![]() ![]() VYC-15L is a moldable filler that uses the Vycross (Allergan, Irvine, CA) technology platform, which combines low- and high-molecular-weight HA with a novel cross-linking process. In India, the introduction of new filler VYC-15L (Allergan, Santa Barbara, CA) overcomes all these adverse unwanted effects. TTD correction with HA filler has limitations as the existing portfolio of fillers can cause high incidence of swelling, uneven filling effects, and Tyndall effect. Improvement in dark circles and tear trough deformity is seen along with sustained results upto 6 months (a) Baseline clinical picture taken before treatment, (b) after a month, and (c) after 6 months. (Right view) – Patient treated for dark circles with Volbella filler. The Hirmand's classification improved from Class III to Class 0 within a week of treatment and the results were maintained at 6 months of followup. c] Show the results after 1 and 6 months, respectively. The patient was called for a follow up and the front, left, and right profile views photographs were repeated to check for the efficacy and longevity of the results. There was no evidence of any immediate or long-term adverse effects except transient redness and negligible swelling. There was an instant, dramatically visible improvement in the dark circles of our patient after treating the TTD with VYC-15L filler. ![]() About 2ml of VYC-15L was injected using the 30-G needle, in a linear retrograde manner in the supra-periosteal plane throughout the circumference of the TTD till optimal correction was visibly appreciable. The product injected was Juvederm ® Volbella™ XC (VYC-15L). A topical anesthetic cream was applied before the procedure. On the day of treatment the patient's baseline front, left, and right profile view photographs before treatment were taken using the Canon SLR camera. She was diagnosed to have Class III TTD according to the Hirmand's classification. On clinical examination, she had a deep tear trough concavity involving the entire circumference of the infraorbital rim with more deficit on the left side of the face. Soft tissue hyaluronic acid (HA) fillers are an ideal treatment to restore the volume loss in the tear trough area and relieve instantly the sunken tired appearance.Ī 28-year-old female patient visited our clinic for treatment of dark circles. In patients looking for improvement in under eye dark circles, one of the predominant clinical findings is tear trough deformity (TTD). ![]()
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