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Hello.

I am Kazuyoshi Hotta, Chairman of BIANCA CLINIC.

 

Have you ever looked in the mirror and thought, "I'm bothered by the asymmetry of my tear troughs..."?

When I smile or have my picture taken, one side looks plump while the other appears flat.

Actually, there are several reasons for this “asymmetry in the tear troughs.”

 

Today, we'll explain the causes of uneven tear troughs and how to correct them.

 

 

The main causes of asymmetry in tear troughs

The tear trough is shaped by the balance between the orbicularis oculi muscle and the skin and fat above it.

The following are some causes of asymmetry in the tear troughs:

 

① Asymmetry in muscle development

The thickness and strength of the orbicularis oculi muscle varies slightly from person to person.

When one side of the muscles is more developed, only one tear trough tends to bulge more prominently when smiling.

 

② Differences in bone structure and eye shape

When facial bone structure is asymmetrical, the position and height of the tear troughs may also appear slightly offset.

 

③ Volume differences due to past hyaluronic acid injections

Some individuals who have already received hyaluronic acid injections may experience differences in the hyaluronic acid formulations used on the left and right sides.Cases where asymmetry arises due to differences in injection volume or layer placementIt seems to be quite a lot.

Additionally, hyaluronic acid preparations are absorbed into the body over time, but the rate of absorption may differ between the left and right sides.

 

④ Effects of aging and swelling

As skin sags and fat deposits shift downward with age, asymmetry in the fullness of the tear troughs may occur.

 

 

Can asymmetry in tear troughs be corrected?

To cut to the chase,Asymmetry in tear troughs can usually be corrected.

However, the approach varies depending on the cause.

 

For those who have previously received hyaluronic acid injections for tear troughs

If you have a history of injections, firstHyaluronidaseThis enzyme dissolves excess hyaluronic acid, resetting facial asymmetry. Afterward, while checking skeletal structure and facial muscle movement,Reinject hyaluronic acid after checking the balance on both sidesI will do so.

At BIANCA CLINIC, we use ultra-fine cannula needles to design natural fullness and symmetrical contours.

 

Due to differences in original bone structure and muscle mass

While asymmetry due to skeletal differences cannot be completely eliminated, it can be minimized by fine-tuning the injection volume and depth.Aiming for a level where it's hardly noticeableIt is possible.

Additionally, when muscle tension is strong on one side,A very small amount of BotoxIn some cases, using both methods together can help alleviate asymmetry.

 

Introducing cases of tear trough asymmetry correction! What about downtime and duration?

Here are the actual case photos.

After the procedure, mild swelling or bruising may occur for about 1 to 2 days, but it can be easily concealed with makeup. Downtime is relatively short, and it is unlikely to significantly interfere with daily life.

The duration of hyaluronic acid is approximately6 to 12 monthsRegular maintenance helps keep your natural tear troughs looking their best.

 

 

This monitor had previously received hyaluronic acid injections in their tear troughs.

Hyaluronic acid caused puffiness under my eyes, making them look swollen. Additionally, protruding orbital fat further accentuated the swelling.

First, all hyaluronic acid was broken down, followed by the removal of an appropriate amount of orbital fat that had appeared under the eyes. As you can see, it looks refreshed.

 

After years of hyaluronic acid injections, you become accustomed to your own appearance, and many people initially fail to recognize the unnaturalness. Yet when you compare before and after, the difference is stark.

 

 

Key points for achieving symmetrical tear troughs

The three key points for correcting asymmetry in tear troughs are as follows:

 

• Balance the left and right sides by matching the "curvature" rather than the "height."

• Injection requires not just one side, but careful adjustment on both sides.

• If you apply too much, the tear trough will appear as a "step" rather than a "line."

 

The tear trough is a delicate feature where even a difference of a few millimeters can drastically alter one's facial impression.

That's precisely why,Design and injection techniques by experienced physiciansis important.

 

Summary: Asymmetry in tear troughs can be corrected.“

Asymmetry in tear troughs occurs due to a combination of factors, including skeletal structure, muscle composition, and differences in past injection volumes.

However, by identifying the cause and taking the appropriate approach, it is possible to achieve a natural and balanced eye area.

At Bianca Clinic, we design treatments that consider the overall balance of the face and even the movement of facial expressions.

If you're concerned about uneven tear troughs or want to correct an unnatural appearance, please feel free to consult with us.

 

▼Beyond tear trough fillers, there are other methods! For surgical approaches, check out this article by Dr. Natsume, a specialist in eye area treatments.

https://biancaclinic.jp/blog/45291/

 

▼What kind of tear troughs do you prefer? Check out Bianca Clinic's female doctors' tear trough feature here!

 

 

 

 

 

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