title: Correction of Tear Trough Deformity With a Cohesive Polydensified Matrix Hyaluronic Acid: A Case Series.
abstract: The tear trough or infraorbital hollow is a challenging area to treat, and only a few fillers are suitable for this delicate area. We report on a European case series of six subjects with mild to severe tear troughs who received treatment with cohesive polydensified matrix (CPM®) technology hyaluronic acid gel (Belotero® Balance). The product was injected as small depots (up to ten small boli 0.2 mL maximum each per side) at the supraperiosteal level along or below the orbital rim. Follow-up visits took place at 1, 3, 6, and 9 months after injection for independent evaluation of the clinical effect using the Merz Aesthetics Scale™ for infraorbital hollows and the Global Aesthetic Improvement Scale. Adverse events were also recorded. Mean hollowness scores were considerably improved compared with baseline in all subjects. In all women, the improvements remained throughout the 9-month study, with none reverting to their baseline score. Subjects' satisfaction with treatment was very high throughout the study, and all women stated that they would repeat treatment with the same product. The CPM hyaluronic acid gel was well tolerated. CPM hyaluronic acid gel is a safe and effective treatment for the tear trough area.
authors.affiliation: Jürgen Huber-Vorländer and Martin Kürten, Fort Malakoff Klinik, Mainz, Germany.
authors.forename: Jürgen
authors.initials: J
authors.lastname: Huber-Vorländer
authors.forename: Martin
authors.initials: M
authors.lastname: Kürten
mesh_terms: D000328:Adult; D000368:Aged; D004954:Esthetics; D005260:Female; D006801:Humans; D006820:Hyaluronic Acid / Q000627:therapeutic use*; D008875:Middle Aged; D009301:Nasolacrimal Duct / Q000002:abnormalities* / Q000187:drug effects*; D017060:Patient Satisfaction
chemical_list: D006820:Hyaluronic Acid