing is not to make the decision “I know what I need” on my own.
Are there any other alternative methods to eliminate the nasolacrimal groove? Can you give any other effective methods?
The lower eyelid area can be worked in any way you like. CO2 lasers and mesotherapy drugs work well to shrink the skin and tighten the lower eyelid. But the nasolacrimal groove itself can be worked on only by filling it with filler. All additional methods are superfluous. But they can work on the skin of the lower eyelid.
What if, in addition to the nasolacrimal trough, there is a problem with painters?
These are two different anatomical structures that are corrected independently. There is a wonderful hardware technique using the Ulthera device - ultrasonic thermal lifting, which removes swelling in the area of the painters. This lifting procedure perfectly smoothes the paint bag by lifting the middle zone. In this case, we first correct the painters with Ulthera, and then we work on the nasolacrimal groove with fillers.
What is the approximate price for a procedure to correct the nasolacrimal trough in your clinic?
1 ml per procedure
drug.
Price - from 580 euros.
Usually one visit is enough for a long time. In rare cases, when the nasolacrimal groove is very deep, we make additional correction after a month.
Do I need to come for checkups after the procedure?
If everything is fine and everyone is happy with it, there is no need. But we are always in touch with patients. If you have any questions, our assistants answer calls and you can come to the clinic. We usually schedule a follow-up visit after a month.
What are the restrictions after the procedure of introducing fillers into this area?
Do not visit the bathhouse, sauna, or solarium for two weeks. For the first two or three days, do not rub your eyes or massage the area. Try not to cry. Wash your face very carefully. Do not apply cosmetics to the lower eyelid. In other words, avoid actions that could move the filler in this area. In the first month after injections, any hardware techniques in the lower eyelid area and manual massage are excluded.
Side effects and contraindications
If the injection technique is performed carelessly and the advice of a cosmetologist is neglected, infection, movement of the gel, swelling, pain in the area of drug administration, and an allergic reaction may occur.
To prevent unwanted consequences, the procedure should be performed only by qualified specialists and take into account possible contraindications, which include:
- infectious processes in the acute phase,
- pregnancy and lactation period,
- oncological diseases,
- inflammatory phenomena in the injection area,
- epilepsy, etc.
Deep depressions of the eyes and face
The nasal tear outlines the orbit of the eye and we get a sharp border of bruises and/or bags sunk deep into the eye. Why is this happening?
1. Changes in the bone structures of the skull greatly affect the deepening of the nasolacrimal and nasobuccal grooves.
With age, the face is pulled into the center, the upper jaw sinks deeper into the face, and the lower jaw moves back. In addition, resorption and drying out of bones occurs.⠀
2. The septum is a kind of ligament connecting the skin with the periorbital muscles. The septa is attached to the bones of the skull, and thanks to it, the tissues in the upper third of our face do not slip as much as they do in the middle and lower thirds as we age. But as the septa ages, the septa can become weaker.
Then sagging occurs and the septal ligaments lengthen. They lengthen, but the attachment to the bone and skin remains. It turns out to be a failure, a sinking.
3. Add to this the depletion of fat bags and now we have hollow eyes, bruises or bags under the eyes.
Massage of the nasolacrimal groove at home
How to remove a nasolacrimal trough without visiting a clinic? The answer will probably disappoint you. If the defect appeared a long time ago and has become persistent, then it will not be possible to eliminate it on your own. But if you noticed only the first signs or did not wait for them, then massage of the nasolacrimal area will prolong the period of serene enjoyment of your own beauty for a long time.
There are a huge number of recommendations for massage of the nasolacrimal groove. We will focus only on the most common and effective exercises.
- We make circular movements with our index fingers in the area of the wings of the nose.
- We continue circular movements, gradually moving along the nose up to the eyes.
- Having reached the corners of the eyes, we descend straight down to the wings of the nose
- Repeat the above sequence 3 times.
- Now from each wing of the nose we will go towards the outer corner of the corresponding eye. Alternating pressure with two index fingers and stretching the muscle tissue between them, we pass a diagonal route from the wing of the nose to the outside of the eye. We pass this path 3 times on each side.
- Using your thumbs and forefingers, gather the muscle fold in the upper part of the right cheekbone and move this fold downwards with your fingers. We do the same on the left side. For each side we repeat the process three times.
There is only one massage option presented here. If you take the trouble to look for similar examples in the depths of the World Wide Web, the number of options will grow indefinitely. Follow a simple principle. A full set of exercises for facial massage will allow you to prevent almost any problem associated with unwanted age-related changes in the facial area. So don't look for a local solution. Look for something that solves several problems at once.
You can also always get qualified advice describing all the possibilities that the Evolution clinic provides. Together we will find your personal way to successfully resist the merciless time and carry your charm and beauty through it.
Feedback
How to avoid such a defect?
- To prevent the appearance of this channel, you must first of all lead a healthy lifestyle. Sports and an active lifestyle will improve metabolic processes in the body, speed up metabolism, and change your overall appearance.
- You need to eat right: eat vegetables, fruits, unprocessed cereals, meat and fish. You also need to include vitamin and mineral complexes in your diet. They will replenish our diet with the missing elements.
- A good night's sleep of 7-9 hours will provide our body with rest and replenish its strength. You should try to go to bed no later than 21:00. Then the body will have enough time to recover for a new day. Our face will look fresh and no nasolacrimal groove will be visible.
- And another very important point in preventing the appearance of this cosmetic defect is proper skin care. You can't leave makeup on overnight. And when removing it, you need to touch the skin around the eyes very carefully, avoiding stretching it. After cleansing, our skin definitely needs nutrition. Creams, patches and masks will help nourish the skin with the necessary substances.
All these factors work only in combination. Each of them is not effective on its own.
Nasolacrimal and nasobuccal grooves - how to remove them differently?
It is important to perform the exercises regularly; minor formations can be smoothed out in a few workouts; more pronounced furrows will require long-term exercises.
In order to solve the problem, it is important to work out all the facial stress lines and deformation zones:
1. Orbital (orbital) ligament 2. Zygomatic ligament 3. Fatty tissue above the orbital ligament 4. Orbital ligament 5. Fatty tissue under the orbital ligament 6. Zygomatic fatty tissue 7. Zygomatic ligament
Also located in this area are: the nasal muscle, the levator ala nasi muscle, the levator anguli labii muscle, the zygomatic muscle, the laughter muscle, and also the orbicularis oculi and interbrow muscles.
The nasal muscle, the levator ala nasi and the zygomatic muscle shorten in spasm and block the capillaries, depriving this area of nutrition and poorly draining lymph flow. As a result, swollen eyes, an enlarged nose and, of course, the appearance of a nasolacrimal groove. Add to this the displacement of the fat packet and general swelling of the face.
The full course of Correction of the nasobuccal and nasolacrimal groove includes softening the aponeurosis, eliminating spasms from the neck and chest that interfere with the outflow of fluid and lymph, exercises for the area around the eyes, the orbicularis oculi muscle, the corners of the eyes, the nasolacrimal groove, the nasobuccal groove, the zygomatic and chewing muscles.
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I wish you beauty and youth! Inna Nefedovskaya
Correction methods
The reasons for the formation of an aesthetic defect are important for understanding the principles of its elimination. The correction strategy is to compensate for tissue deficiency formed as a result of involutional processes. The goal of a cosmetic procedure or plastic surgery is to replenish the volume and recreate the texture of the tissues inherent in adolescence and youth.
The tactics for replenishing volume differ depending on the chosen technique. Contour plastic surgery is an injection cosmetology technique that is most often used to fill skin folds.
Nasolacrimal folds can also be filled using plastic surgery methods. The innovative method of lipofilling allows you to smooth out the relief using a patient’s fat tissue transplant. Another correction option is filling the tear troughs with orbital fat during lower blepharoplasty.
Other causes of the formation of nasolacrimal and nasobuccal
4. Malocclusion, for example, when the lower row of teeth goes back behind the upper one, or part of the teeth is missing.
5. Natural aging of tissues, changes in tissue structure associated with various diseases. Chronic pathologies of internal organs leading to swelling on the face (heart, kidneys, respiratory organs).
6. Sleep disturbances, chronic lack of sleep, stress, fatigue, nervousness, negative situations affect the formation of swelling under the eyes. Any stress is projected onto the chewing muscles, which very quickly come into tension, thereby blocking the outflow of lymph from the eyes.
7. Poor posture. Stooping, shortening of the neck, shoulders forward - lead to the fact that the face is chronically tilted downward throughout the day. And also with slouching and impaired neck statics, muscle spasms prevent the normal outflow of lymph from the face!
A spasmodic chest also always means lymph stagnation and poor fluid outflow.
Straighten your back, open your chest and shoulder blades, and keep your head straight, and the bags under your eyes will decrease!
8. Obesity, sudden changes in weight, disruption of the functioning of the endocrine gland.
9. Bad habits (smoking, alcohol).
Everyone has a tear trough, but not everyone can notice it. If you take care of your skin as it should, avoiding the above factors or minimizing them, then a fold in this place may not appear soon.
