Temporal Rejuvenation with Fillers: Global Faceculpture Approach

Raspaldo H (Facial Plastic Surgery Centre, Cannes, France) Dermatol Surg 38:261-265, 2012^§

Abstract

Background

Nonsurgical temporal rejuvenation techniques are being used increasingly to meet patient demand, but no standardized way for performing them yet exists. Temporal lifts are of most benefit to persons in their mid-30s to early 40s who are beginning to have signs of aging around their eyes. Temporal lifting addresses the sad, tired look without major surgery, lifting the brows, reducing crow’s feet lines, firming the outer eye area, and lightening the hooding of the outer eyelid. This approach produces minimal to no scarring, little bleeding, and no hair loss. It is a short procedure with minimal recovery time that can be done in outpatient settings or under twilight anesthesia. The latter entails a 12- to 24-hour hospitalization and a 7- to 15-day recovery period. A review of the pertinent anatomy and products used in temporal rejuvenation was offered, along with recommendations for a nonsurgical approach.

Anatomy and Products

The temporal area is above the zygomatic arch, between the temporal crest or linea temporalis above and the hairline laterally. Three fascial layers are found, including the superficial temporal fascia, which is strongly attached to subcutaneous tissues, and the superficial and deep layers of the deep temporal fascia, which are attached to the bony floor. The Merkel space, a natural sliding space, is located between the superficial and deep temporal fascial layers. Sensory innervation of the temporal area is supplied by the trigeminal nerve.

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