“Not Above, Not Below: Right in the Middle!”—Novel Filler Technique for Temporal Augmentation and Rejuvenation

Jason E. Cohn; Tyler Pion; Timothy M. Greco

doi:10.1055/s-0040-1709710

Facial Plastic Surgery, Inhaltsverzeichnis

Facial Plast Surg 2020; 36(05): 623-627
DOI: 10.1055/s-0040-1709710

Original Research

“Not Above, Not Below: Right in the Middle!”—Novel Filler Technique for Temporal Augmentation and Rejuvenation

Jason E. Cohn

¹Division of Facial Plastic Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania

,

Tyler Pion

²Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania

,

Timothy M. Greco

³Division of Facial Plastic Surgery, Department of Otorhinolaryngology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania

⁴Director, Center of Excellence in Facial Cosmetic Surgery, Bala Cynwyd, Pennsylvania

› Institutsangaben

Abstract

The temporal region is challenging to treat due to its thin skin, which has the propensity toward showing irregularities. The literature on temporal hollowing augmentation suggests placing the filler either into the subcutaneous space or within the temporalis muscle. However, these techniques have been based upon opinion rather than supporting anatomical and clinical data. We introduce a novel injection technique to avoid complications and achieve lasting results. This novel technique was confirmed with a cadaver model, in vivo model, and application to a human subject. The anatomical layers of the temporal region were highlighted: the skin, subcutaneous tissue, temporoparietal fascia (superficial temporal fascia), deep temporal fascia, superficial temporal fat pad, and temporalis muscle. Particular emphasis was placed on identifying the frontal branch of the superficial temporal artery to avoid vascular complications. We believe the potential space between the temporoparietal fascia and the deep temporalis fascia is the safest, most efficacious plane to inject the temporal region with a 27-gauge cannula. Our future goal is to recruit and present a larger series of patients receiving this injection.

Keywords

temporal augmentation - relevant anatomy - injection technique - temporal hollowing - temporal filler

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Referenzen

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