Arna Shab, Manuela Lisandru, and Catharina Shab describe how thermomechanical fractional injury (TMFI) technology can be used to improve wrinkles and skin appearance
in the periorbital region
THE PERIORBITAL REGION IS THE THINNEST SKIN STRUCTURE ON the face and an important wrinkle-prone region as they are usually where the first signs of ageing are witnessed. Common problems such as fine lines and wrinkles, infraorbital dark circles, puffiness under the eyes, and thinning eyelashes and brows are the issues many patients complain about. Changes that occur to the periocular structures with age are categorised into dynamic and static changes. The dynamic component is related to muscular activities and changes in resting muscle tone. This static component is defined as the change related to volume loss and fat pad changes. Signs of photodamage are also prevalent, and knowledge about the contributing factors is also required. Realistic patient expectations in relation to the results are the basis of a good treatment. To this day, a large number of products such as botulinum toxin, dermal fillers, threads or various lasers are used in this area. The aim of treatment is to reduce ageing characteristics, restore the general smoothness, reduce the appearance of wrinkles in the periorbital area and achieve a more even skin complexion.
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