In today’s article, Prof Dr Morthy, the Course Director of International Institute of Wellness & Aesthetic Medicine will discuss the various reason why tear troughs are the hardest area in the face to fill.

 

What is tear trough deformity?

 

The tear trough is a natural consequence of ageing, caused by the loss of soft tissue around the periorbital area and the loss of osseous support that leads to a sunken appearance of the under eye, casting a dark shadow over the lower eyelid, resulting in a fatigued appearance of an individual, even after adequate rest. Anatomically, the descent of the cheek, loss of facial volume, underdevelopment of the infraorbital malar complex and a muscular defect between the orbicularis muscle and angular head of the quadratus labii superioris muscle- all lead to the formation of tear trough deformity.

Most people in their middle ages seek periorbital rejuvenation. Due to this, various treatment options have evolved over time to address this issue. Aesthetic practitioners have recently relied on volume restoration as the preferred treatment option. The objective is to have a smooth transition of the lower eyelid between the pre-septal and orbital portions of the orbicularis oculi muscle, so it continues into the upper malar region without a definable transition point.

But the tear trough area is hard to treat due to the thin skin under the eyes, which is highly prone to bruising. This area also has less fat to cover any fillers used in that area. Hence, treating tear troughs with dermal filler is hard because of the challenge of determining the underlying anatomy. The surface anatomy is the only way to decide where to use dermal filler injections.

The filler should be ‘sandwiched’ between the skin and the muscle. It needs to be fine dermal filler that doesn’t swell too much and can blend in well. True tear trough filling requires a finer filler directly in the hollow.

 

Why cannulas are the best way to fill the tear trough area?

 

Many Aesthetic practitioners prefer to use a blunt-tipped cannula than a sharp needle. A cannula is like a needle but has a rounded tip that can be inserted into the skin after a small needle has made an entry point. The cannula can go through the tissue without piercing or cutting through any veins, leading to less bruising.

 

About IIWAM training

 

It is prudent that all Aesthetic practitioners undergo proper training in Aesthetic Medicine. The practitioner must balance between benefits & risks of the Aesthetic procedure and steps to mitigate complications if it occurs. At IIWAM, we call it understanding the procedure, the product, and the patient, and our trainers pay utmost attention to teaching the following subjects of various Aesthetic treatment procedures under the best American Academy of Aesthetic Medicine Courses for Botox.

Apply for the best online Aesthetic courses from IIWAM today.

 

About IIWAM Aesthetic Education

 

International Institute of Wellness & Aesthetic Medicine (IIWAM) is a private teaching institution that provides International Aesthetic Medical Certification program for Doctors, Dentists, Nurses, Aestheticians, and Spa Owners. Prof Dr Morthy is the course director for the Institute, formerly known as Aesthetic Academy Asia (https://www.iiwam.ac/education).

The Institute is based in Malaysia and with academic affiliations from the Philippines, Myanmar, Cambodia, India and Indonesia. With our insignia of “Be Certified, Be Recognized”, we develop knowledgeable, skilled, and confident Aesthetic practitioners of international repute. IIWAM training Programs are a combination of Onsite Training, LIVE Online Webinars, and Online Learning. IIWAM Programs are assured by City & Guilds of London and certified by European International University, Paris. IIWAM is also a registered CPD Training provider with CPD Standards Office in the UK and by CPD Malaysian Medical Association.
IIWAM also offers Cosmetic Procedures and Stem Cell treatment at IIWAM Wellness Centre (https://www.iiwam.ac/wellness) that are safe, effective, and affordable.