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.
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References
Branham GH (2016) Lower eyelid blepharoplasty. Facial Plast Surg Clin N Am 24(2):129–138
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
Stutman RL, Codner MA (2012) Tear trough deformity: review of anatomy and treatment options. Aesthet Surg J 32(4):426–440
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
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
Rubin PA, Fay AM, Remulla HD, Maus M (1999) Ophthalmic plastic applications of acellular dermal allografts. Ophthalmology 106(11):2091–2097
Gryskiewicz JM (2008) Dorsal augmentation with AlloDerm. Semin Plast Surg 22(2):90–103
Maxwell GP, Gabriel A (2009) Use of the acellular dermal matrix in revisionary aesthetic breast surgery. Aesthet Surg J 29(6):485–493
Flowers RS (1993) Tear trough implants for correction of tear trough deformity. Clin Plast Surg 20:403
Kane MA (2005) Treatment of tear trough deformity and lower lid bowing with injectable Hyaluronic Acid. Aesthet Plast Surg 29(5):363–367
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)
Lambtros VS (2007) Hyaluronic acid injection for correction of the tear trough deformity. Plast Reconstr Surg 120(6 Suppl):74S–80S
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
Coleman SR (2008) Lower lid deformity secondary to autogenous fat transfer: a cautionary tale. Aesthet Plast Surg 32(3):415–417
Hamra ST (1995) Arcus marginalis release and orbital fat preservation in midface rejuvenation. Plast Reconstr Surg 96(2):354–362
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
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
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
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
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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.
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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
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DOI: https://doi.org/10.1007/s00266-018-1191-1