Introducing the suborbital retaining ligament, subseptal, and retroseptal spaces: a novel technique for non-surgical correction of tear trough deformity

Non-surgical correction of tear trough deformity using dermal fillers poses multiple challenges even in experienced hands. Herein, a retrospective study of patients treated using a novel technique for the correction of this deformity is presented.

The review of tear trough deformity anatomy and classification, patient assessment, and injection technique is performed. This technique introduces the suborbital retaining ligament, subseptal, and retroseptal spaces, along with a consistent and reproducible method for their precise identification using a micro cannula.

From September 2019 until September 2021, a total of 310 patients and 620 tear troughs were treated with this technique. The average volume of filler used was 0.35 cc (0.2–0.5) per eye. Patients required a median (IQR) of 2 (1–3) treatment sessions. Overall patient satisfaction was high in the vast majority of patient, with no serious complications reported.

Adoption of this novel concepts may aid practitioners for precise placement of the fillers in specific anatomical spaces according to the type of deformity, providing optimal results while reducing complications.

Level of evidence: Level IV, therapeutic study