Anatomical Basis for Safe and Effective Volumization of the Temple

Breithaupt, Andrew; Jones, Derek; Braz, André; Narins, Rhoda S.; Weinkle, Susan

doi:10.1097/dss.0000000000000539

Cited by 48 publications

(46 citation statements)

References 11 publications

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“…Although the most common lesions in this region are hematomas, which usually affect the lower eyelid [3], Kassir et al [18] described lesions resulting in blindness produced by filling in the temporal fossa, due to the occlusion of the retinal arteries as a consequence of the anastomosis of the frontal artery and a branch of the superficial temporal artery with branches of the supraorbital artery and the ophthalmic artery. Blindness occurs because the intravascular injection pressure is greater than the intra-arterial pressure.…”

Section: Discussionmentioning

confidence: 99%

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Influence of the Topographic Vascular Distribution of the Face on Dermal Filler Accidents

et al. 2019

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Objective: Dermal fillers are an important tool in the field of aesthetic dermatology. Fillers are relatively noninvasive and easy to use but are not free of secondary complications. The main complications are vascular and are due to either the compression of an artery or the direct introduction of the product into the arterial lumen. The aim of this study is to provide an overview of the vascular territories of the face to avoid many possible complications when using facial fillings. Anatomical localization of the main arterial supply to the face has been described to assess the risk of vascular injury. Methods: The authors dissected 17 hemifaces of embalmed adult cadavers that had previously been injected, through the common carotid artery, with latex containing a red dye. Results: A topographic distribution was generated by facial regions following a clinical approach from where the facial fillings were placed and related to the pathways of the arteries. Following these criteria, we established 8 topographic regions (I–VIII) that indicate the main vascular problems of each of these regions. Detailed anatomical localizations of the main arteries in these topographic regions of the face and their relationships are described. Conclusions: The highest index of vascular lesions and especially visual alterations occurred for fillings of the upper third of the face. To prevent and avoid this type of lesion, it is advisable to avoid, as much as possible, treatments with filling materials in the upper third of the face, mainly including the glabellar and nasal region (III) and supraorbital region (VIII).

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Section: Discussionmentioning

confidence: 99%

“…These factors lead to a decrease in facial volume and an increase in the detachment of these structures, which leads to the appearance of furrows and wrinkles [3-5]. The convex surfaces become concave surfaces, reducing the illuminated areas and increasing the shadows.…”

Section: Introductionmentioning

confidence: 99%

Influence of the Topographic Vascular Distribution of the Face on Dermal Filler Accidents

et al. 2019

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mentioning

confidence: 99%

“…[16][17][18] The age-related volume loss of the superficial or deep part of fat tissues or temporalis muscle has been suggested to contribute thereto. [17][18][19] Because decreased volumes in the topographic components in the temple area are associated with loosening among the skin layers, the laxity of the face can eventually be aggravated. [17][18][19] By inducing the wound repair process and tightening among the topographic layers of the temple area, prolotherapy is theoretically effective for the restoration of facial skin laxity.…”

mentioning

confidence: 99%

“…[17][18][19] Because decreased volumes in the topographic components in the temple area are associated with loosening among the skin layers, the laxity of the face can eventually be aggravated. [17][18][19] By inducing the wound repair process and tightening among the topographic layers of the temple area, prolotherapy is theoretically effective for the restoration of facial skin laxity. Our microscopic in vivo experimental rat study revealed that PIT-induced jet-infiltration of 20% glucose solution reached the layers of skeletal muscle and deep fascia.…”

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confidence: 99%

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Pneumatic Injection Therapy-Induced Transcutaneous Penetration of Hypertonic Glucose Solution: Macro- and Microscopic Analyses of Human and Rat Tissues

Kim¹,

Han

Park

et al. 2018

Medical Lasers

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Background and ObjectivesPneumatic injection therapy (PIT) is a needle-free, penetrationenhanced, transdermal method of delivering drugs into the skin. This study evaluated topographically the PIT-induced transcutaneous infiltration of a 20% hypertonic glucose solution in fresh human cadavers and outlined the microscopic patterns and reactions to PIT with a 20% glucose solution in in vivo rat skin. Materials and MethodsThe penetration depths of a 20% glucose solution by PIT were analyzed macroscopically in 10 hemifaces from fresh cadavers. In addition, the infiltration patterns of PIT with a 20% glucose solution performed in vivo in rats were analyzed through a histology evaluation. ResultsPneumatic injections of a hypertonic glucose solution generated PIT zones in the subcutaneous fat and superficial temporal fascia layers (10 out of 10 hemifaces), superficial layer of the deep temporal fascia (DTF; 8 out of 10 hemifaces), and deep layer of the DTF (7 out of 10 hemifaces). In addition, distinctive PIT zones were generated in rat tissues from the upper papillary deep to the muscle and fascia layers. ConclusionThe data suggest that PIT-induced, jet infiltration of a 20% hypertonic glucose solution contributes to clinical improvement of skin laxity by stimulating the wound repair processes and increasing collagen production throughout multiple layers of the skin. Key words

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Long-term Outcomes of Temporal Hollowing Augmentation by Targeted Volume Restoration of Fat Compartments in Chinese Adults

Huang

Xie

Wang

et al. 2018

JAMA Facial Plast Surg

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IMPORTANCE Previous anatomical and clinical studies have suggested that targeted restoration of the volume and distribution of fat compartments using appropriate cannula entry sites and injection planes is an excellent fat-grafting technique for facial contouring and hand rejuvenation. OBJECTIVE To perform subjective and objective evaluations of the safe and effective profile of the targeted fat-grafting technique for temporal hollowing augmentation. DESIGN, SETTING, AND PARTICIPANTS In a retrospective cohort study, a total of 96 consecutive patients with temporal hollowing were treated at the

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Anatomical Basis for Safe and Effective Volumization of the Temple

Cited by 48 publications

References 11 publications

Influence of the Topographic Vascular Distribution of the Face on Dermal Filler Accidents

Influence of the Topographic Vascular Distribution of the Face on Dermal Filler Accidents

Pneumatic Injection Therapy-Induced Transcutaneous Penetration of Hypertonic Glucose Solution: Macro- and Microscopic Analyses of Human and Rat Tissues

Long-term Outcomes of Temporal Hollowing Augmentation by Targeted Volume Restoration of Fat Compartments in Chinese Adults

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