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Filler in the nasolacrimal sulcus: review and description of the drugs, features of the procedure, possible complications, photo before and after, reviews


The nasolacrimal groove is a defect that is a rather pronounced crease, located just below the orbital bone edge of the lower eyelid. It has a length of about 1-2 centimeters, begins at the inner corner of the eye and ends approximately at an external angle. The lack of looks like a certain border of the infraorbital zone and greatly affects the appearance.

The appearance of nasal fissures is almost inevitable and is due to physiological age-related changes, as well as some features of this area of ​​the face. So, in this area is the so-called septum - a dense partition, the upper edge of which is attached to the bones of the skull. This element provides the connection of the skin with muscle tissues located around the orbit.

In young people, the furrow does not stand out and remains invisible, which is explained by the elasticity and full hydration of tissues. With age, ligaments of the septum are subject to stretching, loosening and lengthening. As a result, retraction zones are formed in the areas of reliable fastening, and in the places of lesser fixation, bulging and sagging are observed.

Nasolacrimal grooves appear due to the effects of such physiological and age-related changes of factors as tissue ptosis caused by gravity (dropping under its own weight), smoothing and reducing the density of bone structures and thinning the layer of subcutaneous tissue (in this area it is already thin).

Expressiveness of the furrows may vary, as it depends on some features of the structure of the face and hereditary predisposition. And the following factors can speed up the process of formation and exacerbate the situation:

  • Malnutrition: poor diet, abuse of flour, fat, salty, convenience foods and fast food.
  • Sharp weight fluctuations, especially rapid weight loss. Since in the area of ​​the nasolacrimal sulci there is a layer of fatty tissues, with their deficiency the defect may become more pronounced.
  • Some diseases of the endocrine system or malfunction in its functioning.
  • Some bad habits: smoking, immense alcohol consumption.
  • Unhealthy lifestyle: frequent overwork and stress, failure to comply with the regime, lack of sleep.
  • Certain chronic diseases of the cardiovascular system, kidney, liver.

Correction methods

Correction of the nasolacrimal sulcus can be carried out by different methods. All used modern methods can be divided into injection, surgical and hardware. Each category has separate varieties with its own advantages and disadvantages, so all groups should be considered separately and in detail.


There are several injection methods for correcting nasolacrimal sulci:

  1. Contour or filler is one of the most popular ways. Furrows are filled with so-called fillers - special gel-based means of hyaluronic acid. This substance is injected into tissues, helps to retain moisture, and also stimulates the production of elastin and collagen responsible for elasticity. As a result, the zone is tightened, and the grooves become less pronounced. Injections are carried out with special thin cannula needles, which ensure the introduction to the desired depth and an even distribution of fillers. Preparations (“Yuviderm,“ Restyline ”and others) are administered in dotted and small doses in accordance with the marking laid out in advance on the zone. Before the procedure, a specialist may offer local anesthesia. The entire session lasts about fifteen to twenty minutes. During the week, edema may persist under the eyes, which passes on its own. The final results are evaluated after a couple of weeks, the effect lasts for a period of six months to a year, depending on the individual characteristics. The procedure has contraindications, which include diabetes and some other endocrine, autoimmune and systemic diseases, lactation and pregnancy, reduced blood clotting, cancer, dermatological diseases with lesions in the area of ​​injections, as well as a tendency to the appearance of scars.
  2. Mesotherapy is the administration of drugs under the skin. Since the components penetrate only into the upper layers and practically do not reach adipose and muscle tissue, the effect will be minimal and will not last long. Contraindications are almost the same as for the filling.
  3. Lipofilling This procedure is similar to the filling described above, but differs from it in that fatty tissues taken from donor sites from the same person are used to fill in the recesses. On the one hand, their own cells minimize the effects in the form of rejection or inflammation. But, on the other hand, fatty tissue can be distributed unevenly, change the structure. In addition, its volumes are variable and strongly depend on the total body weight: with a decrease in weight, almost all the fat injected can burn out. As a result, the effect achieved after the procedure may disappear. Contraindications are almost identical to those applicable to the filling procedure.


For correction and modern cosmetic hardware methods are used.

  • RF lifting or thermage implies exposure of radio frequency waves to problem areas. Impulses penetrating into the tissue heat them, accelerate blood circulation and significantly improve the blood supply to the area, which allows the synthesis of elastin and collagen to start.
  • Ultrasound therapy. Ultrasonic waves also penetrate rather deep layers of tissues and stimulate the production of substances in tissues that provide youth and elasticity.

It should be noted that hardware correction methods will not allow to achieve obvious results, so they are often used in combination with other methods or after injection procedures for a more even distribution of the components and their deep penetration.


Surgical correction is most effective because it allows you to change the structure of the nasolacrimal sulci. The effect lasts for a long period, which can reach five to eight years. But the operation is associated with certain risks.

  • First, it will require difficult and long-term rehabilitation.
  • Secondly, the final results can be assessed only after the elimination of puffiness, namely after a few weeks.
  • Thirdly, the consequences are likely, such as noticeable scars, asymmetry of the nasolacrimal grooves, infection of tissues and even blood infection.
  • Fourth, surgical correction has numerous contraindications, so it is desirable to undergo an examination before it.

How do the surgery? The first option is blepharoplasty, which involves the excision of excess fat tissue or skin areas. Also, subcutaneous fatty tissue can be removed from one area and move to another. The second option is a face lift. But such an operation affects not only the nasolacrimal grooves, but also other parts, so it is recommended for obvious age-related changes and defects.

If you notice pronounced nasolacrimal grooves, do not despair and put up with the situation, because there are many methods of correction. Weigh the pros and cons and choose the most appropriate way.

Causes of folds

The skin of the face eventually becomes imperfect - this is normal. This is due to the peculiarities of mimic muscles. Some eye muscle group is attached to the lower edge of the orbital orifice. Over time, the ligaments begin to stretch, and the skin loses its firmness and elasticity. Because of this, a skin fold occurs.

This process is accelerated with constant fatigue, sudden weight loss, bad habits, constant lack of sleep, poor skin care, and diseases of the endocrine system.

If a person can put his or her way of life in order, starts eating well and caring for the skin, then it is possible to slow down the fold process without problems, but sooner or later it will appear. If a person noticed the first signs of aging, then you need to contact a beautician.

Benefits of fillers

To date, contour plastics has gained immense popularity. Because of this, plastic surgery was relegated to the background. Thanks to the use of fillers in the nasolacrimal sulcus (reviews of the procedure will be described below), it is possible without operative intervention to regain the youth and fresh appearance.

What are the advantages of cosmetologists?

Fillers smooth the skin of the face, filling all the wrinkles of any depth, the skin becomes elastic, it tightens to a normal state after stretching. Due to the fact that the fillers have hyaluronic acid, an allergic reaction does not occur. Because of this, they will not be rejected by the body. If the dosage is optimal, then the filler under the skin will not shift and will be imperceptible. The effect lasts from 3 months to a year. During this time, hyaluronate is consumed by the body and absorbed naturally. Thanks to the gel, the skin has excellent nourishment, which leads to an increase in the production of collagen and elastin. If the result of the patient is not satisfied, you can enter a special drug that will accelerate the resorption of the filler. This method of rejuvenation does not affect facial expressions and does not change facial features, unlike Botox or other procedures.

The speed with which the filler will dissolve in the nasolacrimal sulcus depends on the characteristics of the organism. If the skin is dry, then it will use a lot of hyaluronate for regeneration. Because of this, the filler will quickly resolve. In order for the effect to be long-lasting, it is necessary to make mesotherapy with hyaluronic acid before the procedure.

Reviews of nasolacial sulcus fillers correction are often positive. Patients are satisfied with the effect and advised to choose a proven certified clinic. If there are any problems, they are probably caused by a cosmetic error.

Correction fillers

To date, there are a large number of drugs that can restore your skin. There are tools that are made on the basis of silicone. They are insoluble in the body. Biosynthetic fillers are similar in composition to the body. Sometimes for the procedure used subcutaneous fat taken from the patient.

Consider the five best quality fillers in the nasolacrimal sulcus. Photo effect after applying one of the drugs is presented below:

  • Princess Plastic filler does not create clots. When creating it, a special technology is used, which gives the gel a homogeneous structure. It is viscous, so it does not spread. The drug is created by the Austrian manufacturer. In the company's lineup, most of the fillers are created from hyaluronic acid, some additionally added lidocaine.
  • Radiesse. Provokes the creation of new collagen fibers. Consists of calcium hydroxyapatite. Due to this, the effect of the gel lasts up to 18 months. Assign this composition, as a rule, allergies. The rest of the mass consists of distilled water. The gel was created by an American company, but at the moment the rights to produce it belong to a German concern.
  • "Yuviderm 24". Thanks to the gel, you can create a clear outline, as the consistency of the drug is dense. The composition includes hyaluron in high concentration. This acid has non-animal origin, therefore it does not cause side effects after resorption. The tool with index 24 allows you to equalize wrinkles, correct shallow mimic depressions.
  • "Ivor". Elastic, based on hyaluronic acid. It is produced by microbiological fermentation. Due to this, the substance is fully compatible with human tissues. The cost of the drug ranges from 3 thousand to 7 thousand rubles. To eliminate the nasolacrimal sulcus, the “Classic” series is used. This gel is viscous and has a sufficient acid content.
  • Teosyal RHA 4. Its use does not affect the work of the facial muscles. It was created relatively recently on the basis of hyaluron. In some formulations added lidocaine. This gel does not cause allergies, it is not capable of migration and is easily leveled under the skin.

If you are not sure which drug should be used, then it is better to think about inserting a soluble filler into the nasolacrimal sulcus. If the procedure does not lead to the desired result, you can use medical tools that will help the gel to quickly dissolve. In the case when the filler of silicone, after an unsuccessful attempt to rejuvenate the face will have to do the operation.

You can purchase fillers for 1000-15000 rubles. There are those gels that cost about 30 thousand rubles. The most expensive are the new developments, which include collagen and hyaluron. But if all other funds can be bought independently, then these are sold only to doctors.

Why nasolacrimal groove is formed?

The appearance of such a defect with age is due to the fact that the skin around the eyes becomes thinner, loses its elasticity, as a result of which the blue and the capillary network appear more clearly. The border between the lower eyelid and the fatty layer of the cheeks becomes more visible. The situation will be aggravated by the impact of lowering this fat itself (it is called painting) - the depression will be lower and deeper.

The naturally thin skin under the eyes, which shines through the capillaries, and deep-set eyes increases the risk of an early furrow. If you have always had bruises under your eyes, regardless of diet, daily regimen and fatigue, then this cosmetic defect may occur after 20 years.

Nasolacrimal sulcus often provokes edema, which may indicate kidney problems, excessive or inadequate drinking, consumption of large amounts of salted and smoked products, and alcohol. It is important to make the diet varied, take vitamins, eat more vegetables, fruits and fiber: this will help to make the whole appearance fresher and more rested.

What problems can the correction of the nasolacrimal sulcus cope with?

Methods of correction will be very different from the severity of the nasolacrimal sulcus. Their action may be directed to the following areas:

  1. increase the elasticity and density of the skin,
  2. filling of a furrow for alignment of a relief,
  3. tightening the area under the eyes.

All these impacts will give a good result. If the furrow is not very noticeable, then it will be enough to work with the skin around the eyes to increase its elasticity. To do this, apply different cosmetic procedures without penetration under the skin.

With sufficient visibility of the furrow and the ineffectiveness of previous methods, women can use the filling of the furrow. The beautician himself will select the appropriate drug and its quantity. In two weeks the result will be noticeable: the tear groove will become less visible or not visible at all.

In cases where the skin of the eyelids has become flabby, operational methods are best suited. They will have a significant rejuvenating effect, which will also make the furrow less noticeable as well. The result will last for a long time: from 5 to 10 years.

Furrow correction is a procedure that is not brought to drastic external changes, but will make it look much fresher, younger and more attractive.

The most popular methods of filling the nasolacrimal sulcus today

As in the previous paragraph, we consider correction methods from lighter and more benign to more radical ones. Everything that can be done with a nasolacrimal sulcus at home (exercises, folk remedies) will be discussed in the last paragraph. Now we will pay attention to the existing cosmetic and plastic procedures.

If you are a young girl who has always had bruises under her eyes, and lately you have noticed that they have become deeper and a furrow has appeared - then such salon procedures will be a great solution:

During the procedure, a tightening of the area being worked out due to the effect of radio waves is achieved. It is the quality of the skin that improves here, in contrast to the classic braces, in which her condition and tone remain the same. The method is well proven, including when lowering both simple skin and skin with a fat layer.

  • Ultrasonic lifting:

This lifting allows you to achieve the same great effect as the previous one. It acts deeper and is able to use even the muscular frame. The skin is tightened and becomes more dense after the first procedure. Over time, a positive result is only enhanced by the accelerated production of collagen and elastin.

In the event that the furrow is strongly allocated and you want to get rid of it, then injections will help you. The quality of the skin and its density will remain the same, but the nasolacrimal groove will no longer be so noticeable.

Косметологи отдают предпочтение препаратам с гиалуроновой кислотой. Она может быть разной плотности и содержать дополнительные компоненты. Процедура стоит относительно недорого, и при этом является отличным способом устранения носослёзной борозды. At the moment, injections (contour plastics) are the most popular way to get rid of this cosmetic defect.

If there are noticeable age-related changes in the skin, then it makes sense to work not specifically with the furrow, but with the entire area under the eyes. For these purposes, apply such methods.

This procedure is similar to the contour plastics, as the drug is placed under the skin with the help of injections. The difference is that not the drug is used, but the fat from your own body. The effect lasts for about 3 years, it is possible to achieve a significant improvement in the relief of the skin under the eyes and eliminate the nasolacrimal sulcus.

Eyelid surgery that helps to cope with many imperfections in the eye area. Significantly rejuvenates this area. It can be upper, lower or circular (depending on the area of ​​execution). Rehabilitation will require more time. The effect will last up to 10 years.

With such procedures, the nasolacrimal sulcus is filled, as a result of which it ceases to be noticeable, and the appearance becomes younger and more attractive.


The more difficult the procedure, the more contraindications it has. RF lifting (also called radiofrequency) and ultrasound have such contraindications:

  • malignant and benign neoplasms,
  • hypertension,
  • pregnancy,
  • skin diseases
  • skin damage in the planned area of ​​exposure, the presence of silicone in it.

Furrow correction with fillers (injections with hyaluronic acid) also has its own list of contraindications, among them:

  • pregnancy,
  • endocrine system diseases
  • diabetes,
  • viral and oncological diseases,
  • individual intolerance to the components.

Lipolifting cannot be done with:

  • poor blood clotting,
  • oncological diseases
  • diabetes mellitus
  • pregnancy
  • diseases of the cardiovascular system.

Blepharoplasty is not performed when:

  • increased intraocular pressure
  • diseases of the organs of any system
  • diabetes mellitus
  • poor blood clotting,
  • pregnancy and the presence of tumors in the body.

Why the most popular is the correction of the nasal groove fillers?

Many women choose injections in the cosmetology salon to correct the nasolacrimal sulcus. Consider this procedure more closely and start with the benefits:

  1. Relative painlessness. Any shots will still cause painful and uncomfortable sensations, but in this case the pain will be tolerable.
  2. Quick troubleshooting. The resulting effect will be fully noticeable after 10-14 days.
  3. Low cost (in comparison with lipolifting and blepharoplasty). The procedure costs around 10-15 thousand rubles, depending on the clinic, while more serious procedures with a large rehabilitation period are several times more expensive.
  4. Acupressure on the problem. No other changes in appearance will occur, only the furrow will disappear or become much less noticeable.

Proceeding from all this, the procedure is perfect for those women who are not bothered by the strong age-related skin changes, which may require a more complex and serious effect. The correction will be similar not to an operation, but to a cosmetology procedure in the salon. Moreover, having made it, you will not cause much damage to the budget, but you will like yourself a lot more!

Filling of the nasolacrimal sulcus with fillers: execution technique

To begin with, the cosmetologist will assess the situation and select the optimal drug. An anesthetic ointment will be applied to the area, after which marks are made with a pencil. Then a needle of the syringe with the preparation will be inserted into the marked places. For better distribution, zigzag movements will be made. If you have chosen a good specialist, then the pain and some consequences will be minimal. About them will be discussed in more detail in the next paragraph.

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What complications can occur after correction of the nasolacrimal sulcus?

Immediately after the introduction of the fillers, a small swelling and redness occur: this is an absolutely normal situation. If the vessels are damaged (this happens quite often), bruises and bruises can form, but they will pass in the next 5-7 days. In rare cases, complications such as the appearance of fillers or skin necrosis at injection sites can occur.

Needless to say, the more serious the procedure, the more complications can occur. If you are interested in lipolifting or blepharoplasty, it is better to clarify the possible complications in the clinic itself. After radiofrequency or ultrasound lifting, complications, as a rule, do not arise.

Filler composition

To date, almost no use of fillers in the nasolacrimonial sulcus, which are made of silicone. Such drugs can cope with the problem at once, but if used improperly, poor results or complications, in order to get rid of the gel, you will have to have an operation.

That is why doctors use only those products that are based on hyaluronic acid. Their persistence ranges from several months to several years. Collagen is often added to the gel. It allows you to quickly remove the swelling.

Due to this natural composition of drugs, it is possible to minimize the effects and avoid severe trauma of the skin. However, before the procedure it is better to check for intolerance to drugs. Otherwise, insertion of fillers into the nasal duct sulcus will lead to serious consequences. To maintain the relief of the skin, will have to do the procedure several times a year.

How is the procedure?

The introduction of the filler into the nasolacrimal sulcus does not require prior preparation. 10 days before the procedure, you do not need to use aggressive cosmetic means and sunbathing is the only requirement. If a person has an increased fragility of blood vessels, which is why bruising easily occurs, then a doctor should be told about this. He will prescribe a tool that you need to drink during the week. As a rule, doctors recommend taking pictures before and after, so that the specialist can assess the situation: whether the vessels have recovered.

If the correction by the fillers of the nasolacrimal sulcus, the reviews of which are positive, does not affect other areas, the procedure will not take more than 10 minutes. However, by this time should also be added to the preliminary preparation and waiting for the effects of anesthetics. Therefore, the hospital stay will take about 2 hours.

How exactly is the procedure carried out? First, the cosmetologist will discuss with the patient, describe what results are to be expected. After the examination has been carried out, the doctor will choose a filler. For this zone you need one that has an average gel density. Therefore, it is important that the drug has about 20 mg of hyaluronate. Next, the skin is cleaned of impurities and cosmetics. Otherwise, you can make a tattoo of the skin due to falling under her coloring matter. The area to be corrected is outlined with a special pencil. This is necessary so that during the procedure, due to edema, not to get off and not to process the wrong zone. After that, a local anesthetic is applied. Special creams are used. The tool begins to act after half an hour. Injections are made along the previously marked line. The gel is introduced in a small amount, then it is distributed by means of zigzag movements in the crease. In some clinics, a cannula is used instead of a needle, since this method is considered slightly traumatic. Next, the master massages the gel slightly to shape the gel and smooth out the transition points. This completes the procedure for filling the nasal cavity with a filler.

Some manufacturers add lidocaine to the gel. In this case, the stage using anesthetic cream is skipped. But it must be borne in mind that the injection is done without anesthesia, since lidocaine acts after the injection. If a girl is afraid of injections, then you should ask the doctor to change the drug.

After the procedure, the doctor will make a special soothing mask. So you can avoid inflammation. Next, the master will tell you exactly how to care for your skin. After this, the procedure for correcting the nasolacrimal sulcus by fillers is considered complete.

The end result can be assessed only after a week and a half. This is due to the fact that after contouring the plastics, the epidermis may not respond very well. In order to bring the skin to perfection, doctors recommend going to them again after a couple of weeks. The specialist will assess the situation and, if necessary, correct it.


Fillers in the nasolacrimal sulcus immediately after the procedure cause discomfort, but do not be afraid of them. Under the eyes there will be bruises, redness and swelling. However, this is a normal skin reaction. In this place the skin has many vessels that can not be damaged during the manipulation. Further recommendations should be followed in the coming week.

You should not drink a lot of liquid, as hyaluronate will absorb moisture and swelling will increase. Because of this, applying a moisturizer to this area is also not worth it. No need to go to the solarium or be in the open sunlight. Otherwise, skin patches may appear. It is best to sleep on your back, putting a pillow under your head. Decorative cosmetics is better not to use, you need to wash with cool water. Massaging the filler is not worth it; moreover, it is better not to touch the injection site. Sauna access and any heat treatments are prohibited. If there are bruises, then you can use creams that help dissolve hematomas.

Photo correction fillers nasolacrimal sulcus (an example is presented in the article) should be done before and after the procedure in the same light, in the same pose, hair and with the same facial expression.


If a person wants to make a correction of the skin of the face, then you need to know about all the complications that the procedure can bring. Only after a detailed study of all the subtleties should agree on the procedure.

Sometimes the gel can pinch blood vessels. It is not always possible to see all the capillaries before the procedure, respectively, it is difficult to get around them. In addition, if hyaluronate begins to soak up moisture, it can squeeze blood vessels later. Because of this, puffiness will appear. No therapeutic measures are needed, since this complication is resolved independently.

If a wrong type of gel was used that suits the nasolacrimal area, then the filler probably migrates slightly. The doctor himself must decide which filler is best for the nasolacrimal sulcus, but one should not forget to ask about the acid concentration in it. And it is desirable to do this before the procedure itself.

Hypercorrection occurs if the gel is injected in an excess amount. With a smile or surprise, the filler will be very noticeable. In this case, you need to go to the salon and ask for the injection of "Longidase". They will help the gel dissolve a little faster. This drug is also suitable if the filler migrated.

If there are nodules under the skin or scars, it means that the filler was entered incorrectly. Even the best drugs should be installed intradermally. In the event that the injection was made deeper, then a scar may appear during resorption. On the surface of the skin, most likely, there will be no changes, but to the touch the formation will be noticeable.

Most of the unwanted complications associated with the incorrect work of the master. The procedure for introducing a filler into the nasolacrimal sulcus, the reviews about which the patients leave positive, is quite complicated, so you need to choose a professional master who has extensive experience. It is better to give preference to a more expensive clinic, but with a good reputation. Do not forget to read reviews about the institution, to understand what to expect in the future.

Why folds form in this area

The nasolacrimal groove is a small cosmetic defect (no larger than 1 cm in size). The fold encloses the infraorbital region, extending from the inner corner of the eye to the outside.

As a rule, the formation of the nasolacrimal fold is predetermined by the anatomical features of the structure of the facial bone skeleton. Every person has a tear groove. Until a certain time and proper care, it is invisible.

Manifests nasolacrimal fold under the influence of the following factors:

- irregular and irregular skin care,

- a state of chronic fatigue and lack of proper sleep,

- sharp loss of body weight,

- the abuse of alcoholic beverages, cigarettes, taking drugs,

- chronic diseases of the endocrine system.

Types of drugs for nasolacrimal sulcus plasty

Depending on the mechanism of action, composition and duration of a positive effect, there are three main groups of fillers:

- synthetic - created on the basis of multilevel silicone cleaning,

- collagen - the basis of the drug is synthesized human collagen and animal tissue,

- autologous fillers - created on the basis of the patient’s own tissues.

The most common are fillers based on hyaluronic acid:

  1. Juviderm 18, 24, 30. Uviderm fillers vary in consistency and depth of administration. Ideal for the correction of nasolacrimal sulcus and age-related changes of the skin around the eyes, mouth.
  2. Sudzhiderm different viscosity. Perfectly corrects nasolacrimal sulcus, nasolabial folds. The aesthetic effect of the introduction of this type of filler is maintained for one year.
  3. Ivor - Korean fillers that perfectly cope with age-related changes of any severity.

Important: the type of filler or combination of drugs is selected only by the doctor, based on the individual characteristics of the patient's skin.

Indications and Contraindications

Procedures for the correction of the nasolacrimal sulcus are shown for:

- prominent nasolabial folds and fine wrinkles around the eyes,

- to correct the oval (or individual parts) of the face.

Contraindications to the plastic nasal fold:

- the period of carrying and feeding the child,

- elevated blood sugar (diabetes mellitus),

- diseases of the heart and blood vessels,

- pathology of the nervous system,

- chronic diseases in the acute phase of development,

- acute respiratory diseases,

- violation of the integrity of the skin, purulent rashes,

- age limit up to eighteen years.

Important: only a doctor can assess the patient's condition and give permission for contouring.

Adverse reactions and complications

The most frequent complaints of patients who have undergone contour plastics procedure are:

- pain in the place of introduction of the filler,

- redness and bruising,

- slight swelling around the eyes.

Pain relief medication will help reduce the unpleasant side effects of the rejuvenation procedure.

Important: the type of drug, its dose is determined only by a doctor.

The more serious consequences of the procedure for correcting the nasolacrimal sulcus by fillers are recorded in a small number of patients:

- infection at the site of filler injection,

- necrotic changes in the structure of tissues,

- scar formation, fibrosis.

As a rule, the development of complications is associated with violations of the technique of introducing a filler, an incorrectly calculated dose of the drug being injected, and unsuccessful manipulation.

The concept of the defect and its causes

The nasolacrimal groove is a fold below the bone orbital margin about 1 cm long, directed from the inner corner of the eye to the outside. It delimits the infraorbital region. Many authors call the continuation of the furrow on the cheek-cheekbone area called the nasolance, and to the outer corner of the eye - palpebromalyarno, or infraorbital.

The formation of the furrow is due to the anatomical features of this facial zone, which consist in the presence of a dense septum (septum). Fixed on the upper edge of the bone structure, it connects the skin with circular muscles located around the eyes. Therefore, the tissues in the upper third of the face are displaced significantly less than in the middle.

In young people, the nasolacrimal groove is almost not noticeable, due to the high hydration, elasticity and elasticity of the tissues. However, its severity depends on the individual inheritance of the features of the structure of the face. With increasing age (from 25-30 years old), septal ligaments, remaining firmly fixed to the skin and bones, gradually weaken, stretch and elongate. As a result, in areas with greater fixation of the skin, contractions are formed, and with less, sagging and protrusion of tissues. Under the eyes appear "circles" that have a bluish color due to the x-ray of the vessels through the thin skin, and the face acquires a sick, exhausted expression of a tired person.

Thus, the formation of the nasolacrimal sulcus is due to three main factors:

  • gravitational age ptosis of tissues,
  • changes in bone structure (rarefaction and smoothing of the surface),
  • dystrophy of the subcutaneous tissue, already thin in this zone.

The timing of the formation and severity of the nasolacrimal fold, besides heredity, is greatly influenced by:

  • improper lifestyle and sleep disorders,
  • dysfunctional disorders of the endocrine system,
  • chronic diseases of the lungs, cardiovascular system, kidneys,
  • overweight, followed by a rapid decrease,
  • smoking and alcohol abuse.

Surgical correction

It consists in applying one of the methods:

  1. Operational lipofilling, which is applicable mainly for patients of young and middle ages who are psychologically inclined only to isolate the aesthetic defect alone without drastic changes in the contours of their face. / The essence of the operation is the preliminary collection of adipose tissue from other parts of the body (abdomen, thigh) and filling the area of ​​the nasolacrimal fold with local anesthesia. This procedure is performed with low skin tone in this area by cutting the conjunctiva (transconjunctival blepharoplasty) and lasts about 40 minutes. In the presence of very pronounced age-related changes, access is carried out through a skin incision.
  2. The meaning of the second method is to separate the adipose tissue of the lower eyelids, followed by lowering it under the skin in the area of ​​the nasolacrimal sulcus. This technique is used as an addition to blepharoplasty of the lower eyelids or facelift in the middle of the face if the patient has hernias of the lower eyelid, the severity of the nasal spine and many wrinkles and folds in the named area.

Surgical correction of the upper and lower eyelids

Surgical correction methods are quite effective and long-term. At the same time, they contain the risk of an uneven filling of the nasolacrimal fold with fatty lumps and their subsequent contouring, especially in persons with thin skin. In addition, the operations themselves under anesthesia or even under local anesthesia have a number of limitations associated with concomitant diseases.

How to get rid of nasolacrimal sulcus with non-surgical methods

These include:

  1. Injection lipofilling.
  2. Mesotherapy and contour correction.
  3. Hardware methods.

Injection methods

Injection lipofilling is carried out by the adipose tissue of the recipient itself. It is obtained from the hip, abdomen, or other areas, centrifuged, washed, and injected with a syringe and cannula under the skin in the region of the nasolacrimal sulcus. Positive results persist for 3 years, but often afterwards adipose tissue can be contoured on the surface of the skin, creating an uneven relief. In addition, part of the fat cells does not survive and dies, which also reduces the effectiveness of the procedure. Read more about this method in the article "Lipofilling".

Mesotherapy and contouring using hyaluronic acid. If mesotherapy is advisable only for the purpose of prophylaxis and at the very initial stages of the formation of a fold, then the correction of the nasolacrimal sulcus with hyaluronic acid fillers by means of contour plastics is the most effective of non-surgical methods.

The method is relatively new and only in recent years has gained great popularity among both patients and doctors. This is due to the almost absence of restrictions, the development of deep injection technology using a special cannula that prevents damage to blood vessels and nerves, as well as the appearance of the latest generation fillers of not only high and medium, but also low density. In addition, the inclusion of lidocaine (local anesthetic) in their composition makes the procedure painless and comfortable.

Different viscosity of drugs allows you to use them selectively. For example, directly for the nasolacrimal sulcus because of the thin skin, only low density hyaluronic acid fillers are suitable, and medium or high density fillers are necessary for its branching, the nasal spine. The only drawback of contouring is a relatively short period of preservation of the effect - an average of 6-8 months, after which the procedure can be repeated.

Effective for the correction of this zone is the soft-lifting technique.

Hardware methods

  • exposure to high-frequency electromagnetic pulses (RF lifting, Thermage), which stimulate an increase in the number of fibroblasts and the production of collagen and elastin,
  • lifting by means of the deep effect of the ultrasonic waves generated by the “Uitera System” apparatus on the muscular aponeurotic system (SMAS).

It is more expedient to use hardware methods of action not as independent methods of correction of the nasolacrimal sulcus, but in combination with mesotherapy or contour plastics using hyaluronic acid fillers.

What is important to know

1. Take responsibility for the choice of a specialist! Make sure that the doctor has permission to perform contouring, and also see his portfolio. Photos "before" and "after" it should be presented. This is a complex procedure, and not every cosmetologist will be able to perform it correctly.

2. Patients prone to edema in the area around the eyes are likely to aggravating situation after applying the filler.

3. The most optimal way of introducing the dermal filler - cannula on the periosteum. Superficial use in most cases causes severe edema. The use of a needle is acceptable, but, unlike a cannula, it can leave hematomas.

4. Drugs in the area around the eyes are absorbed for a long time, and in case of an error, it will be difficult to correct, therefore, give preference low density volusers. Nevertheless, the correction can be performed with dense gels (for example, “Yuviderm Volbella”), but in this case, choose a specialist more carefully.

5. To fill each infraorbital region requires from 0.1 to 0.4 ml of the filler.

Stages of the procedure

The whole process takes a short time, about 40-45 minutes.

Before the session, you should tell the cosmetologist about chronic diseases, medications taken, expected results, and also exclude the presence of contraindications. If everything is in order, the patient signs consent to administer the drug, after which you can proceed with the injection.

  1. Cleansing the skin with a special disinfectant and applying anesthetic cream.
  2. Marking on the face.
  3. Introduction filler.
  4. Re-disinfection.

The best drugs

  1. Filorga M-HA 18 is a soft, dermal filler with prolonged action. Does not cause edema, even with superficial administration. Gives a natural result without cords and irregularities.
  2. Stylage S, Belotero Soft - are often used by cosmetologists to fill the area under the eyes. However, some experts consider them dense enough to correct the periorbital zone.
  3. Princess is a plastic dermal filler. Does not leave seals, bumps and lumps. Ideal for this type of correction.
  4. Radiesse-gel based on calcium hydroxyapatite. Stimulates the formation of new collagen fibers. Radiesse is considered an effective remedy for contouring plastic only in the hands of an experienced cosmetologist who knows the specifics of working with this drug.
  5. Juvederm Volbella is a high density gel for deep administration. A small amount of the substance is required - 0.2 ml per eye. If used improperly, it can cause swelling.

Rehabilitation period

  • the first 24 hours you can not put cosmetics on the area around the eyes,
  • you can not go to the bath or sauna,
  • you should not be in a solarium or on the beach; you should protect your face from direct sunlight,
  • should reduce physical activity
  • do not use alcohol or drugs,
  • it is necessary to refrain from touching the injection sites.

Restrictions are temporary, after a couple of weeks you can return to a full life.

Possible complications

The likelihood of side effects depends on the skills of the doctor, as well as the patient's compliance with the recommendations for the period of rehabilitation. The consequences may be as follows:

  • the appearance of edema and inflammation,
  • bruising at puncture sites,
  • necrosis or tissue death (it happens quite rarely),
  • allergic reactions
  • grazing vessels and nerves
  • delayed edema - may appear after using high density maxumizer,
  • eye asymmetry,
  • tyazh and irregularities.

Technique of how the procedure goes

Correction of nasolacrimal folds is carried out only in the conditions of a beauty salon, by a specialist with relevant experience. At observance of all stages, the procedure will take no more than half an hour. Correction does not require treatment with anesthetics. In exceptional cases, the patient may be offered treatment of the necessary zones with anesthetic emulsions.

Before the introduction of the fillers, the skin is treated with antiseptic preparations.

Next, the filler is placed in a special capsule (cannula), which is injected along the problem area.

Filler, falling into the deeper layers of the skin, rises, correcting nasolacrimal fold and other problem areas.

Expected effect

A positive result of the procedure for correcting the nasolacrimal fold is noticeable after the first procedure, but the full effect of rejuvenation can only be fully assessed in ten to fourteen days.

Fillers, filling the fold, align the skin, reduces the severity of the vascular network, blue circles under the eyes. The skin of the face acquires a young, healthy appearance, the symptoms of fatigue, lack of sleep and chronic stress completely disappear.

After two weeks, the beautician will be able to fully evaluate the results of the correction and, if necessary, correct the deficiencies.

Correction of the nasolacrimal fold without surgery is the ideal solution to age problems with minimal side effects and in a very short time.

What is nasolacrimal sulcus

From cosmetology, the nasolacrimal sulcus is a cosmetic defect, which is a small skin fold (about 1 centimeter), located slightly below the bone orbital rim. Education is directed from the inner corner of the human eye to the outside. The nasolacrimal fold has a clear contour and in most cases does not extend over the entire face. In some women, the furrow may continue to the cheek-cheekbone area or to the outer corner of the eye.

Education nasolacrimal fold due to the anatomical features of the structure of the face. On this site there is a very dense septum (wall), which is fixed on the bone structures. A septum connects the skin with circular muscles, located around the sockets. Due to this, the upper fabric is displaced less than in the middle. Every person has a lacrimal sulcus, but for some people it is practically invisible. With proper care, the nasal fold may not appear for a very long time.

Causes of

The main factors negatively affecting the lacrimal sulcus are represented by the following points:

  • age-related gravitational aging of tissues,
  • changes in bone structure associated with various diseases,
  • dystrophy (exhaustion) of subcutaneous tissue.

The nasolacrimal fold may not appear until the climacteric period, and in some it forms after 30. The manifestation of the lacrimal sulcus is associated with unfavorable heredity and irregular lifestyle. The following factors may significantly worsen the condition of this area of ​​the face and skin:

  • sleep disturbance, chronic sleep deprivation,
  • sharp fluctuations in body weight, as well as its excess,
  • endocrine gland disorders
  • chronic diseases of the heart, kidneys, respiratory system,
  • abuse of alcohol, narcotic substances.

Unfortunately, many people do not adhere to a healthy lifestyle, they start the disease, causing severe exacerbations, which negatively affects the skin and leads to the formation of the lacrimal sulcus. With proper care and subject to the implementation of special exercises for the face, education can be removed at home. If home treatment did not give results, then in this case there is a correction of the tear groove with the help of surgical and non-surgical procedures.

Non-surgical procedures

One of the ways to get rid of the tear groove is a series of non-surgical procedures, which include:

  1. injection lipofilling,
  2. contour plastics and mesotherapy,
  3. hardware techniques.

The procedure called injection lipofilling is carried out by injecting the fat of the patient himself. Fat tissue in the minimum amount is extracted from the abdomen, thighs, or other body parts, passed through a centrifuge, washed, and using a special syringe with a needle, the cannula is introduced into the area of ​​the lacrimal sulcus. The result lasts for three years, but often the fatty tissue begins to contour on the skin, creating uneven relief. It is likely that some of the fat cells will not survive and die, which will adversely affect the effectiveness of lipofilling.

Mesotherapy with the use of hyaluronic acid is advisable for the purpose of prevention or at the initial stages of furrow formation. The contouring of the nasal fold with hyaluronic acid fillers is one of the most effective non-surgical procedures. In recent years, this method has gained great popularity among doctors and patients. The filler contains lipocaine (local anesthesia), which makes the procedure painless. A deep injection technique is applied using a cannula that prevents damage to nerves and blood vessels.

The hardware techniques for the correction of the tear groove include exposure to high-frequency electromagnetic impulses (thermage, RF-lifting), they increase the number of fibroblasts, the production of protein compounds such as collagen and elastin. Another method is a deep lifting of the musculoaponeurotic system with ultrasonic waves, which are generated by the Uitera System. It is advisable to use hardware techniques for the correction of the lacrimal sulcus paired with contour plastics or mesotherapy using hyaluronic acid fillers.

Correction of nasolacrimal sulcus with fillers

According to doctors and patients, contour plastic nasolacrimal sulcus fillers is one of the most effective methods. The essence of the procedure is to slightly raise the skin in the zone of transition of the lower eyelid to the cheek and the lacrimal sulcus, in this way to align this area. Before the procedure, it is necessary to remove residual make-up and other impurities from the surface of the skin of the face. For about half an hour, an anesthetic ointment is applied under the eyelids. After which the doctor marks the puncture sites. The volume of the filler is selected based on the neglect of a particular case.

The introduction procedure takes only about 10 minutes, after which the doctor massages the areas under the eyes for a couple of minutes to evenly distribute the drug. You should not count on an instant result, you can evaluate it in 14 days. The skin under the eyelids is very thin and pierced with blood vessels, during piercing it is rarely possible not to hurt any of them, so bruises and edemas can form in the puncture sites. The effect of the procedure lasts for 4 months to 1 one year, after which, if necessary, it can be repeated.

There is an extensive list of contraindications to the use of fillers for the correction of the nasolacrimal fold. It is strictly forbidden to give injections to women during pregnancy and lactation, in the presence of diabetes, cancer, pathologies of the circulatory system. You can not enter fillers with exacerbations of chronic diseases that are accompanied by fever. Injections are contraindicated in people with hypersensitivity to hyaluronic acid. Of all the contraindications and possible complications, the doctor is obliged to warn for advice.


Correction of the nasolacrimal area requires a clear analysis and selection of a substance of a certain density. If the operation is performed improperly, the fat may lump and contour. Proper diagnosis ensures a good result and a noticeable rejuvenation of the skin in the nasolacrimal area. The procedure is not difficult either for the doctor or for the patient, since it does not require long-term rehabilitation. In general, the procedure takes less than one hour.

Fat is taken from a specific area of ​​the human body, cleansed and saturated with other nutrients in a special way, and then introduced into the nasolacrimal zone. The cannula incision is minimal. After the procedure, small bruises and swelling are possible, which disappear within 7 days. Fully evaluate the effectiveness can only be 2 months, then visually it becomes clear how well the fat settled down. For lipofilling of the nasolacrimal area, a list of correction restrictions by fillers is relevant.

How to clean at home

With the help of folk remedies you can get rid of nasolacrimal folds at home. In this matter, regularity is important, minor formations can be removed in just a few procedures, more pronounced furrows will require an increase in the number of sessions. The most popular and effective ways of getting rid of the nasolacrimal fold at home are:

  • compress or ice cubes of cool black tea or decoction of chamomile, calendula, oak,
  • horsetail mask: for preparation, you will need a tablespoon of crushed plants and a glass of pure water, boil the mixture for 15 minutes, cool down the composition on the nasolacrimal area and leave to dry completely,
  • cucumber mask: the vegetable should be rubbed, applied to the nasolacrimal folds, covered with a cotton pad or a small amount of gauze soaked in pasteurized milk,
  • маска из картофеля: теплое картофельное пюре оборачивают в несколько слоев марли и прикладывают на проблемный участок до полного остывания пюре,
  • honey mask: a tablespoon of liquid natural honey is mixed with egg yolk and a tablespoon of wheat flour, a homogeneous mixture should be applied to the infraorbital region and wait until the composition is set.

All procedures should be performed on pre-cleansed skin. You should not save on food products that are used to make masks. To protect yourself from possible allergic reactions the day before the procedure, apply a small amount of the mixture on the back of your hand and carefully follow this area. Compresses and wiping can be done daily, masks for nasolacrimal folds in the early stages are best done every 2 days. After the session, treat the area with a special eye cream or oily nourishing cream.

How to remove the nasolacrimal sulcus with special exercises

If the cosmetics do not give the desired effect, then you should start practicing special exercises to rid the lacrimal sulci. They are not difficult to perform independently, just a few minutes of time a day is enough to get rid of them. Some of the most effective exercises against nasolacrimal folds:

  1. The first exercise leads to the tone of the muscles above the wings of the nose, the weakness of which leads to the formation of a furrow. Put your middle fingers on the wings of the nose, and carry out light stretching movements to the sides. Efforts should be minimal, without undue stretching.
  2. The following option pumps up the tear muscle directly. Place the fourth and fifth fingers on the bridge of the nose, and the second and third fingers on the temples. Perform translational movements of the lateral muscles to the nose bridge up and down.
  3. Alternate your fingers on the forehead, eyebrows, under the eyes, cheeks. Each of the four fingers should fall into place, the thumb remains free. Stretch the sandwiched areas slightly, alternating with rest.

Which filler is better for nasolacrimal sulcus

Different viscosity fillers allows you to use them selectively. Directly for thin skin of the lacrimal sulcus is better to use a drug based on low-density hyaluronic acid. For branches, the nasosculoid sulcus is often used by medium and high viscosity fillers. Selection of the filler for nasal folds should be done only with the help of a specialist in the field of cosmetology.

Preventive action

To prevent the appearance of a tear groove throughout life, you must adhere to the following rules:

  • balance the diet, adhere to the principles of proper nutrition: the diet should be dominated by fresh vegetables and fruits, unpolished cereals, foods rich in animal and vegetable protein, healthy fats,
  • reduce to a minimum or eliminate altogether the use of store sweets, smoked meats, too salty food,
  • drink a vitamin-mineral complex, especially during off-season periods,
  • increase physical activity: choose the optimal sport and regularly engage in it, daily carry out the norm of steps depending on the age group,
  • comply with the water regime, about 1.5-2 liters of pure non-carbonated water, it is advisable not to use any liquid an hour before sleep,
  • use cosmetics that suit a particular skin type and age group,
  • periodically perform gymnastics for the face,
  • timely treat chronic diseases, prevent exacerbation of ailments.