Abstract

Objectives: 1.Evaluate the advantages and disadvantages of hyaluronic acid filler and PDO powder filler for periorbital rejuvenation among different ethnicities. 2.Develop patient selection strategies that consider ethnic differences in facial anatomy and skin type. 3.Provide guidance on managing potential complications and adverse reactions associated with periorbital fillers in patients of diverse ethnicities. 4.Enhance practitioners' understanding of patient selection strategies for periorbital rejuvenation among diverse ethnicities to achieve optimal outcomes. Introduction: Facial aging is a natural process that affects individuals of all ethnicities. The periorbital region is particularly susceptible to the effects of leading to wrinkles, sagging skin, and hollowness. Hyaluronic acid and PDO powder fillers have become increasingly popular options for non-invasive periorbital rejuvenation. However, selecting the appropriate filler type for patients of diverse ethnicities requires a nuanced approach, considering differences in facial anatomy and skin type. Materials / method: In this study, two types of fillers - cross-linked hyaluronic acid at 15 mg/ml and PDO powder filler at 200mg/vial - were used in a clinic setting to assess patient preferences. A patient experience survey was conducted among 10 patients who had received their first filler treatment 5-6 months and another survey after the second treatment. The survey took into account various factors such as age, sex, weight, skin type, body type, and ethnicity, in order to evaluate which filler type was preferred. Results: Both hyaluronic acid and PDO powder fillers are effective for periorbital rejuvenation among diverse ethnicities with significant outcomes. Hyaluronic acid fillers are preferred by patients with more subcutaneous fat or thicker skin in the periorbital area while PDO powder fillers were much preferred for those with thin skin in the periorbital area with less subcutaneous fat. There is some evidence to suggest that Asians may have thicker subcutaneous tissue in the periorbital area compared to Caucasians.Adverse reactions were more slightly observed in patients with darker skin tones. Conclusion: The selection of filler type for periorbital rejuvenation among diverse ethnicities should be approached carefully, taking into account the unique characteristics of each patient's facial anatomy and skin type. This lecture highlights the differences between hyaluronic acid and PDO powder fillers, as well as their respective advantages and disadvantages in different ethnicities. Both hyaluronic acid and PDO powder fillers are effective for periorbital rejuvenation. It is essential to manage patient goals and expectations for using these two types of fillers.