This audio podcast has been transcribed using an automated service. Please forgive any typographic errors or other transcription flaws.

This podcast entitled asymmetric triangles of the eyelids is a concept I came up with in 2015 in which I have lectured on extensively and published as well. Uh, you probably are not going to find my publish works because they are a part of academic journals and things like that you probably don’t subscribe to. However, you can definitely watch my videos on this and you can probably just look at either fillers or fat grafting videos of the last few years. And I talk about this concept of asymmetric triangles. It is going to be very hard for me to explain asymmetric triangles well to you without a visual. So I encourage you, watch the YouTube channel. However, I think I’ll try to do this as best as I can. Asymmetric triangles is something that I’ve seen. If you think about the orbital rim, in other words, the circular bony socket that’s visible.

As we get older, we start to expose the orbital rim around the eye. The opening of that orbital rim socket that opens up and you start to lose that volume around the eye is something that needs to be filled with fat or fillers. Of course, if there’s a huge eye bag, you need a lower blepharoplasty or lower eyelid procedure. If you have a very saggy skin, you need a little skin removal. But I want to talk specifically in this podcast about a concept of basic asymmetric triangles. So what is an asymmetric triangle? Basically what it is, is on the bottom, than the lower eyelid you have a longer limb, picture that, that semi-circle of the orbital rim now divide. Change that into the inner part near the nose being a longer limb and then there’s a slight uptick, the shorter limb of a triangle.

So I almost picture it as a triangle. That longer limb is the tear trough. To me the most critical thing is to fill that inner tear trough because that makes eyes look so much better. So the long limb of the lower eyelid triangle is very powerful to fill. Now of course you need to fill a little bit toward the outer, short limb of the triangle as well near the ear. And the reason for this is that what I like to say is what you’re trying to do is convert the slanted look of the lower eyelid tear trough into a horizontal frame. Because the younger the phase, the less of this down tilt that you see for the upper eyelids, this is perhaps even more confusing. So bear with me. If it is, the eyelid starts to look sagging or hooded on the outer portion of the eyelid, it starts to look like it’s hanging and it goes all the way about two thirds into the eyelid.

So that that distance is a two thirds long triangle. And then the inner portion of the eyelid is a short limb of the triangle. What I do, and this is going to sound weird, is actually filled short limit the triangle, the area near the nose and I push that eyelid down in inward to horizontalized the eyes. Actually, I’m taking that saggy outer brow in filling the inner part downward so that now the frame is more horizontal and when you do that, the outer frame doesn’t look like it’s sagging as much. It’s just changing the angulation. It’s a, it’s a visual trick, but beyond being a visual trick, it actually does represent reality because our eyelids deflate. So a lot of times people come to me and they’ve really researched me on the website. They’ve already looked at all their before and afters and theirs and they understand filling under the eyes, but they’re incredibly confused by the upper eyelids.

I’ve talked about another podcast, but I want to reiterate this point because I think it’s an important point is that the upper eyelids as we age is not just a question of too much skin or sagging, but also hollowing. So how can you rectify the situation where you’re saying, you know you have too much skin, it looks sagging, why would you put more product up there? Wouldn’t make it look heavier and worse. The answer is actually no, because the upper eyelid is like a balloon that deflates. And so when that balloon deflates, it starts to look saggier. So when you reinflate the balloon, it actually looks less saggy. You now put too much material. It doesn’t look good. But what I’m trying to focus on particularly is if I, when I’m trying to use fillers in particular, I’m trying to figure out where’s the most bang for the buck. We’re kind of get the biggest difference at the least expense. And for me, that inner short limb of the triangle that is too high inward. If I can fill that inner triangle down a little bit, it frames the eye well and makes it not look so sagging. Again, I encourage you to watch my YouTube videos to have you have a better understanding of this.