Treating the lower periorbital area with hyaluronic acid

While aesthetic treatments focusing on the lower periorbital area have always been popular, hyaluronic acid has become particularly favoured for the advantages of being stable and biocompatible, as well as keeping water molecules in the skin. Results are also long-lasting (but still temporary and usually reversible) and provide a more natural look (Papakonstantinou et al, 2012). However, treating the tear trough is specialised work, with a host of considerations to take into account.

Notoriously, the lower periorbital area shows signs of ageing before other sections of the face because of the combination of natural bone reabsorption around the lower orbit and the depletion of soft tissue due to loss of collagen (Bravo et al, 2015; Vrcek et al, 2016). Vrcek et al (2016) point out that the quality of the skin in this area and a loss of collagen can contribute to the appearance of dark circles, meaning that the effect of ageing in the periorbital area is particularly exaggerated because of this loss.