Cosmetic Adolescent Filler: An Innovative Treatment of the “Selfie” Complex

Purpose: "Selfie" photography is increasing among teenagers, accentuates congenital anomalies, and impacts self-confidence. Tear trough deformity is most commonly due to aging, but also occurs as a congenital anomaly and can be a major source of insecurity and embarrassment. Objective: The purpose of this study is to show the efficacy and safety of hyaluronic acid gel filler in a teenage patient with congenital tear trough deformity. Material and Method: We describe the case of a teenager who underwent hyaluronic acid gel filling to the tear trough deformity at age 14 years. Prospective follow up was assessed for 5 years. Results: The patient improved clinical appearance and self confidence. Her satisfaction level was high, and no complication occurred during entire follow up. Conclusion: In this case, hyaluronic gel acid filler was safe and effective for augmentation of congenital tear trough. The patient was satisfied and experienced increased self-esteem. Accepted for publication September 16, 2017. The authors have no conflicts of interest to disclose. We received no public or private financial support for this project. Dr Philippe Berros is a medical consultant for Galderma QMed. Address correspondence and reprint requests to Philipe Berros, M.D., Centre Medical International Monaco, Athos Place, 2 rue de la lujerneta, Monaco 98000. E-mail: drberros@gmail.com © 2017 by The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc., All rights reserved.