Beyond volume: 16 years of structural temporal refinement via the interfascial space

Objectifs: To present 16 years of clinical experience with structural temporal augmentation through the interfascial space, highlighting its dual role in volume restoration and orbicularis muscle myomodulation with a reproducible and safe anatomical approach. Introduction: Traditional temporal augmentation has focused primarily on restoring lost volume. Since introducing the interfascial temporal technique in 2010, this approach has evolved beyond simple filling by using the interfascial plane to achieve both structural support and controlled orbicularis muscle myomodulation. Respecting the temporal anatomy provides a highly predictable, safe, and natural aesthetic outcome while minimizing vascular risk. The surgical anatomy and technical details are illustrated in a dedicated 3D anatomical video. Matériels / méthode: A consecutive clinical series performed over 16 years was analyzed. Patients underwent temporal augmentation through the interfascial space using a standardized anatomical technique. Evaluation included: * Accuracy of interfascial placement. * Volume restoration. * Periorbital support and brow dynamics. * Safety profile. * Patient satisfaction. * Long-term aesthetic stability. Résultats: The interfascial approach consistently provided reliable volume restoration with a natural temporal contour while simultaneously improving periocular support through orbicularis myomodulation. Over 16 years of clinical use, the technique demonstrated an excellent safety profile, predictable reproducibility, and durable aesthetic outcomes. Conclusion: The interfascial space represents more than a volumizing plane—it is a strategic anatomical compartment that allows simultaneous structural augmentation and functional muscle modulation. After 16 years of clinical experience, this technique has proven to be a safe, reproducible, and anatomically sound approach for temporal rejuvenation. Its educational value is enhanced by a dedicated 3D anatomical demonstration, providing surgeons with a practical understanding of this refined surgical concept.