Table 4.
Tear trough deformity clinical evaluation scale for hyaluronic filler treatment
| Points a | Orbicularis oculi hypertrophy | Hyperpigmentation | Myocutaneous laxity b | Fat pad prolapse | Fluid retention |
|---|---|---|---|---|---|
| 0 | None | None | Minimal | Minimal | None |
| 1 | Not very marked | Not very marked | Glogau 1 | Mild | Mild |
| 2 | Marked | Marked | Glogau 2 | Moderate | – |
| 3 | – | – | Glogau 3 | Severe | Moderate |
| 4 | – | – | Glogau 4 | – | Severe |
The patient score is obtained by adding the points obtained in each column: (i) The patient with values less than 2 is the ideal candidate for HA treatment. (ii) A tear trough deformity with a score between 2 and 8 could be treated with HA and should be assessed individually. (iii) We do not recommend treatment if the score is greater than 8 (assess surgery).
a
Points assigned in each column/factor that will be applied to the summation.
b
According to the Glogau scale. 45