Assessing and Managing Infraorbital Hollowing

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Nurse prescriber Alice Henshaw considers common patient concerns and treatment protocols surrounding the periorbital area

A frequently reported concern in aesthetic practice is the perception of fatigue despite adequate rest and general wellbeing.¹ While this complaint is subjective, it is consistently associated with structural and qualitative changes in the infraorbital region.² Discrepancy between perceived internal state and external appearance can have a measurable psychosocial impact, underscoring the importance of accurate diagnosis and appropriate treatment planning.³
This article outlines a framework for evaluating infraorbital hollowing and related presentations, with emphasis placed on accurately differentiating underlying aetiologies and appropriately aligning treatment modalities – specifically hyaluronic acid (HA) fillers and polynucleotides (PNs).
Defining the under-eye area
The periorbital skin is the thinnest in the body, with a high-frequency ultrasound study published in the Journal of Clinical Medicine reporting thicknesses of approximately 0.5mm, compared to around…

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