Objectives: The aesthetic indications for filler injection in the temples are described, with an anatomic rationale for treatment supported by cadaver dissections and demonstration of injection techniques.

Introduction: The temples deepen over the years because of bone loss and soft tissue atrophy. The contours of the temporal crest and the zygomatic arch may sharpen with time. Increasing visibility of subcutaneous blood vessels and changes to the skin surface contribute to an older appearance.
Aesthetic judgement about temporal depth is subjective and culture-dependent.
Slightly hollow temples in beautiful faces need not necessarily be obliterated. Smooth transitions between the forehead, the temples and the midface have aesthetic value of their own.

Materials / method: A review of patient records and pictures was compared to the results of injections and dissection of cadaver heads with dyed filler. Representative film fragments of injection techniques were selected.

Results: Temple depth can be decreased by deep, intramuscular injection of specific gels. The efficiency is highest anterosuperiorly in the temporal fossa and lowest close to the zygomatic arch. The intermediate injection level under the superficial temporal fascia can be used to treat the entire fossa and to smoothen the contour of the temporal crest and the zygomatic arch. Subdermal injection helps to hide vessels but is more traumatic. Dissections show gel spread around the injection trajectory and a limited effect of remodelling by finger pressure

Conclusion: Various fillers are suitable for injection in three clinical injection planes in the temples. Besides temporal volume, smooth transitions to the forehead and the zygomatic arch are of aesthetic importance. Hiding the temporal vessels and biostimulation can be secondary objectives. Dissection studies suggest that remodelling filler after injectiong by finger pressure does little more than flattening the deposits. The spread of filler along the needle or cannula trajectory can be larger than intended.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: underline the results of temples lifting after a case series of 50 patients

Introduction: the jaw line treatment needs a lot of material to get e good result. Injecting temples first you need less material resulting in a thinner jawline

Materials / method: in a period from jannuary 2022 until december 2022 a series of 50 patients have been studied and quantuties required, results and complications have been recorded

Results: results are immediately good but also results at 8 months are presented. No complications raised.

Conclusion: temporal injections for jaw line and nasolabial folds lifting is an easy technique. Indications are the key factore to get good results

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
Yes
Please specify entities (individual, company, society): fillmed, ipsen, oeo firenze

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work is presented thanks to the support of: Vivacy