摘要

Objectives: Several studies have suggested that augmenting the malar region with HA can indirectly improve the appearance of tear trough defects. By restoring volume and restoring the youthful contour of the midface, malar region augmentation can help to address the underlying cause of tear trough defects. I hereby present my personal technique and the guideline for this approach. Introduction: Tear trough defects are a common aesthetic concern characterized by a hollow appearance beneath the eyes. While direct hyaluronic acid (HA) injections into the tear trough have been widely studied, the role of malar region augmentation in improving tear trough appearance remains less explored. The anatomical relationship between the malar region and the tear trough is complex. The malar fat pad provides structural support to the midface and influences the contour of the tear trough. Age-related volume loss in this region contribute to the development of tear trough defects. Materials / method: A multilayer approach has been defined and applied in the protocol for the improvement of the tear trough region. The primary outcome measures were improvement in tear trough appearance and patient satisfaction. Secondary outcomes included adverse events. Results: HA injections in the malar region were significantly associated with improved tear trough appearance and higher patient satisfaction rates compared to baseline. Moreover, the risk of adverse events was low. Conclusion: Hyaluronic acid injections into the malar region can be an effective and safe adjunct to traditional tear trough injections for improving tear trough defects. This approach may offer more significant and long-lasting results compared to direct tear trough injections alone. Further studies are needed to explore the optimal combination of injection techniques and HA formulations for this area.