Tear Trough Assessment (Don't Forget the Mid-Cheek)

In this presentation on tear trough assessment, the speaker emphasizes the importance of evaluating and treating the mid-cheek area in addition to the tear trough for achieving optimal facial aesthetics. They describe the ideal positioning of the infraorbital contour, highlighting the significance of a mild lower lid convexity and a proportionate balance with the rest of the face. When patients express dissatisfaction with their under-eye appearance, a thorough assessment is necessary, taking into account factors such as volume loss, skin tone, laxity, and fat pad placement. As aging progresses, volume loss in the mid-face can exacerbate hollowness in the tear trough, making it imperative to address mid-face volume before considering tear trough treatments. The speaker encourages careful treatment to avoid overfilling, which can lead to unnatural results. They provide examples of patients treated effectively by first addressing mid-face volume loss, demonstrating how this can lead to significant improvement in the tear trough area without additional injections. Ultimately, the key takeaways are to assess the whole face, prioritize mid-face evaluation, aim for facial harmony, and communicate effectively with patients regarding treatment strategies.