Periocular Injectables with Hyaluronic Acid and Calcium Hydroxyapatite

Abstract

Periocular rejuvenation with injectable soft tissue fillers is increasingly more popular over the past few years. The availability of new fillers provides physicians and surgeons greater flexibility in rejuvenating the periocular region while appealing to the minimal downtime, nonsurgical mindset of many patients. Volumetric enhancement around the eyes is a major new aesthetic perspective that has contributed to the implementation of injectable fillers. Periocular fat grafting in which volume is added, as opposed to conventional blepharoplasty in which volume is generally subtracted, has provided the principal impetus toward the revolution in understanding the importance of volume in periocular rejuvenation. The charm of periocular injectable fillers must be tempered with appropriate clinical judgment and technical skill to avoid potentially devastating complications. This chapter focuses on two recent injectable soft tissue fillers—hyaluronic acid (HA) and calcium hydroxyapatite (CH)—that are successfully used in the periocular region. The pearls and pitfalls of each filler are enumerated.