The lower eyelid (and upper eyelid) age in tandem with the tear trough by losing volume but thus far adding volume to the eyelids has been challenging. Regular maintenance injections in the tear troughs, cheeks and midface often exacerbate the hollowed appearance of the eyelids. The final frontier for correction of volume loss is the lower and upper lids. The MicroBeading procedure developed for the lower lid is not only new, but a more advanced and intricate extension of the tear trough procedure.
Technique
Smaller caliber blunt micro-needles are used to introduce miniscule droplets of filler homogenously in a fanning pattern, under the skin and muscle, to lift the “hollowed out” eyelids and bring them back to life. Adding volume to the lower eyelid above the tear trough and often into the upper eyelid is intricate and requires precise execution. A fraction of a millimeter makes a significant aesthetic change in the eyes and face.
This novel technique is not mainstream, but offers a powerful tool to treat the “sunken eye look” and contradict excessive hollowness of from aging and thinning of the tissues, the deep set appearance exacerbated by maintenance of the cheeks and tear troughs, and even hollowness after eye surgery caused by aggressive reduction of fat.
The MicroBeading technique can also be used for volume correction in the upper lid and brow in the right candidate.
SURGICAL NOTES
Anesthesia: local and topical
Length of procedure: 30-60 minutes depending on complexity
Outpatient/inpatient: outpatient
Adjunct procedures: filling of other facial areas, Blepharoplasty
Recovery: none, there may be bruising requiring concealer