The six different injection techniques for the temple relevant for soft tissue filler augmentation procedures - Clinical anatomy and danger zones.
esthetic effects
facial anatomy
fascial layers
safety
soft tissue fillers
temple
Journal
Journal of cosmetic dermatology
ISSN: 1473-2165
Titre abrégé: J Cosmet Dermatol
Pays: England
ID NLM: 101130964
Informations de publication
Date de publication:
Jul 2020
Jul 2020
Historique:
received:
28
03
2020
revised:
07
05
2020
accepted:
11
05
2020
pubmed:
18
5
2020
medline:
15
5
2021
entrez:
18
5
2020
Statut:
ppublish
Résumé
The most promising facial region for inducing pan-facial effects is the temporal region. The temple displays signs of facial aging itself which include temporal volume loss and increased visibility of the temporal crest, the temporal vasculature, the lateral orbital rim, and the upper zygomatic arch. The objective of this article is to provide a detailed review of temple anatomy pertaining to routinely performed temporal injection techniques, their expected esthetic outcomes as well as the intendant advantages, disadvantages, and procedure pearls. This narrative review is based on the clinical experience of the authors treating the temporal region for esthetic purposes. The postulated outcome of each technique was observed during the routine clinical practice of the authors. The temporal region is based on a bony platform consisting of the parietal, frontal, sphenoid, and temporal bones. The overlying soft tissues are arranged in layers which contain the temporal neurovascular structures. The temporal soft tissues consist of 10 parallel layers which vary in their thickness depending on age-related influences. Six different techniques will be addressed, which include subdermal and interfascial techniques for volumizing, low and high supraperiosteal techniques for volumizing, and supraauricular and temporal lifting techniques. This narrative provides a detailed anatomic overview of the temporal region and describes each commonly performed injection technique with respect to anatomy, esthetic outcome, as well as potential pearls and pitfalls. It is hoped that the description contained herein may guide esthetic practitioners toward safer and more natural outcomes when treating the face.
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1570-1579Informations de copyright
© 2020 Wiley Periodicals, LLC.
Références
Cotofana S, Gotkin RH, Frank K, et al. The functional anatomy of the deep facial fat compartments - a detailed imaging based investigation. Plast Reconstr Surg. 2019;143(1):53-63.
Cotofana S, Gotkin RH, Ascher B, et al. Calvarial volume loss and facial aging: a computed tomographic (CT)-based study. Aesthetic Surg J. 2018;38(10):1043-1051.
Cotofana S, Gotkin RH, Morozov SP, et al. The relationship between bone remodeling and the clockwise rotation of the facial skelton - A computed tomography imaging based evaluation. Plast Reconstr Surg. 2018;142:1447-1454.
Frank K, Gotkin RH, Pavicic T, et al. Age and gender differences of the frontal bone: a computed tomographic (CT)-based study. Aesthetic Surg J. 2018;39(7):699-710.
Schenck TL, Koban KC, Schlattau A, et al. The functional anatomy of the superficial fat compartments of the face: a detailed imaging study. Plast Reconstr Surg. 2018;141(6):1351-1359.
Cotofana S, Fratila AAMM, Schenck TL, Redka-Swoboda W, Zilinsky I, Pavicic T. The anatomy of the aging face: a review. Facial Plast Surg. 2016;32(3):253-260.
Casabona G, Frank K, Koban KC, et al. Lifting vs volumizing-The difference in facial minimally invasive procedures when respecting the line of ligaments. J Cosmet Dermatol. 2019;18(5):1237-1243
Rohrich RJ, Ghavami A, Constantine FC, Unger J, Mojallal A. Lift-and-Fill face lift. Plast Reconstr Surg. 2014;133(6):756e-767e.
Freytag DL, Frank K, Haidar R, et al. Facial safe zones for soft tissue filler injections: a practical guide. J Drugs Dermatol. 2019;18(9):896-902.
Cotofana S, Lachman N. Anatomy of the facial fat compartments and their relevance in aesthetic surgery. JDDG J der Dtsch Dermatologischen Gesellschaft. 2019;17(4):399-413.
Cotofana S, Gotkin RH, Frank K, Lachman N, Schenck TL. Anatomy behind the facial overfilled syndrome: the transverse facial septum. Dermatol Surg. 2019. [Epub ahead of print].
Casabona G, Frank K, Koban KC, et al. Influence of age, sex, and body mass index on the depth of the superficial Fascia in the face and neck. Dermatol Surg. 2019;45(11):1365-1373.
Suwanchinda A, Webb KL, Rudolph C, et al. The posterior temporal supraSMAS minimally invasive lifting technique using soft-tissue fillers. J Cosmet Dermatol. 2018;17(4):617-624.
Cotofana S, Koban K, Pavicic T, et al. Clinical validation of the surface volume coefficient for minimally invasive treatment of the temple. J Drugs Dermatol. 2019;18(6):533.
Cotofana S, Koban CK, Frank K, et al. The surface-volume-coefficient of the superficial and deep facial fat compartments - a cadaveric 3D volumetric analysis. Plast Reconstr Surg. 2019;143(6):1.
Yang H-M, Jung W, Won S-Y, Youn K-H, Hu K-S, Kim H-J. Anatomical study of medial zygomaticotemporal vein and its clinical implication regarding the injectable treatments. Surg Radiol Anat. 2015;37(2):175-180.
Yano T, Okazaki M, Yamaguchi K, Akita K. Anatomy of the middle temporal vein: implications for skull-base and craniofacial reconstruction using free flaps. Plast Reconstr Surg. 2014;134(1):92e-101e.
Sykes JM, Cotofana S, Trevidic P, et al. Upper face: clinical anatomy and regional approaches with injectable fillers. Plast Reconstr Surg. 2015;136(5 Suppl):204S-218S.
Pavicic T, Mohmand HM, Yankova M, et al. Influence of needle size and injection angle on the distribution pattern of facial soft tissue fillers. J Cosmet Dermatol. 2019;18(5):1230-1236.
Coimbra DD, Stefanello de Oliveira B. Supra-auricular lifting with fillers: new technique. Surg Cosmet Dermatol. 2016;8(4).
Cotofana S, Lachman N. Arteries of the face and their relevance for minimally invasive facial procedures: an anatomical review. Plast Reconstr Surg. 2019;143(2):416-426.