Clinical validation of the temporal lifting technique using soft tissue fillers

Abstract

Background While the temporal lifting technique has gained increasing attention, there is a dearth of objective and reliable evidence of its effects. Aim The objective of the present study is to analyze the ability of the temporal lifting technique to reduce the midfacial volume by soft tissue repositioning and to achieve an improved pan‐facial appearance by targeting exclusively the subdermal plane of the posterior and superior temple with soft tissue fillers. Methods A total of 12 patients (1 male and 11 females) with a mean age of 36.75 ± 6.6 years and a mean body mass index of 23.04 ± 1.3 kg/m2 were included in this prospective clinical single‐center interventional study. Injection‐related outcome was evaluated utilizing 3D skin vector displacement and surface volume analyses and scoring based on five different evaluators. Results Three months after the treatment, the global esthetic improvement scale rating showed an improved outcome (3.08) when evaluated by the independent observers, very improved outcome when evaluated by the treating physician (4.33), and exceptional improvement when rated by the patient (4.83). Temporal volume improved by 0.36 (P < .001), lower cheek fullness by 0.47 (P < .001), and jawline contouring by 0.51 (P < .001). No major adverse events were reported during the 3‐month observational period. Conclusion Objective outcome measures have provided evidence that by augmenting the posterior superior temple the volume of the middle face can be reduced and the contour of the jawline can be accentuated; this is due to the underlying fascial anatomy and the resulting soft tissue re‐position.

Differences in Temporal Volume between Males and Females and the Influence of Age and BMI: A Cross-Sectional CT-Imaging Study

“…The latter is most likely related to the postmenopausal hormonal status of these women. 26,[30][31][32][33][34] Sarcopenia is associated with loss in muscle mass (among other things) and would explain the effects observed in our sample of 60 female temples: a reduction in temporal soft tissue volume due to a reduction in temporalis muscle volume and temporal fat atrophy. In males, this effect was not observed despite equal statistical testing and similar sample size; this would support the hypothesis as males are not affected by this hormonal change when using the same statistical cut-off value for age.…”

After the Temporal Lifting Technique—What comes next?

“…cheek and the jawline: This was showcased in a small sample of Asian patients. 1 In 2020, this hypothesis was confirmed by Hernandez et al 3 in a clinical interventional study treating patients with lateral face soft tissue decent. The results of that independent study revealed that the volume of the lateral midface decreased due to soft tissue repositioning and that the contour of the jawline was more accentuated based on the effects following the subdermal product application of the temple.…”

Posición esqueletal aplicada a la estética y rejuvenecimiento del tercio inferior facial y cervical

“…Procedimientos no quirúrgicos con el uso de hilos y rellenos se han extendido ampliamente en los últimos años, 25,26 aumentando las herramientas disponibles para los clínicos considerando sus ventajas y desventajas; sin embargo, y de la misma forma que ocurre en las investigaciones de orientación quirúrgica, es necesario definir variables de patrón esqueletal de los sujetos de muestra para definir de mejor forma las indicaciones óptimas de tratamiento. En algún punto todas las técnicas pueden ser complementarias, siendo cada vez más necesario definir las mejores opciones para nuestros pacientes (Figura 4).…”