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Objectives: 1- is to discuss the common applications of lasers and EBDs for the treatment of periorbital concerns

Introduction: Noninvasive and minimally invasive treatments for periorbital photodamage and rejuvenation have grown markedly in recent years. Today’s strategies commonly employ resurfacing lasers in addition to the related technology such as RF, Plasma skin resurfacing and MFU . These technologies have shown effectiveness improving skin laxity, rhytides and scars

Conclusion: Lasers and EBDs for medical and cosmetic concerns around the eyes can achieve satisfactory results. With advances of existing technologies and the development of newer technologies on the horizon, periorbital concerns will continue to be more effectively and safely treated

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Objectives: Although small, the periorbital area, especially the tear trough, has a huge impact on the appearance of the whole face. The signs of aging appear in this area – consisting of the upper brow, upper and lower eyelid, and infraorbital rim – already in the mid 30s in some individuals. They include the presence of rhytides – caused by the activity of lateral and inferior orbicularis muscle, skin laxity and atrophy and ptosis of subcutaneous fat resulting in infraorbital hollowing, loss of anterior projection and ptosis of the eyebrow.

Introduction: For the use of fillers in the tear trough area the exact anatomical knowledge (SOOF, orbitomalar ligament, angular vessels, etc.) is mandatory. The best suitable patients for the filler augmentation have thick, smooth skin and well-defined volume deficiency without fat herniation, severe elastosis, edema or color problems.
The linear threading using a blunt tip cannula is recommended, the injection plane has to be epiperiosteal. Using a sharp needle medially to the mid pupillary line might have a higher risk of vascular complications, such as necrosis or blindness.

Materials / method: Due to the multifactorial ethiological process different treatment options have to be combined to achieve the optimal result. The combination of different modalities, including BoNTA, fillers and laser or energy-based devices offer significant improvement in this difficult area providing natural, healthy, happy and youthful appearance without or additionally to surgical procedures.

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