Resumo

Objectives: Non-surgical facial contour and anti-aging are common aesthetic requests among Chinese patients. Treatment with soft-tissue filler is the preferred option as the procedures are less invasive with minimal downtime. Injection of the lateral temporal region and cranioauricular angle provides pleasing for both anti-aging and facial contour. In this presentation, treatment method and injection strategy of the lateral temproal and cranioauricular region are discussed. Introduction: A semi-circled upper face outer rim and smooth calvarium-lateral temple-zygomatic arch transition meets not only the Chinese traditional physiognomy, but also our current aesthetic perspective. Fullness of the lateral-temporal region (within the hairline) is crucial in creating a semi-circled upper face outer rim contour. Furthermore, other than full and well contoured lateral temple, slightly protruded ears would also visually help concealing the zygomatic arch, as well as making the lower face look smaller in contrast. Materials / method: The widest point of the lateral-temporal region (point W) should be vertical to the tragus, and horizontal to the mid-forehead line. First, inject on the supra-periosteum plane with a needle at the widest point of the lateral-temporal region to support the surrounding tissue. Then, inject around point W, to smooth the transition between the calvarium, lateral temple, and the zygomatic arch. More products can be place under the superficial temporal facia with a cannula if necessary. For optimal contouring results, more products can be injected to increase the cranioauricular angle. Results: A round and full lateral temporal region would produce a well defined semi-circled upper face outer rim, and a concealed zygomatic arch . By increasing the cranioauricular angle and auricular show at frontal view, the protruded ears would further help reduce zygomatic arch prominence and lower face width in visual contrast. Addition session can be performed four to six weeks after if necessary. Conclusion: With the proper indication, injection to the lateral temporal and cranioauricular region is a pratical method for both facial contour and anti-aging.