After the Temporal Lifting Technique—What comes next?

Hernandez, Claudia A; Schneider, Carolina; Gold, Michael H.; Muniz, Mariana Lima; Green, Jeremy B.; Alfertshofer, Michael; Frank, Konstantin; Cotofana, Sebastian

doi:10.1111/jocd.14247

Cited by 6 publications

(9 citation statements)

References 14 publications

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“…The underlying anatomic explanation is that administering soft tissue fillers to the upper face will provide support for the lower facial structures and induce facial repositioning and lower facial slimming. This clinical effect was recently observed and validated through the temporal lifting technique 11–13 …”

Section: Introductionmentioning

confidence: 67%

“…This clinical effect was recently observed and validated through the temporal lifting technique. [11][12][13] Even though repositioning and facial lifting effects following upper facial injections have been demonstrated, there is no clinical evidence available showing that the sequence of injectable treatment should be performed by starting in the upper face and progressing to the lower face. Therefore, the objective of this study is to provide scientific evidence that following the upper-face-first treatment algorithm results in superior aesthetic outcomes when directly compared in a split-face design to the lower face first injection algorithm.…”

Section: Introductionmentioning

confidence: 99%

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Clinical validation of the upper face first principle—A clinical, prospective, interventional split‐face study

Hernandez¹,

Zapata²,

Bermudez

et al. 2022

J of Cosmetic Dermatology

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Background Previous clinical and anatomic investigations have identified the clinical relevance of facial biomechanics. Based on this new understanding, principles for facial aesthetic procedures were established: Lateral Face First, Deep Layers First, and Upper Face First. Objective To test the upper face first principle by showing that an injection sequence, starting in the upper face is superior to an injection sequence starting in the lower face. Methods This study was designed as an interventional split‐face study administering the same amount and type of soft tissue filler for the upper, middle, and lower face but in a different sequence: upper, middle, lower face versus lower, middle, and upper face. A total of 15 patients (5 males and 10 females) with a mean age of 39.4 years (9.6) and a mean BMI of 23.4 kg/m2 (1.7) were studied. Follow‐up at D0, D30, and D90 was conducted utilizing semiquantitative scores and objective 3D imaging. Results Despite not reaching statistical significance, midfacial volume and jawline contouring were rated better at every follow‐up visit (D0, D30, D90) when treated with the upper versus the lower face first injection algorithm. The global aesthetic improvement scale showed statistically significantly better values for the upper face first algorithm when compared to the lower face first algorithm at all evaluated time points with all p < 0.001. Conclusion Applying the upper face first injection algorithm seems to result in better aesthetic outcomes when directly compared to the lower face first algorithm. Semiquantitative and objective outcome measurements confirm its clinical effectiveness.

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Section: Introductionmentioning

confidence: 67%

Section: Introductionmentioning

confidence: 99%

Clinical validation of the upper face first principle—A clinical, prospective, interventional split‐face study

Hernandez¹,

Zapata²,

Bermudez

et al. 2022

J of Cosmetic Dermatology

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“…repositioning effects. [6,7] Facial expressions, based on the contraction of facial muscles, are an important aspect of nonverbal communication and play a crucial role in conveying emotions and social cues. Altering the facial expressions of an individual can have a significant psychological and social impact, potentially affecting their self-esteem, interpersonal relationships, and overall well-being.…”

Section: Introductionmentioning

confidence: 99%

Investigating Facial Muscle Physiology Following Soft Tissue Filler Injections—A Surface-derived Electromyographic and Skin Vector Displacement Analytic Study

Casabona,

Frank,

Zeng

et al. 2024

Facial Plast Surg

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The use of hyaluronic – acid based soft – tissue fillers has often been reported to modulate the muscle i.e., to cause myomodulation. To our knowledge, there has been so far no scientific study investigating the potential of hyaluronic – acid based soft - tissue fillers to modulate or actually alter the function of facial muscles. To further assess this 3 – dimensional (3D) surface imaging and electromyography (EMG) based prospective study investigated the changes of facial muscle contraction after injection of strategically placed hyaluronic – acid based soft – tissue fillers to assess the actual validity of the term myomodulation. A total of 13 subjects with a mean age of 37.8 years (12 females, 1 male) were injected according to a predefined injection protocol. Surface electromyography and 3D surface imaging were performed prior to the injection and 5 days after the injection. The results showed no significant change in the strength of the muscles (measured in μV) after injection of hyaluronic – acid based soft – tissue fillers. However, horizontal and vertical skin displacement upon contraction of the zygomaticus major muscle changed significantly between baseline and follow – up , with a mean horizontal skin displacement increase from 3.2 mm to 4.1 mm. Upon contraction of the depressor anguli oris muscle, the horizontal skin displacement did not change significantly (2.15 mm vs. 2.05 mm), while vertical skin displacement increased significantly from 2.9 mm to 4.3 mm. The modification of the surrounding tissue caused an alteration of the vectorial skin displacement upon contraction of the muscle. A potential explanation could be the increased distance between origin and insertion of the muscle due to the material deposition in the proximity of the relevant facial muscles, leading to a change of contraction vector.

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“…As the temporal bones become more concave, temporal muscle atrophies, and temporal adipose tissue volume decreases, the loss of volume results in an undesirable haggard appearance. 1,2,3 By reshaping the temporal fossa and upper face with Abstract Vascular complication after lateral temporal lifting technique with hyaluronic acid-based fillers may result from arterial occlusion by direct injection into the artery or embolization with the product, which is usually immediately manifested by acute pain and scarlet-red spots due to hemorrhagic blisters. Vascular complication can also result from venous occlusion caused by external compression of the vessel with soft tissue filler.…”

Section: Introductionmentioning

confidence: 99%

Vascular Complication After Lateral Temporal Lifting Technique: A Case Report

Entel,

Omarova,

Batov

et al. 2023

JBSMFS

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Vascular complication after lateral temporal lifting technique with hyaluronic acid-based fillers may result from arterial occlusion by direct injection into the artery or embolization with the product, which is usually immediately manifested by acute pain and scarlet-red spots due to hemorrhagic blisters. Vascular complication can also result from venous occlusion caused by external compression of the vessel with soft tissue filler. Vascular occlusion requires immediate treatment as the risk of tissue damage and skin necrosis increases with time. In this paper we consider a clinical case of vascular complication after the technique of lateral temporal lifting of hyaluronic acid, manifested by painfulness of the area of hyaluronic acid injection, Livedo reticularis, alopecia, and treatment of this patient for 3 months.

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After the Temporal Lifting Technique—What comes next?

Cited by 6 publications

References 14 publications

Clinical validation of the upper face first principle—A clinical, prospective, interventional split‐face study

Clinical validation of the upper face first principle—A clinical, prospective, interventional split‐face study

Investigating Facial Muscle Physiology Following Soft Tissue Filler Injections—A Surface-derived Electromyographic and Skin Vector Displacement Analytic Study

Vascular Complication After Lateral Temporal Lifting Technique: A Case Report

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