teoxaneAccording to a recent study carried out by the Arcane Research Institute1, under eye circles appear to be the most significant aesthetic concern for women. From the age of 30, nearly half of female patients rank this area first among their aging problems. However, the same study showed that tear trough augmentation ranked seventh among of the most commonly performed aesthetic procedures, confirming that treatment in this difficult-to-treat region has rarely been considered until now.

As experts in aesthetic medicine, specializing in creating and manufacturing hyaluronic acid dermal fillers, Teoxane Laboratories (Paris, France) has developed Teosyal PureSense Redensity [II], a unique hyaluronic acid-based gel responding to the specificities of this area. This sophisticated 3-in-1 formula, combines a mix of cross-linked and non cross-linked hyaluronic acid with a 15 mg/mL concentration; a dermo-restructuring complex to improve the skin quality and structure; and lidocaine for a natural, safe and long lasting correction.

The result is a unique, lightweight gel featuring an ideal viscoelastic profile for exceptional spreadability and low hygroscopicity, which decreases the risk of edema and the Tyndall effect.

Understandably, it is imperative that an injector possess excellent anatomical knowledge of the periorbital area, provide a thorough consultation and diagnosis, as well as be fully trained on current injection techniques in order to obtain the best aesthetic results.

As Giuseppe Sito, M.D., and Patrizia Piersini, M.D., shared, facial aging today encompasses bone selective reabsorption at specific sites, with the periorbital area being one of the most involved.

The actual treatment approach consists of filling this area with hyaluronic acid in order to rebuild the periorbital structure. The tear trough is a specific anatomical area that becomes more relevant with age. A hollow under eye area, which is considered a deformation, can be congenital or acquired as a person ages.

Over time the fat pad of the mouth begins to droop or sag, resulting in accentuation of the tear trough beyond the hypoplasia of the malar region, causing the presence of the nasogenian groove. While lower eyelid skin is very thin, it is also very rich in vessels, and very important in covering the eye.

As reported by both Dr. Sito and Dr. Piersini, “our experience in tear trough deformity correction with Teosyal PureSense Redensity [II] includes mechanical properties adapted to the aesthetic correction of the periocular region. The tear trough has always been considered a difficult region to treat; both for its intrinsic nature and due to the difficulty in finding materials that are less hydrophilic. Teosyal PureSense Redensity [II] can be used safely to achieve good results in this challenging area.”

Teoxane Laboratories’ goal of designing an efficient, safe and easy to use product that offers natural and long lasting correction was demonstrated through a multicenter and international clinical study performed in 2012 on 151 patients, involving 33 practitioners. Following the significant results obtained, the company is proud to say that this objective was successfully fulfilled.