title: Nonsurgical periorbital and brow rejuvenation.
abstract: BACKGROUND
  There is a high patient demand for periorbital rejuvenation because the periorbita are often the first facial areas to show visible signs of aging. In addition to rhytides and skin laxity, aging appearance of the periorbital area is caused by changes in tissue volume resulting from soft-tissue atrophy and bone loss in the aging face. These changes are among the easiest areas to correct using several noninvasive techniques. The author uses three different techniques in his practice.
  
  
  METHODS
  The author shares his experience using three different techniques for nonsurgical periorbital rejuvenation.
  
  
  RESULTS
  Patients develop unique crow's feet lines, and treatment with toxins should be adapted to each particular pattern. Low doses generally produce a more natural appearance than high doses. Using hyaluronic acid fillers, three tissue layers within the periorbita can be injected to produce maximally beneficial results and minimize the risk of adverse events. Filling tear troughs depends on whether they occurred early in life or are age-related. The key to avoiding complications is a careful patient analysis and a slow technique.
  
  
  CONCLUSIONS
  One deformity should not be singled out when rejuvenating the periorbita. The best results are obtained when the entire periorbital area is treated at the same time.
authors.affiliation: New York, N.Y. From Manhattan Eye, Ear, and Throat Hospital.
authors.forename: Michael A C
authors.initials: MAC
authors.lastname: Kane
mesh_terms: D000328:Adult; D001905:Botulinum Toxins / Q000008:administration & dosage; D003357:Cosmetic Techniques; D005138:Eyebrows; D005145:Face; D005260:Female; D006801:Humans; D006820:Hyaluronic Acid / Q000008:administration & dosage; D012060:Rejuvenation
chemical_list: D006820:Hyaluronic Acid; D001905:Botulinum Toxins