Abstract

Introduction. Facial rejuvenation is one of the main reasons for consultation in aesthetic medicine and dermatology. The first signs of aging are observed in the infraorbital region, such as skin laxity and fine rhytides. Currently, there is a wide variety of treatments to improve the skin in this area. A new procedure is presented using hybrid hyaluronic acid complexes for bioremodeling of the infraorbital skin. Objective. This prospective, non - comparative, uncontrolled study brings together a series of Mexican patients who were administered intradermal stabilized hyaluronic acid hybrid complexes in the infraorbital region to investigate the effectiveness and safety of their use in this area in a protocolized manner. Material and Methods.Three visits were made, and digital photographs were taken in each. The doctor evaluated the degree of fine infraorbital wrinkles with a Likert scale; the patient assessed the degree of pain during the procedure with the visual analog scale (VAS); and the doctor and the patient evaluated the degree of satisfaction after the process through a global aesthetic improvement scale (GAIS). Likewise, an independent specialist not treating the patients assessed the aesthetic clinical improvement with the Likert scale. Adverse events that occurred during the study were documented. Results. The infraorbital rhytides scale score improved from 5.37 at the initial visit to 2.81 at the end of treatment. The patient's GAIS rating with the treatment outcome at the final visit was 1.43, indicating very good satisfaction. Likewise, the GAIS classification of the treating physician at the end of treatment was very satisfactory at 1.62. Discussion. According to the ratings obtained from the treating physician (GAIS and Likert), the patient himself (GAIS), and the independent researcher (Likert), this study demonstrated aesthetic improvement in the infraorbital rhytides. No adverse events were reported with the treatment. Conclusions. Infraorbital rhytides can be treated with hybrid hyaluronic acid complexes because of their call bioremodeling function.

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