How to get rid of nasolacrimal grooves under the eyes?

The nasolacrimal, or tear groove, is a deep wrinkle about 1.5-2 centimeters long, which runs from the inner corner of the eye obliquely towards the zygomatic area. In youth it is practically invisible. But as soon as the skin begins to lose firmness, elasticity and moisture, this fold becomes as pronounced as possible and greatly distorts facial features.

The presence of a tear trough significantly ages the appearance, immediately adding at least 5-10 extra years. Even a young, healthy face begins to look painful, tired, and haggard. Therefore, after a deep nasolacrimal groove appears under the eyes, many people wonder how to remove it. Fortunately, modern cosmetology and plastic surgery offer effective methods to combat aesthetic imperfections.

Plus food

  • Refined foods and sugar should be avoided. When you eat refined carbohydrates, such as white rice and white pasta, the resulting sugar molecules build up in your skin's collagen over time. Collagen helps skin look firm and youthful, but when it is bound by too much sugar, the skin begins to lose color and develop deep lines.
  • You need to eat more proteins. Consuming two servings of lean protein (fish, chicken, eggs, and other lean foods) daily has been shown to promote cellular repair and healthy skin.
  • You need to control your salt intake. Too much salt in food leads to water retention in the body and swelling of the skin. You should not add salt to your food, and you should also check food labels. The recommended salt intake for adults should not exceed 6 g per day.
  • It is advisable to drink water. Drinking eight glasses of water daily helps keep your body healthy and your skin hydrated, maintaining its radiance and reducing the appearance of wrinkles.
  • You should eat a variety of brightly colored fruits and vegetables. Powerful antioxidant vitamins found in brightly colored berries, carrots, peppers and leafy greens help promote healthy skin.

Implant installation

Due to its anatomical features, a small chin itself is often the cause of the formation of jowls at a young age. Sagging skin is effectively corrected by chin augmentation.

Photos “before” the operation and on the 5th day “after”.

Removal of Bisha's lumps, chin endoprosthetics with a Porex implant (USA), laser liposuction of the chin, thread lifting of the lower third of the face. Surgeon - Iskornev A.A.

Lipofilling: advantages and disadvantages

Lipofilling helps effectively and permanently get rid of nasolacrimal grooves. During lipofilling, adipose tissue is taken from the client (most often from the thighs or buttocks), which is then processed with the addition of specialized products. Then all this is transplanted into the cavity.

The disadvantage of the procedure is minor side effects in the form of slight swelling or swelling, bruises under the eyes. However, after a few days everything goes away. There is also a possibility that the procedure will have to be repeated after some time.

The advantage of lipofilling is that it is less traumatic and the effect is visible immediately after the session.

Causes of pitting

The epidermis under the eyes is very thin and therefore susceptible to external harmful influences. The presence of hollows under the eyes just indicates changes in the body.

Sometimes pits are formed due to a decrease in the amount of subcutaneous fat under the organs of vision. The dermis becomes thinner, darkens, resembling bruises. The person seems sleep-deprived, tired and irritable.

The causes of depressions may be as follows:

  • Hereditary tendency. When parents or close relatives have experienced problems in the eye area, you are most likely to inherit this phenomenon.
  • Underweight. When a person is excessively thin, the presence of bruises in the eye area is normal.
  • Existing blood diseases. Hollows under the eyes form in people if they have diseases of the endocrine system, the composition of the plasma and proper blood flow are disrupted. Sometimes a person does not suspect that he has such diseases. To remove such depressions, it is necessary to treat the disease that is their root cause.
  • Vomiting, dehydration. When a person has problems with indigestion, any food that enters the stomach provokes vomiting. The body becomes exhausted, the Mariana sockets of the eyes become blue.
  • Pathologies of the functioning of the heart or kidneys.
  • Fatigue. If a person has dark circles under their eyes, they may not be getting enough sleep and are very tired.
  • Stressful situations. After nervous overstrain, especially if any diseases occur in parallel in the body, people develop hollows under the eyes.
  • Long-term drug therapy. When you have to treat a disease with antibacterial drugs or use other medications for a long period, circles under the eyes signal the need to stop therapy or change the drug
  • Inflammatory processes.
  • Age-related changes associated with thinning of the skin.

Home remedies to treat hollows under the eyes

The use of specialized massage and a set of exercises for the facial muscles can improve skin tone and lift tear troughs. The course must be repeated several times a day, every day, until a visible effect is achieved:

  1. You need to sit comfortably and relax, place the index fingers of both hands on the depressions, without pressing or stretching the delicate skin. Having made the letter “o” with your lips, quickly open and close your eyes, the number of repetitions should reach 60 times.
  2. Make circular movements with your eyes several times a day, opening your mouth with each rotation. If these movements cause discomfort or dizziness, it is necessary to stop the actions and use only massage, rest in the fresh air, walking, getting rid of bad habits, a nutritious diet that does not contain fats and spicy foods, salt only in small quantities, and also sleep on small pillows.

Correct massage movements accelerate blood flow in the blood vessels of the eye, remove cyanosis, and help improve a person’s appearance. To properly carry out such a procedure at home, experts recommend washing your hands with soap and completely cleansing your face of cosmetics. Take a little peach seed oil on your fingertips and use patting movements to move from the inner corners of the eyes to the outer ones.

Cause of appearance Method of getting rid of depressions Inflammation Treat pathological processes in a timely manner Taking medications Replace medications with safer ones

The pits may go away after completing a course of treatment. Poor nutrition. It is important to add fruits and vegetables to your daily diet, eat in small portions. Breakfast must be present and be the most nutritious of all meals of the day Lack of vitamins You can compensate for their deficiency with preparations with folic and ascorbic acid, multivitamin complexes (Vitrum Memory, Gyno-Tardiferon, Calcium-D3 Nycomed Forte) Problems with blood supply Every day you should undergo body physical activity or doing morning exercises Overwork To reduce the production of cortisol produced when there is a lack of energy, you should get plenty of rest Dehydration You should drink about 1 liter of water per day

The required amount of fluid for a person is calculated individually based on age and weight. Vegetative-vascular dystonia Eliminate stress, adjust the rest and study regime, provide adequate nutrition. The doctor can prescribe tablets of Glycine, motherwort, valerian Helminth infections Take anthelmintic drugs: broad-spectrum (Albendazole); antinematodes (Levamisole); anti-trematodes (Bithionol); anticestodes (Niclosamide) Iron deficiency anemia Take iron supplements. It is important to follow a diet and include foods containing heme iron in your diet.

You can get rid of pits and depressions in the area of ​​the visual organs caused by age-related changes, heredity, body type, and thin skin with the help of:

  • plastic surgery;
  • cosmetic procedures;
  • homeopathic medicines;
  • folk remedies;
  • exercises;
  • makeup.

Eye massage and gymnastics should be done daily in the morning and evening in front of a mirror for ten to fifteen minutes. Properly selected massage movements increase blood circulation in the blood vessels of the eyes, help remove cyanosis and improve the aesthetic appearance of the face. The massage should be done using peach or apricot oil on previously cleansed skin around the eyes.

There are also cosmetics on sale that can mask and remove all existing defects. But the choice should be made on quality products with an excellent reputation. These include corrector for the skin around the eyes, day and night creams.

In order to overcome this problem with complete confidence, it is worth understanding the reasons for its manifestation, because depressions and bruises under the eyes can indicate serious disorders.

Contour plastic surgery of jowls

Facial reinforcement with Radiesse gel or RegenLAb plasma filler. The drugs are injected deeply into the periosteum area under the cheekbones. Thanks to this technique, the face restores youthful volume, acquires clear, graceful contours and a heart shape.

Michelle PfeifferElizabeth Hurley

In the injection area, gels as a bonus start the process of skin restoration and help to significantly refresh it, eliminate wrinkles and smooth out folds.

Remember! There is no point in injecting gel or lipofilling directly into the lower jaw. This will solve the problem (and only briefly) for those whose sagging is caused by excess skin and is not accompanied by excess fat.

Complications of enophthalmos

Most often, complications of enophthalmos are characterized by trophic lesions of the extraocular muscles. As the pathology progresses, this provokes their atrophy. At the same time, a person’s eye mobility decreases, and the pupils constantly remain constricted. Depending on the location of the abnormal process during traumatic injury, there is a possibility of strabismus. In addition, enophthalmos is a cosmetic defect. When the eyes are deep, folds appear on the upper eyelids. This is due to retraction of the orbital-palpebral groove.

Firewood in the woodpile

Seeing firewood neatly stacked in a woodpile is a symbol of thoroughness and thriftiness. If they are crammed somehow, then this foreshadows losses, damages and waste, which will further affect the general financial situation.

If rotten ones are visible among the firewood, it means that a cunning and insidious enemy is hiding among friends, especially new ones.

The woodpile is half full - your work has not yet been completed, you will have to put in a lot of effort to complete it.

"Glasses​"


Photo: AiF / Eduard Kudryavitsky
What it gives: wide eyes, reduction of crow's feet, strengthening of the skin of the eyelids.

Starting position: Place your fingers on the area around your eyes, as in the picture. Firmly fix the orbicularis oculi muscle (try not to press on the skin with your hands). Make sure that the outer part of the eyelid is fixed. To do this, relax your arms and lower your elbows slightly down. Open your eyes wide, then squint. Feel the muscles trying to move your fingers. Then do this kind of opening and squinting dynamically 20 times, statically for 10 seconds.

Brows

Eyebrows are a part of the face that receives special attention during makeup for sunken eyes. Wide eyebrows would be the ideal option, but this does not mean that all women with sunken or deep-set eyes should have this shape.

It is advisable to consult a makeup artist in a beauty salon or cosmetology office about this. You can refresh your usual look with the help of new forms.

It turns out that jowls “after 40” can be avoided

Hollywood beauty standards have long been shaping the fashion on faces and in everyday life: beautiful, high cheekbones and the effect of sunken cheeks even after 50.

The procedure for removing Bisha's lumps performed at a young age is a reliable prevention of the formation of jowls after forty. By the way, it is used not only to get rid of excess cheek fat.

This technique has a dazzling bonus for correcting the shape of the face: you can noticeably highlight the cheekbones and create the effect of sunken cheeks a la Angelina Jolie, lighten the lower part of the face, visually making it narrower and more prominent.

During the procedure, Bisha's fatty lumps are not completely removed. This approach allows you to get “thoroughbred” and young, blooming cheekbones, avoiding the effect of a haggard face.

How to remove dark circles under eyes quickly?

If you are in a hurry to go to work, and “Phantomas” is looking at you from the mirror, you cannot hesitate! A selection of effective life hacks will help you restore your beauty.

Have some coffee

The drink has a strong diuretic effect (that's why I love it). It will remove excess salt, relieve swelling, and give vigor. But under one condition - drink in the morning and no more than 1 cup (at least 1.5).

Make a mask from aloe leaves

The juice of the plant will not only relieve swelling, but also smooth out fine wrinkles while you have breakfast. Cut off a thin plate and wipe the area of ​​skin.

The procedure moisturizes well. It works even better when combined with cucumber juice.

Use eye patches

Special mini-applications impregnated with active substances are gaining increasing popularity. This is the best express care for the periorbital area. They are glued to the problem area for drainage and smoothing.

I like Korean hydrogel patches. They quickly eliminate signs of fatigue. Read this article about how to make patches yourself.

Wipe with ice

Ice cubes are a proven skin care product. Prepare a decoction of calendula, oak bark or sage for them.

Brew, strain, pour into molds. Place in the freezer and wait until it freezes. Let this tool always be at hand. Regular procedures with ice cubes are an excellent prevention.

Do not apply ice to the eyeball to avoid harming yourself!

Get a massage

It will require two silver or cupronickel spoons. It is better to take canteens rather than tea houses. Dip them in cool water for a few minutes and then apply them to your eyes. When the metal heats up, cool again and repeat the procedure.

Is it possible to fight jowls using conservative methods?

Unfortunately, all home methods are preventative. Removing jowls without surgery is only possible if they have just begun to appear and have not yet gained a foothold in their occupied “positions.”

You can start eliminating jowls with lifting masks.

One of the most effective modeling masks is a tar mask: finely grate 1/8 of a piece of tar soap and beat into foam, adding a little sour cream. Apply the resulting mixture to the chin, neck and décolleté. Let it dry and reapply the mask until completely dry. Then rinse with warm water and lubricate the skin with cream. This mask has a strong lifting effect and will significantly tighten slightly sagging skin in just a month.

You can use ready-made pharmaceutical masks. Look for marine plankton, kelp, brown algae, lecithin, panthenol, and allantoin in their composition.

You can also do a facial massage yourself: twist a small terry towel into a rope, soak it in a saline solution and pat your lower jaw and neck on all sides for 15 minutes. After the procedure, lubricate the skin with cream.

What does a cosmetologist advise?

Modern cosmetology has a whole arsenal of drugs and techniques to improve skin condition. It is suggested to get rid of dark spots using salon cosmetics, procedures and massage. A home remedy made from natural ingredients can be no less useful.

1. Masks.

With their help, it is possible to remove black circles on the lower eyelids. The following masks are among the most popular.

  • Alginate. They are made on the basis of brown algae extract with additives. A mask is a ready-made gel-like product or powder that is quickly converted into a gel by combining with water. Therapeutic effect: moisture is retained in the cells, elasticity increases, and protective functions are enhanced. The blood vessels are toned and narrowed, toxins are actively removed from the upper layers of the epidermis, so the skin brightens and dark circles disappear. You can make a mask at home, but it can be difficult to remove the frozen film from your face yourself.
  • From medicinal leech extract. They have a positive effect on the condition of the veins. Blood and lymph circulation improves, the production of collagen and elastin fibers is activated. Over time, the thin, tired covering under the eyes is restored and acquires a natural tone.

Both positive and negative reviews have been received about EyesCover, an eye mask that is heavily advertised on the Internet. The manufacturer claims that a fabric shell filled with a gel composition can quickly improve the condition of the skin, remove bags and circles. The hydroxyethylcellulose product (filler) does not have healing properties, and there are no other ingredients in the mask. In fact, EyesCover is an expensive version of a regular compress that temporarily relieves swelling.

2. Salon treatments for dark circles under the eyes.

  • Mesotherapy. Cocktails of natural extracts, collagen, elastin, and organic acids are injected under the skin. Thanks to injections, blood flow improves, metabolic processes and cell regeneration accelerate.
  • Laser photothermolysis. It allows you to remove pigmented circles in a few sessions. During the procedure, the surface layer of cells with pigment is destroyed, the production of collagen and elastin is stimulated, and the skin is renewed. The effect of the first session appears after 2 weeks.
  • Electrical stimulation. Using electrodes, impulses are sent to the neuromuscular tissues located under the eyes. As a result, blood and lymph circulation is activated, allowing the blue circles that appear for this reason to be removed. Essentially, the procedure acts as drainage.
  • Microcurrent therapy. The same effect is achieved, but the means used are different. The cells of the epidermis, muscles, blood and lymph are exposed to a weak low-frequency electric current.
  • Lipofilling. This is an injection of your own fat tissue taken from the thighs or abdomen. The procedure helps get rid of age-related dark circles and hollows. Lipofilling is performed under general anesthesia; it is not indicated for everyone; it gives a temporary effect.

3. Removing circles at home.

To completely remove the problem, follow the recommendations that a cosmetologist usually gives.

  • Drink at least 2 liters of clean, still water every day.
  • In the morning and evening, apply special nourishing and moisturizing creams to the eyelids that affect the breakdown of hemoglobin and can rid the skin of dark circles. Another property of such funds is to strengthen capillaries and prevent repeated hemorrhages.
  • In the morning, wash your face with cold water (this is good for the whole face). The eyelids are wiped with frozen diced decoctions of linden, string, and chamomile.
  • Massage daily to remove bags and circles around the eyes. For 3 minutes, lightly pat the skin in the eye area with your fingertips, without stretching it. Perform sliding movements with your fingertips - starting from the bridge of the nose, through the lower eyelid to the temple, then in the opposite direction. This stimulates blood circulation and strengthens the circular muscles. During the massage, do not allow tension on the upper eyelid so as not to create pressure on the eyeball.

4. In conclusion, several effective folk remedies are given.

  • Fresh potato compresses. Thinly sliced ​​circles are placed on the eyes, held for several minutes, and washed. The procedure is done twice a day, for a course of 2-3 weeks.
  • At night, massage coconut or almond oil into the lower and upper eyelids with your fingers.
  • Warm, damp tea bags are applied to the eyelids for 10 minutes.
  • Chopped parsley is carefully placed on the lower eyelids and covered with a damp bandage. The lotion is removed after 15 minutes and washed with warm water. It is enough to apply the product every evening for a week for the circles under the eyes to completely disappear.

Cosmetics labeling

If the patient's condition is under treatment or the hollows under the eyes are formed as a result of heredity, cosmetics can be used to disguise the defect. In order not to worsen the patient’s condition, it is recommended to use only high-quality products.


Since sunken skin under the eyes forms dark areas, they need to be lightened. To do this, you can use foundation and powder. If this is not enough, apply light shadows without glitter on top. It is necessary to focus on the cheekbones by applying a copper or pinkish blush.

You can also darken the upper eyelid. It will turn out that the lower eyelid will lighten, and the upper eyelid will become darker. As a result, the patient's appearance acquired a healthy appearance.

Avoid using overly bright colors on your lips. A pink or nude shade is enough. The person's face will look natural.

Tighten your eyes without surgery

Before contacting cosmetologists, you can try to restore skin elasticity yourself. To do this, you should adhere to the following rules:

  1. Avoid consuming large amounts of salt. Sodium chloride causes fluid retention in the body, which causes swelling under the eyes.
  2. Sleep in the correct position. It is recommended to put an extra pillow under your head, lie on your back during the night, and do not drink a lot of drinks at night.
  3. Before going to bed, you should apply special eyelid skin care products.
  4. Eye strain should be avoided.
  5. Avoid tobacco smoke, exhaust gases, chemical pollution. If a person has a tendency to develop allergic reactions, they should move away from potential allergens.
  6. You should not take medications that cause fluid retention in the body. It is prohibited to use allergenic cosmetics.
  7. To get rid of swelling, you need to apply ice cubes to your eyes.
  8. Treat diseases of the cardiovascular and urinary systems, and pathologies of the thyroid gland in a timely manner.

To tighten loose skin on the lower eyelids without surgery, you should use salon procedures. The most effective are various peelings, during which the skin is cleansed of dead cells and dirt. The techniques involve the use of ultrasound, liquid nitrogen and vacuum. The procedures help restore normal blood circulation to the skin, activate collagen synthesis, and saturate the tissues with vitamins and minerals. Often women resort to mesotherapy and hardware lifting.

Mesotherapy

Mesotherapy is an injection technique that eliminates dryness and premature aging of the skin. Over time, the dermis becomes more sensitive to external factors: it becomes thinner, dries out, and premature wrinkles appear on it. As a result, the lower eyelids sag more. The injections contain the following ingredients:

  1. Hyaluronic acid. It restores the skin's water balance, preventing dehydration.
  2. Vitamins A, C, E, B, PP.
  3. Oligocomponents: silicon, zinc, magnesium, potassium, selenium. Improve microcirculation and skin tone, activate tissue regeneration.
  4. Antioxidants. Slow down the aging process in the dermis.

Before carrying out mesotherapy, you must prepare in accordance with medical recommendations: stop using blood thinning drugs and alcoholic beverages. During the procedure, the skin is cleansed with an antiseptic and the anesthesia is removed. Then a specially selected drug is administered to problem areas. The duration of mesotherapy is about 20-30 minutes.

Hardware lifting

Hardware lifting is used for severe sagging skin. The technique is a series of procedures that have a low-traumatic, non-invasive effect on the dermis. Due to the fact that the integrity of the epithelium is not violated, there are practically no negative effects or complications.

The following types of procedures exist:

  1. RF lifting. The surface and inner layers of the dermis are exposed to radio wave radiation. It destroys adipose tissue and activates metabolic processes in soft tissues. To achieve a positive effect, repeated procedures are necessary. To lift the lower eyelids, up to 5-8 sessions will be required.
  2. Laser lifting. This procedure is safe and painless. It does not require repeated implementation. The patient's skin is treated with a special gel. Under the influence of thermal radiation, microcracks are formed deep in the dermis, due to which tissue regeneration processes are activated. Thanks to this effect, metabolism improves, hyaluronic acid, collagen and elastin fibers begin to be synthesized.
  3. Ultrasound procedure. After 3-5 sessions of exposure to high-frequency ultrasonic waves in the tissues of the lower eyelid, blood circulation and lymph outflow are accelerated, metabolic processes are activated and collagen synthesis begins.

Treatment

To eliminate sunken skin under the eyes, it is recommended to adhere to the following rules:

  • eat properly food that contains most of the nutrients, vitamins, minerals, microelements necessary to maintain the health of the whole body and normalize metabolism;
  • sleep at least 8 hours a day to allow the body to fully restore its strength and eliminate the effect of brain hypoxia;
  • rest more, don’t worry about trifles, if this is not possible, the doctor can prescribe mild sedatives to give the person’s nervous system a break;
  • the use of adequate physical activity according to the patient’s state of health and well-being, which will strengthen his muscle tissue and make the vascular endothelium stronger;
  • drink at least 2 liters of liquid for an adult to maintain water-salt metabolism, thin the blood, and moisturize the skin;
  • if, after drinking the required amount of liquid, the blood remains invariably thickened, the doctor prescribes drugs that thin it, but their use must be in a strict dosage so that bleeding does not occur;
  • walk more in the fresh air, where there is no overstrain for the visual organs, and the body receives an abundant amount of oxygen necessary for the normal functioning of the brain and other organs and systems;
  • if the nutrients supplied with food are not enough, take multivitamin complexes consisting of vitamins with the addition of minerals and trace elements;
  • periodically contact doctors of narrow specialties, undergoing a general examination, instrumental examinations, laboratory tests in order to promptly identify and eliminate all abnormalities in the body;
  • carry out hardening methods that help reduce the number of viral and infectious diseases that affect the entire body;
  • use medications in the amount prescribed by the doctor, no more than the required course, for example, antibiotics can only be used for 7 days;
  • eliminate lack of body weight due to an increased amount of food consumed, which should be healthy;
  • treat systemic diseases in a timely manner, if it is impossible to carry out full therapy, it is necessary to take control of the condition, for example, diabetes mellitus cannot be completely eliminated, but the amount of glucose can be regulated with insulin injections;
  • For serious illnesses that affect the psyche, it is recommended to undergo treatment with the help of a psychiatrist, who will not only provide a consultation, but also prescribe serious medications.

It is necessary to follow a complex of therapy including the use of general recommendations and the use of medications. Using this action, you can achieve maximum effect and eliminate the defective condition in a short time.

Contraindications

By strictly following the useful recommendations for performing training and evenly distributing the load, gymnastics does not foretell any undesirable consequences. It is recommended to abandon the technology in the following cases:

  • increased blood pressure (chronic disorder or isolated case);
  • the presence of pathologies of the facial nerve;
  • previous operations (recovery period);
  • Botox injections.

To obtain the expected effect, it is important not to overload the body. Alternating exercises are accompanied by a short relaxing break

Failure to comply with this requirement may result in muscle spasms.

Facebook building is recognized as one of the ways to maintain the beauty and youth of the skin. The technique is not considered difficult and can be performed independently. Charging does not require much time and effort.

Myth 5. Eyelid surgery is done under local anesthesia

Local anesthesia is only applicable during upper eyelid blepharoplasty. Lower plastic surgery is performed only under general anesthesia or intravenous sedation. Local anesthesia is more easily tolerated and does not require a lot of tests from the patient, and therefore surgery can be scheduled earlier. A short stay in the clinic after such anesthesia also plays an important role; it is enough to be under the supervision of a doctor for a couple of hours.

If the patient is characterized by increased anxiety, emotionality, or is simply very afraid of the operation being performed, it is better to opt for general anesthesia. Excessive production of adrenaline, which speeds up the movement of blood through the vessels, can negatively affect the progress of the plastic surgery. As a result, there may be increased formation of hematomas. Therefore, most plastic surgeons recommend the use of general anesthesia.

In this article, we examined the most common questions regarding blepharoplasty. But each case is individual, and only the doctor to whom you entrust your face can answer questions in more detail and debunk myths.

Possible diseases

There are many reasons for this condition. However, most of them are physiological in nature and are easily treatable. If your eyes are sunken, it is necessary to conduct a comprehensive examination, even when the doctor insists otherwise.

Many signs of some diseases that can provoke this phenomenon may go unnoticed, especially when occurring in the early stages.

Pathological causes of sunken vision organs:

  • hypothyroidism;
  • hypotension;
  • heart attack and stroke;
  • childhood hypoxia;
  • congenital anomalies;
  • injuries;
  • diseases of the kidneys, liver and gall bladder;
  • trachoma;
  • changes in hormonal levels;
  • heart and vascular diseases.

If such eyes appear in a child, the cause may be hypoxia or a hereditary predisposition. In any situation, it is important to carry out diagnostics and determine what caused the defect.

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