Periorbital rejuvenation with neurotoxins and dermal fillers tackles many aging shifts. Safe and successful results include a comprehensive understanding of periorbital anatomy, proper injection procedures, and risks of these items. Prompt detection and treatment of complications can mitigate their adverse effects. Complications may be divided into ischaemic and non-ischaemic effects. Hyaluronidase, an enzyme that degrades hyaluronic acid, can improve the performance of intravascular hyaluronic acid fillers.
Periorbital rejuvenation with botulinum toxin and dermal fillers is progressively used to address aging-related changes. Recognizing periorbital anatomy, proper injection techniques, and complications that may arise are important for every injector in this delicate area.
Dermal fillers have been used successfully in the periorbital area for more than 20 years. Various dermal fillers are available; however, reversible and temporary hyaluronic acid fillers are recommended in the periorbital area. Appropriate choice and positioning of the drug can help to prevent any complications. The use of permanent, non-reversible fillers in the periorbital region is discouraged as this region is continuously evolving and complications with such fillers can be difficult to overcome. This review will concentrate primarily on non-ischaemic and ischaemic problems associated with HA fillers. Of note, hyaluronidase should be accessible when injecting HA fillers.
All botulinum toxin and dermal fillers have been commonly used to treat periorbital aging. Complications resulting from injections of botulinum toxin are usually temporary and related to their effect on the affected muscles. Many patients with complications from botulinum toxin injections may be treated with eye drops and referred to an ophthalmologist or oculoplastic surgeon.
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