Nasojugal sulcus

Pronounced nasojugal sulcus (tear trough deformity) is a frequent and distressing symptom in aesthetic palpebral surgery. The sliding fat technique using the transcutaneous or transconjunctival approach has proven to be considerably useful in patients with clinically evident fat bags When nounced nasojugal sulcus, which forms a groove. This fat bags were evident, he performed an arcus marginalis release and used a sliding fat flap from the medial and The authors are in private practice in Madrid, Spain. central pockets Dissection is performed following the preseptal-suborbicularis dissection plane, freeing the arcus marginalis, traversing the malar septum, and passing below the palpebromalar and nasojugal sulci. Retraction is performed with a specially designed transconjunctival retractor and lower-lid retractor

(PDF) Correction of nasojugal groove with tunnelled fat

  1. Note the deep nasojugal sulcus in a typical patient who is a candidate for a transconjunctival sub-orbicularis oculi fat pad lift blepharoplasty. Inferior Orbital Rim Zygomatic Muscles Orbicularis Oculi Malar Pad A B Figure 2. The relationship between the malar pad and the orbicularis oculi and zygomatic muscles (A)
  2. It is the cause of the nasojugal sulcus and, with aging, it becomes evident along with the palpebromalar sulcus . The lower eyelid makes up part of the midface, which the upper border is delimited by the outer corner of the eye and the lower border, by the border of the lip
  3. na·so·ju·gal fold a shallow groove in the skin that extends downward and laterally from the medial canthus. Farlex Partner Medical Dictionary © Farlex 2012 Want to thank TFD for its existence
  4. g the tear trough. It runs inferiorly and medially from the outer canthus toward the inferior aspect of the nasojugal and malar folds
  5. Prejowl sulcus 7. Nasojugal sulcus 8. Lower eyelid cheek interface 9. Lip Augmentation 10. Fine lines. Contact us. 845 N. MICHIGAN AVE • STE. 934E. 312.944.0117. SHAH@SHAHFACIALPLASTICS.COM. Instagram Youtube. BOOK YOUR FREE CONSULTATION TODAY ON. CLICK TO BOOK NOW
  6. Nasojugal sulcus (Juvederm, Restylane, Perlane) 8. Lower eyelid cheek interface (Juvederm, Radiesse, Restylane) 9
Tear Trough and Nasojugal Fold Augmentation | Reducing of

Sliding Fat Pad Technique with Use of the

Results: Erasure of the nasojugal fold was observed in all patients, offering a greater uniformity in the convexity of the middle third and resulting in better rejuvenation of the target area while eliminating visible scarring from a suture through the skin A medial sulcus just lateral to the nasal pyramid, which extends distally for 2.5 cm obliquely towards the angle of the mandible, has been termed a 'nasojugal' sulcus or 'tear trough.' 7,8 However, either by heredity or mainly with aging changes, this suborbital depression continues beneath the entire lower eyelid Background: Pronounced nasojugal groove (tear trough deformity) is one of the landmarks of aging. Hyaluronic acid filler can be used for attenuating the nasojugal sulcus but irregular lumpness and overcorrection are common adverse reactions

In 1961, Loeb coined the term nasojugal sulcus to define the change between the lower eyelid and the medial portion of the malar region. The term tear trough was created by Flowers in 1969 to describe the same anatomic feature [4, 5] Deep tissue rearrangements using PDO threads for facial reyouth: perfect for nasolabial fold, Jowl, and nasojugal sulcus. Neuromodulation Personalized Application of Onabotulinum Toxin (BOTOX) on strategic facial muscles allowing softening of facial expressions, Reverse tired look. & skin luminosity, perfect for prevention, control and. (with age, Nasojugal sulcus & Malar sulcus are formed) 7. • Canthi - Eyelids meet at medial and lateral canthi • Medial canthus: Rounded, -separated from globe by Lacus lacrimalis (tear lake) • Lateral canthus: - 5-7mm from lateral orbital margin, -60 deg with eyes wide open, -30-40 deg with eyes open in a normal way -About 2 mm above.

Treating Tear Trough Deformity: Transconjunctival

The subperiosteal dissection preserves the infraorbital nerve, and only passes medial to the nerve where there is a noticeable ptotic nasojugal sulcus (Fig 4 B) nasojugal sulcus. medial attachment of skin to connective tissue. dermatochalasis. age related change-poor adhesion of skin to underlying tissue, elasticity changes. eyelid skin characteristics-thinnest-fine hairs, sebaceous and sweat glands-dermis contains elastic fiber the upper eyelids, orbital sulcus and eyebrows, • the lateral canthal region, • the glabellar region and root of the nose. Restoring volume to all of these regions where indicated creates a smoother more harmonious appearance than just concentrating on the nasojugal groove or the supraorbital sulcus alone

Nasojugal fold definition of nasojugal fold by Medical

The normal concavity of the nasofacial sulcus can be re-established, using an absorbable suspension suture placed between the undersurface of the dermis of the flap and the periosteum of the nasal bone or maxilla. After further 3 weeks, the pedicle is divided Timeless Skin Solutions and Restylane, Dr. Carol Clinton, Dublin Ohio.For more information on Restylane and Dermatologic procedures, please DermaNetwork.or ptotic nasojugal sulcus (Fig 4B). Between one and six non-absorbable sutures were placed in the periosteum and SOOF about 1 cm below the orbital rim and advanced superiorly and superolaterally to the arcus marginalis and to the superficial temporal fascia. The orbital rim was not drilled in this study.The conjunctiva is closed with absorbable. Grossly, eyelids are divided into the orbital and tarsal parts by a sulcus or furrow. Additionally, there is the nasojugal fold medially, and the malar fold laterally. The skin of the eyelid is the thinnest in the body, below which lies scant subcutaneous tissue. There is a transition to a thicker skin from the lower eyelid to the cheek

If the address matches an existing account you will receive an email with instructions to reset your passwor adjoining the nasojugal crease, poses unique reconstruction challenges. Com-monly, the paramedian forehead flap al-lows for superb alar reconstruction, yet it requires a second stage and an interven-ing period during which the pedicle can be troublesome to many patients BACKGROUND Pronounced nasojugal sulcus (tear trough deformity) is a frequent and distressing symptom in aesthetic palpebral surgery. The sliding fat technique using the transcutaneous or transconjunctival approach has proven to be considerably useful in patients with clinically evident fat bags. In the absence of fat bags, commonly used techniques can lead to unpredictable (and frequently less. Loeb (2) may have been the first surgeon to try to manage the nasojugal depression by sliding herniated fat pads in or grafting this fat to level the defect. Hamra (3) also mobilized the herniated fat pad from the lower eyelid to fill in the infraorbital sulcus. Flowers (4) recommended the use of tear trough implants for correction of th

Eyelid Anatomy Ento Ke


Lower Eyelid Hollowing and Nasojugal Sulcus (Restylane, Belotero Balance, Juvedern Ultra) Nose (Juvederm, Restylane Lyft, Restylane) Cheek/Mid Face Hollowing (Radiesse, Juvederm, Restylane Lyft) Nasolabial Fold (Juvederm, Restylane) Fine Lines (Restylane, Belotero Balance) Lips (Juvederm, Restylane) Chin (Radiesse, Juvederm, Restylane Lyft The medial characterization of the aging jawline by the prejowl sulcus, jowl, and postjowl sulcus are other necessary areas of concern with respect to the lower one-third of the face. the hollow inferior to the lower edge of the orbicularis oculi muscle and deepening of the nasojugal fold are subsequent to inferior migration and volume loss.

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nasojugal sulcus -oss of lasolabial fold Intercanthal - line Lower limba line Empty bladder Empty . Failure to rise Deviated to left parotid (cut) tonsil StylOp m. Middle posterior Sinus Nerve to parotid gland Otic ganglion Lesser n. Hiatus for Tympanic plexus Tympan cavity Tympanic Nasolabial folds are a normal part of human anatomy, not a medical condition or a sign of aging.As people age, however, these folds can become deeper and may also sag. With age, some people also. The nasolabial folds, commonly known as smile lines or laugh lines, are facial features.They are the two skin folds that run from each side of the nose to the corners of the mouth.They are defined by facial structures that support the buccal fat pad. They separate the cheeks from the upper lip.The term derives from Latin nasus for nose and labium for lip

Alloplastic Contouring for Suborbital, Maxillary

Significant nasojugal folds and/or prejowl sulcus; Significant prominence of bony landmarks; Significant visibility of underlying musculature; The validation study included 38 Asian subjects whose photographs were assessed independently by six experienced board-certified dermatologists. During the evaluation, a photograph was given an MFVDS. Nasojugal fold (tear trough sulcus) correction is a very delicate procedure that requires meticulous attention to detail and precision. Yes, you can have that procedure done under local anesthesia if you can tolerate some injection discomfort and pressure. I prefer flank or medial thigh fat, harvested with small cannulas in the smallest.

† Moderate nasojugal folds and/or prejowl sulcus † Moderate prominence of bony landmarks † Moderate visibility of musculature 5 Severe † Wasting † Severe concavity in the zygomaticomalar region, anteromedial cheek, and/or submalar region † Severe tear troughs and/or nasolabial folds † Significant nasojugal folds and/or prejowl sulcus ICD-ST as Surface Topography in ICD-11. The Surface Topography terms labeled as ICD-ST and listed below on AnatomyMapper.com served as the foundational lexicon for Surface Topography in the International Classification of Diseases, 11th Revision (ICD-11) by the World Health Organization Belotero Balance like Juvederm and Restylane is a Hyaluronic acid (HA) filler. However, Belotero Balance is a newer generation Hyaluronic acid gel manufactured in a way so that it can be used in very superficial fine lines and wrinkles without having to worry as much about lumps and bumps and the Tyndall effect Abstract Background: Pronounced nasojugal groove (tear trough deformity) is one of the landmarks of aging. Hyaluronic acid filler can be used for attenuating the nasojugal sulcus but irregular lumpness and overcorrection are common adverse reactions. Objectives: We evaluated the effect of Restylane Vital® with its specialized injector on volume correction and skin tone of nasojugal groove The modified nasalis flap involves elevating bilateral transposition flaps from the lateral aspect of the defect on the tip. 33 An incision is made along the superior alar sulcus extending to the nasojugal fold and a back cut is then made in the nasojugal fold, parallel to the nasolabial fold. The flap is transposed in an anterior and caudal.

Rejuvenation effects of hyaluronic acid injection on

The nasojugal sulcus with silk simple stitches is directly sutured with reabsorbable simple stitches and the nasojugal crease restored, if necessary, with sutures anchored to the periosteum (this will prevent distortion of the nasal ala). Once sutured into the defect, if it is full thickness, the flap can be folded over its distal end and. Start studying Oculoplastics- External anatomy of eyelids and periorbital structures (grovesdk). Learn vocabulary, terms, and more with flashcards, games, and other study tools Following tumor excision, an incision is made in the superior alar sulcus, extending to the nasojugal fold. A backcut is then made in the nasojugal fold, parallel to the nasolabial fold. The transposition flap, including the nasalis muscle, and an interpositional flap from the lateral alae are elevated completely at the perichondrial and deep.

After ablative surgery, the resulting full-thickness defect was reconstructed with a mucosal graft from the buccal sulcus and a nasolabial flap subcutaneously pedicled on a V-Y advancement flap. The above techniques, joined together, allow better nasojugal transposition and should be considered when lateral half of the lower eyelid and lateral. At the top of the upper eyelid is a fold in the skin called a skin crease or the superior palpebral sulcus. It lies around 8 to 11 mm above the margin of the upper eyelid and consists of fibres of the levator aponeurosis. Similarly, there also exists another skin fold in the lower eyelid called the inferior palpebral sulcus MIA 2019 Congress will take place in São Paulo, Brazil, from November 14th to 16th, 2019. This is a remarkable practical learning opportunity chaired by top Brazilian dermatologists. The congress of 2019 will include the latest aesthetic & anti-aging medical topics, research, and the development of application skills of major commercial products At the top of the upper eyelid is a fold in the skin called a skin crease or the superior palpebral sulcus. It lies around 8 to 11 mm above the margin of the upper eyelid and consists of fibres of the levator aponeurosis. It is also called the tear trough. Similar to the nasojugal fold is another fold of skin that is evident in the outer. nasointestinal tube: A long tube inserted through the nose into the stomach for decompression. A weight at the end promotes its advancement into the small intestine. The most common use is to relieve the abdominal distention associated with intestinal obstruction

下眼瞼と頬の間の皺を瞼頬溝(けんきょうこう、ラテン語: Sulcus Palpebromalaris 、英語: nasojugal groove )と呼ぶ 。「ゴルゴライン」「ゴルゴ線」「鼻頬溝」「眼頬溝」「mid cheek line」と呼ばれることもあるが、いずれも正しい解剖学用語ではない。 機 4. Surface anatomy • Superior eye lid crease (superior palpebral sulcus) - Attachment of superficial insertion of levator aponeurotic fibers • Inferior eye lid crease (inferior palpebral sulcus) • Nasojugal fold - From medial canthal region along depression of separation of orbicularis oculi and levator labii superioris • Malar fold. 1 Surgical Anatomy of the Eyelids and Orbit Marcos T. Doxanas Appreciation of eyelid and orbital anatomy has dramatically changed our surgical approaches to problems in these areas. No longer are eyelids excised or distorted during attempted surgical repairs. Now, anatomic abnormalities are identified, and attempts are made to alleviate the underlying anatomic aberration Surg Cosmet Dermatol 2014;6(4):338­43. The utility of hyaluronidase 339 INTRODUCTION Injectable hyaluronic acid (HA) is currently considered the gold standard treatment for the aesthetic correction of wrin Case #8356 ALMI Regenerative Cell Facelift This patient presented with complaints of flattening mid-face, deepening nasojugal folds, deepening nasolabial folds, marionette lines, pre-jowl sulcus, loss of definition of her mandible jaw line and flattening of her cutaneous upper lip

Fig 4.—Silicone implant with posterior balloon por¬ tion expanded. Fig 5.—Preoperative (top) and three weeks post¬ operative (bottom) appearance of patient with subper¬ iosteal implant. Left superior lid sulcus defect is no longer prominent, and socket does not have dropped appearance. Summary A new type of subperiosteal implant for use in correcting superior lid sulcus deform¬ ities. Also within this context, the orbital or periorbital regions include the orbital and tarsal part of the eyelid, the superior and inferior palpebral sulcus, the malar and nasojugal sulcus, the surrounding peri-orbital tissue regions such as the underlying maxillary sinus, neighboring glands, such as the meibomian glands and the lacrimal glands. The middle third of the face is the second zone, and includes the mid-cheek and nasojugal groove, lower-lateral cheeks, and nose. The third zone encompasses the lower third of the face, including the perioral area (with the nasolabial folds, marionette zone, and prejowl sulcus) lips, and chin

The inferior eyelid fold (inferior palpebral sulcus), which is seen more frequently in children, runs from 3 mm inferior to the medial lower lid margin to 5 mm inferior to the lateral lid margin. The nasojugal fold runs inferiorly and laterally from the inner canthal region along the depression of separation of the orbicularis oculi and the. 11. Filler Injection of the Nasojugal Groove and Palpebromalar Groove 12. Filler Injection of the Nasolabial Fold 13. Filler Injection of the Submalar Triangle 14. Filler Injection of the Nose 15. Filler Injection of the Preauricular Region and the Earlobe 16. Filler Injection of the Lips, Oral Commissure, and Mentolabial Sulcus 17 Pre-jowl sulcus drooping; A formation near the aforementioned marionette lines, this sulcus dropping is a common effect of aging as skin sags. Nasojugal folds (cheek indentations near eyes) You will be able to lift the face and also hydrate and revitalize the texture of the skin due to the new collagen that is building up underneath the skin The infraorbital and nasojugal creases define the inferior border of the periocular unit. The nasofacial sulcus marks the medial border in the medial canthal area, while the frontal process of the zygomatic bone defines the lateral margin. Anatomically, it is also useful to distinguish the palpebral portions of the upper and lower eyelids. Nasolabial cyst. Dr Rohit Sharma and Dr Mohammed Wahba et al. Nasolabial cysts, also known as nasoalveolar cysts or Klestadt cysts, are rare non-odontogenic, soft-tissue, developmental cysts occurring inferior to the nasal alar region. On this page: Article: Epidemiology. Clinical presentation

- Nasojugal grooves (sulcus between de face and the nose) - Marionete lines or chinese moustache - Lips volume and contour - Bar codes of the lips - Jaw line - Chin advancement - Rinomodelation or medical rhinoplasty Fractionated CO2 laser and medical peels are also good instruments in skin rejuvenation. In general, patients. A thin coat of BLT topical anesthesia is applied to the inside of the lips (and sulcus) and the vermillion. When reversing a hyaluronic filler in the tear trough (nasojugal groove) region, the hyaluronidase must be injected at the periosteal level and/or any area of fill. Similarly, when reversing a treatment given to the skin or lips, the. Tear trough filler is a popular treatment that aims to correct the tired appearance of tired looking eyes with the use of undereye filler. It works to replace the volume that is lost around the lower eyelid that develops with the ageing process. It can be used not just in this area but throughout the face in areas such as the lips, cheeks. lines, nasolabial folds, lips and lip corners, pre-jowl sulcus, nasojugal folds, glabellar area, lateral nasal and periorbital areas, chin and temple. The devices implicated included HA, calcium hydroxylapatite, PMMA and PLLA soft tissue fillers. Health Product InfoWatch - August 2016

The term lacrimal sulcus was first introduced by Flowers in 1993 [4]. This is a complex anatomical formation the location and occurrence of which is nowadays disputable. Its occurrence is due to several anatomical factors (Figure 6): Fixation of the orbital septum to arcusmarginalis near the medial part of orbita Typically, the nasojugal crease is more evident with aging, the malar fat pad has atrophied, the temples have hollowed, and the brow and upper lid have lost volume. This volume loss is accentuated by brow lifts and blepharoplasty procedures that alter brow position and remove fat, further skeletonizing the patient. Upper eyelid sulcus. Soft-tissue fillers can be used successfully to restore volume loss caused by facial aging, particularly in the following anatomical regions: nasolabial fold, glabellar crease, malar region, nasojugal groove, and lips.14 As the majority of facial volume loss through aging is attributable to fat loss, fat may represent the ideal soft-tissue. The nasojugal fold was defined initially by Duke-Elder, Wybar, and Loeb in 1961. 23 It was then in 1969 renamed the tear trough deformity by Flowers as the observation that tears will track along this groove. 23 The tear trough is the medial one-third of a periorbital sulcus. The sulcus starts at the lower eyelid inner canthus involving the. It is likely that expanding the nasojugal crease is the direct visual cue that leads to perceived improvement in the nasolabial fold. with 0.5 cc of hyaluronic acid filler in each prejowl sulcus. Note the lack of tissue displacement between the site of injection and the nasolabial crease

(PDF) Age-related eyelid changes

The nasojugal groove, an area of continuing discussion for its difficulty in treating harmoniously, is an extremely common and consistently deforming characteristic of lower orbital region. It is proposed the midface is best approached by means of a combination of a temporal slit incision and an upper oral sulcus incision, with no eyelid. The benefits of this subperiosteal approach to the midface are powerful elevation of the midfacial structures, improvement of the nasolabial folds, enhancement of the cheek prominences, smoothing of the nasojugal folds, and tightening of the orbicularis oculi. The procedure is performed through small incisions in the temple and gingival sulcus Fat Transfer removes fat from unwanted areas, and transfers it to a new, more desirable location. This technique is widely used in Brazilian Butt Lifts (BBL), Facial Rejuvenation, and scar treatment for depressed, or sunken-in, scars from traumatic injury.With Fat Transfer, only a portion of the transferred fat survives in its new location, and the percentage that survives can vary widely. the donor defect in the nasojugal fold in order to minimize scarring for closure of wider defects and to maintain the definition of the nasojugal fold [19]. Donor scars are well sulcus. Furthermore, the skin is usually free of hair and has an excellent blood supplyfrom the branches ofthe facial artery

General Anatomy of the Face and Neck | SpringerLink

There is a close relationship between the lower eyelid area and the nasojugal sulcus (medial portion that goes along the medial inferior orbital rim) and the nasociliary region. It is important to pay attention to the anatomy of these regions and to consider them jointly. Surg Cosmet Dermatol 2013;5(3):2348 METHOD Subdermal support of the lateral two-thirds of the brow, the nasojugal fold, the malar and buccal fat pads, the lateral lip commissures, and the perioral region, including the pre-jowl sulcus, all restore youthful facial contour and harmony. An important advance in technique is the subdermal rather than the intradermal injection plane The prejowl sulcus is an area between the chin and the jowl area. Loss of fat and bone density in this area is what creates the sulcus or space that needs to be filled. Left alone, a deepening prejowl sulcus will bring down with it the corner of the mouth, leading to a sad marionette look

A licence package is needed for accessing this content. Register for trial Choose your licence package for full free access during a 14-day test period METHOD: Subdermal support of the lateral two-thirds of the brow, the nasojugal fold, the malar and buccal fat pads, the lateral lip commissures, and the perioral region, including the pre-jowl sulcus, all restore youthful facial contour and harmony. An important advance in technique is the subdermal rather than the intradermal injection plane Dr. Sathyadeepak Ramesh is a Ophthalmologist in Somerset, NJ. Find Dr. Ramesh's phone number, address, hospital affiliations and more sulcus. The ideal position of the female brow differs from that of the male brow. The male brow is relatively straight, lying at the level of the orbital rim, and runs perpendicular to the nose with a minimal sulcus and a low subtle lid crease 8 mm above the lash line.4 Fig. 1 depicts many anatomic relationships tha

Learn more about the options you have when it comes to injectable fillers by scheduling an appointment at one of our 2 locations. Call our office at 905-273-3045 (Mississauga) or 416-207-9090 (Toronto), or request an appointment. request an appointment. online Fat grafting is a technique where the harvested adipose tissue is injected into various compartments underneath the skin. The term autologous fat grafting refers to the procedure where the source of fat is the same person on whom it is to be used. For many years this technique has been used for a variety of different purposes. Autologous adipose tissue is considered by many to be an ideal. The sulcus found lateral to the tear trough is the termed the lid-cheek junction, or palpebromalar groove. In the subcutaneous plane, this area is contiguous with the nasojugal groove. However, in the suborbicularis plane the lid-cheek junction is marked by the presence of the ORL From an entry-point over the body of the zygoma (Figure 1J), a 22G cannula was advanced medially, deep to the orbicularis oculi muscle (OOM) to the area of infraorbital hollowing at the junction of the palpebromalar and nasojugal grooves. HA-GP 0.5 to 1mL per side was deposited. Ristow's space

The Nasojugal Flap. A semicircular suborbicularis flap is designed at the lateral canthus and then extended laterally to the preauricular sulcus; it is elevated in a subcutaneous plane or sub-superficial musculoaponeurotic system for additional blood supply. A triangle of tissue is frequently excised inferior and medial to the defect for a. INJECTION - Exam and Procedure Medical Form General Surgeon. cm There are 0 copies in use. Published: Aug. 31, 2019, 4:13 p.m. Doctor: Dr. History Physical Rating: 0 / Use this form Back to lis

Figure 3 from Correcting Nasojugal Groove with AutologousFacial Fillers Chicago | Dr

Dr. Allan E. Wulc is a Plastic Surgeon in Plymouth Meeting, PA. Find Dr. Wulc's phone number, address, insurance information, hospital affiliations and more Transconjunctival blepharoplasty is the management of lower eyelid structures via the conjunctival approach and is usually applied to the cosmetic improvement of the lower eyelid using this approach. [1] [2] The transconjunctival approach is often also used for reconstructive surgery. The very essence of this surgical procedure implies that. groove (gro͞ov) n. 1. A long narrow furrow or channel. 2. The spiral track cut into a phonograph record for the stylus to follow. 3. Slang A settled routine: got into the groove of a nine-to-five job. 4. Slang A situation or an activity that one enjoys or to which one is especially well suited: found his groove playing bass in a trio. 5. Slang A very.