Synthetic and Non-Fat Biological Dermal Fillers

Useful in Orbital Hollowness?

While injectable compounds developed for filling skin wrinkles and superficial skin indentations (such as hyaluronic acid, calcium hyroxylapatite, or poly-L-lactic acid) may be used in augmenting the tear trough or other areas of depression along the upper cheek, they are temporary in effect and not inexpensive.


Dermal fillers are intended for injection into the dermis (second layer of the skin) or subdermally at the dermal-subcutanous fat junction (diagram). Unlike other facial skin, the eyelid skin has an extremely thin dermis and contains almost no subcutaneous fat (not to be confused with the much deeper orbital fat).


"If a dermal filler is injected superficially when a
volume deficit is much deeper, the effect may resemble
built-up putty hiding a bad dent or crack."

If a dermal filler is injected superficially when a volume deficit is much deeper (such as in a hollowed eyelid missing adequate orbital fat), the effect may resemble built-up putty hiding a bad dent or crack. Not only can the "repair" look as obvious as the problem and disappear all too quickly, but the underlying damage remains unaltered.

Deeper placement of "permanent" (ex: liquid silicone) or "semi-permanent" (ex: calcium hydroxylapatite) injectables into other eyelid tissues or the orbit risks migration into the spaces surrounding the eye as well as other unknown long-term chemical consequences.

Removal, if needed, may be difficult if not impossible.




Orbital Fat Grafting
Solutions for Eyelid Hollowness and Collapse



Overview
Socket Fat and the "Orbital Flat Tire"


Upper Eyelid Hollowness | Lower Eyelid Hollowness
Upper Cheek Hollowness | Preventable Causes

Treatment Options - An Introduction
Is Fat Injection the Same as Fat Grafting?

Pearl Fat Grafting | Strip Fat Grafting
Combination Strip-Pearl Fat Grafting Technique
Small Incision Approach

Lid-to-Lid Fat Transfer | Internal Fat Repositioning
Dermal Fat Grafts | Fat Injection | Dermal Fillers

Hollowness and Brow Lift | Doll's Eye Deformity
Hollowness in the Asian Upper Eyelid


Healing and Recovery

Removal of Excess Grafted Fat | Dark Circles
What is Meant By Under-Eye Hollows?
Pertinent Anatomy: Diagrams & Definitions


Orbital Fat Grafting FAQs

Surgery Photographed:
Lower Hollowness: Orbital Pearl Fat Grafting
Upper Hollowness: Orbital Strip Fat Grafting
Advanced Upper Hollowess: Combination Strip-Pearl Approach
Upper Hollowness: Internal Repositioning


That Tiny Roll of Upper Eyelid Skin (video)

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