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Erschienen in: European Journal of Plastic Surgery 1/2022

07.08.2021 | Original Paper

Tear trough depth and quality across age groups: a cross-sectional study

verfasst von: Caleb A. Arthur, Adam S. Hassan

Erschienen in: European Journal of Plastic Surgery | Ausgabe 1/2022

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Abstract

Background

Patients are frequently concerned with the appearance of an increasing depth of the tear trough area, but no study has yet examined the association of the depth of the tear trough with the change over time. The purpose of this study is to determine the relationship of the depth and quality of the tear trough with age.

Methods

In 108 participants, tear trough depth and characteristics were determined using the tear trough rating scale (TTRS), assessing tear trough depth, pigmentation, nasal fat pad prolapse, and lower eyelid rhytidosis. Correlations between demographics and depth were determined using Pearson’s r, while correlations between demographics and pigmentation, fat pad prolapse, and rhytidosis used Spearman’s rho.

Results

Age is significantly associated with total TTRS score (p=0.001), but there is nosignificant difference in the association between depth with age (p=0.156, p=0.240) orpigmentation with age (p=0.984, p=0.956). There is a significant difference in theassociation between fat pad prolapse with age (p=0.001) as well as rhytids with age(p=0.001).

Conclusions

Historically, tear trough depth has been felt to be associated with aging change. Increased tear trough depth is unlikely to be associated with age. Rather, rhytidosis and fat pad prolapse maintain this association with age. Understanding this information may offer benefit in educating and treating the aesthetic patient who has concerns regarding the appearance of their tear trough.
Level of evidence: Level III, diagnostic study.
Literatur
1.
Zurück zum Zitat Whitnall ES (1932) Anatomy of the human orbit. Oxford Medical Publication, London, pp 119–120 Whitnall ES (1932) Anatomy of the human orbit. Oxford Medical Publication, London, pp 119–120
2.
Zurück zum Zitat Loeb R (1993) Naso-jugal groove leveling with fat tissue. Clin Plast Surg 20:393–400 (discussion 401)CrossRef Loeb R (1993) Naso-jugal groove leveling with fat tissue. Clin Plast Surg 20:393–400 (discussion 401)CrossRef
3.
Zurück zum Zitat Flowers RS (1993) Tear trough implants for correction of tear trough deformity. Clin Plast Surg 20:403–415CrossRef Flowers RS (1993) Tear trough implants for correction of tear trough deformity. Clin Plast Surg 20:403–415CrossRef
4.
Zurück zum Zitat Haddock NT, Saadeh PB, Boutros S, Thorne CH (2009) The tear trough and lid/cheek junction: anatomy and implications for surgical correction. Plast Reconstr Surg 123(4):1332–1340CrossRef Haddock NT, Saadeh PB, Boutros S, Thorne CH (2009) The tear trough and lid/cheek junction: anatomy and implications for surgical correction. Plast Reconstr Surg 123(4):1332–1340CrossRef
5.
Zurück zum Zitat Fitzpatrick TB (1988) The validity and practicality of sun-reactive skin types I through VI. Arch Dermatol 124(6):869–871CrossRef Fitzpatrick TB (1988) The validity and practicality of sun-reactive skin types I through VI. Arch Dermatol 124(6):869–871CrossRef
6.
Zurück zum Zitat Durai PC, Thappa DM, Kumari R et al (2012) Aging in elderly: chronological versus photoaging. Indian J Dermatol 57(5):343–352CrossRef Durai PC, Thappa DM, Kumari R et al (2012) Aging in elderly: chronological versus photoaging. Indian J Dermatol 57(5):343–352CrossRef
7.
Zurück zum Zitat Sadick NS, Bosniak SL, Cantisano-Zilkha M et al (2007) Definition of the tear trough and the tear trough rating scale: tear trough rating scale. J Cosmet Dermatol 6(4):218–222CrossRef Sadick NS, Bosniak SL, Cantisano-Zilkha M et al (2007) Definition of the tear trough and the tear trough rating scale: tear trough rating scale. J Cosmet Dermatol 6(4):218–222CrossRef
8.
Zurück zum Zitat Yang C, Zhang P, Xing X (2013) Tear trough and palpebromalar groove in young versus elderly adults: a sectional anatomy study. Plast Reconstr Surg 132(4):796–808CrossRef Yang C, Zhang P, Xing X (2013) Tear trough and palpebromalar groove in young versus elderly adults: a sectional anatomy study. Plast Reconstr Surg 132(4):796–808CrossRef
9.
Zurück zum Zitat Wong C, Hsieh MK, Mendelson B (2012) The tear trough ligament. Plast Reconstr Surg 129(6):1392–1402CrossRef Wong C, Hsieh MK, Mendelson B (2012) The tear trough ligament. Plast Reconstr Surg 129(6):1392–1402CrossRef
10.
Zurück zum Zitat Koo TK, Li MY (2016) A guideline of selecting and reporting intraclass correlation coefficients for reliability research [published correction appears in J Chiropr Med. 2017 Dec;16(4):346]. J Chiropr Med 15(2):155–163CrossRef Koo TK, Li MY (2016) A guideline of selecting and reporting intraclass correlation coefficients for reliability research [published correction appears in J Chiropr Med. 2017 Dec;16(4):346]. J Chiropr Med 15(2):155–163CrossRef
11.
Zurück zum Zitat Hirmand H (2010) Anatomy and nonsurgical correction of the tear trough deformity. Plast Reconstr Surg 125(2):699–708CrossRef Hirmand H (2010) Anatomy and nonsurgical correction of the tear trough deformity. Plast Reconstr Surg 125(2):699–708CrossRef
12.
Zurück zum Zitat Muzaffar AR, Mendelson BC, Adams WP Jr (2002) Surgical anatomy of the ligamentous attachments of the lower lid and lateral canthus. Plast Reconstr Surg 110(3):873–84 (discussion 897-911)CrossRef Muzaffar AR, Mendelson BC, Adams WP Jr (2002) Surgical anatomy of the ligamentous attachments of the lower lid and lateral canthus. Plast Reconstr Surg 110(3):873–84 (discussion 897-911)CrossRef
13.
Zurück zum Zitat Kane MA (2005) Fat extrusion and septal reset in patients with tear trough triad: a critical appraisal. Plast Reconstr Surg 116:2035 Kane MA (2005) Fat extrusion and septal reset in patients with tear trough triad: a critical appraisal. Plast Reconstr Surg 116:2035
14.
Zurück zum Zitat Stutman RL, Codner MA (2012) Tear trough deformity: review of anatomy and treatment options. Aesthet Surg J 32(4):426–440CrossRef Stutman RL, Codner MA (2012) Tear trough deformity: review of anatomy and treatment options. Aesthet Surg J 32(4):426–440CrossRef
15.
Zurück zum Zitat Pilkington SJ, Belden S, Miller RA (2015) The tricky tear trough: a review of topical cosmeceuticals for periorbital skin rejuvenation. J Clin Aesthet Dermatol 8(9):39–47 (Review)PubMedPubMedCentral Pilkington SJ, Belden S, Miller RA (2015) The tricky tear trough: a review of topical cosmeceuticals for periorbital skin rejuvenation. J Clin Aesthet Dermatol 8(9):39–47 (Review)PubMedPubMedCentral
16.
Zurück zum Zitat Glaser DA, Lambros V, Kolodziejczyk J, Magyar A, Dorries K, Gallagher CJ (2018) Relationship between midface volume deficits and the appearance of tear troughs and nasolabial folds. Dermatol Surg 44(12):1547–1554CrossRef Glaser DA, Lambros V, Kolodziejczyk J, Magyar A, Dorries K, Gallagher CJ (2018) Relationship between midface volume deficits and the appearance of tear troughs and nasolabial folds. Dermatol Surg 44(12):1547–1554CrossRef
17.
Zurück zum Zitat Turkmani MG (2017) New classification system for tear trough deformity. Dermatol Surg 43(6):836–840CrossRef Turkmani MG (2017) New classification system for tear trough deformity. Dermatol Surg 43(6):836–840CrossRef
18.
Zurück zum Zitat Sharad J (2012) Dermal fillers for the treatment of tear trough deformity: a review of anatomy, treatment techniques, and their outcomes. J Cutan Aesthet Surg 5(4):229–238CrossRef Sharad J (2012) Dermal fillers for the treatment of tear trough deformity: a review of anatomy, treatment techniques, and their outcomes. J Cutan Aesthet Surg 5(4):229–238CrossRef
19.
Zurück zum Zitat Lambros VS (2007) Hyaluronic acid injections for correction of the tear trough deformity. Plast Reconstr Surg 120(6 Suppl):74S-80SCrossRef Lambros VS (2007) Hyaluronic acid injections for correction of the tear trough deformity. Plast Reconstr Surg 120(6 Suppl):74S-80SCrossRef
20.
Zurück zum Zitat Rohrich RJ, Ghavami A, Mojallal A (2011) The five-step lower blepharoplasty: blending the eyelid-cheek junction. Plast Reconstr Surg 128(3):775–783CrossRef Rohrich RJ, Ghavami A, Mojallal A (2011) The five-step lower blepharoplasty: blending the eyelid-cheek junction. Plast Reconstr Surg 128(3):775–783CrossRef
21.
Zurück zum Zitat Jiang J, Wang X, Chen R et al (2016) Tear trough deformity: different types of anatomy and treatment options. Postepy Dermatol Alergol 33(4):303–308CrossRef Jiang J, Wang X, Chen R et al (2016) Tear trough deformity: different types of anatomy and treatment options. Postepy Dermatol Alergol 33(4):303–308CrossRef
22.
Zurück zum Zitat Yaremchuk MJ (2001) Infraorbital rim augmentation. Plast Reconstr Surg 107(6):1585–92 (discussion 1593-5)CrossRef Yaremchuk MJ (2001) Infraorbital rim augmentation. Plast Reconstr Surg 107(6):1585–92 (discussion 1593-5)CrossRef
Metadaten
Titel
Tear trough depth and quality across age groups: a cross-sectional study
verfasst von
Caleb A. Arthur
Adam S. Hassan
Publikationsdatum
07.08.2021
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Plastic Surgery / Ausgabe 1/2022
Print ISSN: 0930-343X
Elektronische ISSN: 1435-0130
DOI
https://doi.org/10.1007/s00238-021-01866-6

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