Skip to main content

Advertisement

Log in

The Application of the Acellular Dermal Matrix in the Correction of the Tear Trough Deformity

  • Original Article
  • Oculoplastic
  • Published:
Aesthetic Plastic Surgery Aims and scope Submit manuscript

Abstract

Objective

The acellular dermal matrix (ADM) used in correcting the tear trough deformity has been reported, but there were only a few cases. The long-term effectiveness of ADM was not clear. We aim to discuss the technique and the effect of using ADM to correct the tear trough deformity through more cases.

Methods

A retrospective study was conducted from January 2012 to January 2017. Twenty-six patients who showed obvious tear trough deformity with moderate or severe orbital fat bulging and excess of lower eyelid skin were treated with ADM to improve the appearance of the midface. Follow-up was performed for 2–12 months in 26 cases. The level of postoperative satisfaction was assessed by interview during the follow-up and rated as very satisfied, satisfied, acceptable, or unacceptable.

Result

Twenty patients were very satisfied for having achieved complete correction. Three patients were satisfied for having achieved obvious improvement. Three patients felt the results were just acceptable and were refilled because of the insufficiency of the filler. No one was unacceptable. There were no complications such as rapid resorption, rejection, or inflammation.

Conclusion

The method of using ADM for the correction of tear trough deformity has the advantages of low absorption rate, good appearance, and high security. It provides a new choice for the treatment of tear trough deformity.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Branham GH (2016) Lower eyelid blepharoplasty. Facial Plast Surg Clin N Am 24(2):129–138

    Article  Google Scholar 

  2. Wong CH, Hsieh MK, Mendelson B (2012) The tear trough ligament: anatomical basis for the tear trough deformity. Plast Reconstr Surg 129(6):1392–1402

    Article  CAS  PubMed  Google Scholar 

  3. Stutman RL, Codner MA (2012) Tear trough deformity: review of anatomy and treatment options. Aesthet Surg J 32(4):426–440

    Article  PubMed  Google Scholar 

  4. Jiang J, Wang X, Chen R, Xia X, Sun S, Hu K (2016) Tear trough deformity: different types of anatomy and treatment options. Postepy Dermatol Alergol 33(4):303–308

    Article  PubMed  PubMed Central  Google Scholar 

  5. Kridel RW, Sturm-O’Brien AK (2013) Acellular dermal grafts for tear trough deformity in revision lower blepharoplasty. JAMA Facial Plast Surg 15(3):232–234

    Article  PubMed  Google Scholar 

  6. Rubin PA, Fay AM, Remulla HD, Maus M (1999) Ophthalmic plastic applications of acellular dermal allografts. Ophthalmology 106(11):2091–2097

    Article  CAS  PubMed  Google Scholar 

  7. Gryskiewicz JM (2008) Dorsal augmentation with AlloDerm. Semin Plast Surg 22(2):90–103

    Article  PubMed  PubMed Central  Google Scholar 

  8. Maxwell GP, Gabriel A (2009) Use of the acellular dermal matrix in revisionary aesthetic breast surgery. Aesthet Surg J 29(6):485–493

    Article  PubMed  Google Scholar 

  9. Flowers RS (1993) Tear trough implants for correction of tear trough deformity. Clin Plast Surg 20:403

    CAS  PubMed  Google Scholar 

  10. Kane MA (2005) Treatment of tear trough deformity and lower lid bowing with injectable Hyaluronic Acid. Aesthet Plast Surg 29(5):363–367

    Article  Google Scholar 

  11. Matarasso SL, Carruthers JD, Jewell ML (2006) Consensus recommendations for soft-tissue augmentation with nonanimal stabilized Hyaluronic Acid (Restylane). Plast Reconstr Surg 117(3 Suppl):3S–34S (discussion 35S–43S)

    Article  PubMed  Google Scholar 

  12. Lambtros VS (2007) Hyaluronic acid injection for correction of the tear trough deformity. Plast Reconstr Surg 120(6 Suppl):74S–80S

    Article  CAS  Google Scholar 

  13. Spector JA, Draper L, Aston SJ (2008) Lower lid deformity secondary to autogenous fat transfer: a cautionary tale. Aesthet Plast Surg 32(3):411–414

    Article  Google Scholar 

  14. Coleman SR (2008) Lower lid deformity secondary to autogenous fat transfer: a cautionary tale. Aesthet Plast Surg 32(3):415–417

    Article  Google Scholar 

  15. Hamra ST (1995) Arcus marginalis release and orbital fat preservation in midface rejuvenation. Plast Reconstr Surg 96(2):354–362

    Article  CAS  PubMed  Google Scholar 

  16. Goldberg RA (2000) Transconjunctival orbital fat repositioning: transposition of orbital fat pedicles into a subperiosteal pocket. Plast Reconstr Surg 105(2):743–748, 749–751

    Article  CAS  Google Scholar 

  17. Barton FJ, Ha R, Awada M (2004) Fat extrusion and septal reset in patients with the tear trough triad: a critical appraisal. Plast Reconstr Surg 113(7):2115–2121, 2122–2123

    Article  PubMed  Google Scholar 

  18. Biesman BS, Wesley RE, Klippenstein KA, Termin P, Elson ML (2001) Histopathologic evaluation of a new dermal allograft following explantation. Dermatol Surg 27(11):985–988

    CAS  PubMed  Google Scholar 

  19. Sclafani AP, Romo T, Jacono AA, McCormick SA, Cocker R, Parker A (2001) Evaluation of acellular dermal graft (AlloDerm) sheet for soft tissue augmentation: a 1-year follow-up of clinical observations and histological findings. Arch Facial Plast Surg 3(2):101–103

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Xiaowei Wu.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest to disclose.

Ethical Approval

All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee, and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study formal consent is not required.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Yue, D., Wu, X., Song, H. et al. The Application of the Acellular Dermal Matrix in the Correction of the Tear Trough Deformity. Aesth Plast Surg 42, 1298–1303 (2018). https://doi.org/10.1007/s00266-018-1191-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00266-018-1191-1

Keywords

Navigation