Temporal augmentation using autologous fat grafting in Chinese women: Effect on temporal hairline

Abstract

Temple volume plays an important role in facial symmetry and youthfulness. The temple can be considered a transitional subunit between the forehead and the cheek and between the temporal hairline and the lateral orbit. 1 Progressive aging causes a dramatic loss of the temple's fullness, 2 greatly impacting facial appearance.Therefore, temporal augmentation is an important aspect of facial rejuvenation. It aims to achieve an appropriate fullness in the temple and a smooth facial contour of the upper face. 3 In some subjects, an inward curve of the temporal hairline adds to the severity of temporal hollowing. The hairline, that is, the posterior border of the temple, is an important factor for a balanced, attractive face. 4 The temporal hairline includes the temporal peak

Contouring and augmentation of the temple using stromal vascular fraction gel grafting

“…All measurements were collected using Adobe Photoshop CC 2019 (Adobe Systems, Inc., San Jose, CA). The following anthropometric measurements were evaluated according to Diao et al ( 10 ), as summarized in Figure 3 .…”

“…Contrastingly, layer 4, the loose areolar tissue/parotid-temporal fascia of the temple, encompasses one sentinel vein and several perforator vessels but is otherwise predominately avascular ( 15 , 16 ), so it was considered to be an optimal injection site. Prior studies of temporal hollowing augmentation suggested placing fat grafts into both layer 2 and layer 4 ( 10 , 14 ). This strategy can be effective, but novice surgeons could have difficulty in precisely injecting fat grafts into layer 2.…”

“…However, no standard for temple aesthetics exists. The objectives of temple contouring should include the following: to restore a gentle, slightly convex curvature from the zygomatic process upward toward the forehead ( 17 , 18 ), to increase the minimal forehead width ( 10 , 17 ), and to correct inwardly curved temporal hairlines ( 10 ). In the present study, we observed that both Coleman's fat and SVF-gel grafting satisfactorily smoothened the temporal contour and increased the minimal forehead width and the width of the temporal peak.…”

Temporal hollowing causes, classifications, and treatment options: A systematic review

“…Studies of Baek et al (2009) 13 and McNichols et al (2012) 14 met most of the inclusion criteria, but their full texts were unavailable. The majority (67%) of studies included in our systematic review were original articles, 3,10,15‐27 25% were case reports or series, 28‐33 one was a technical note, 34 and one was a featured operative technique 35 . The countries of origin included the United States (25%), China (25%), South Korea (21%), and Norway (8%), and one study each from the United Kingdom, Sweden, Japan, Canada, and Thailand.…”

“…Eleven publications discussed a classification system (Table 2). These included the visual analogue scale (VAS) 15,17,25 (27%), the hollowing severity rating scale system 15,36 (18%), the Whittaker classification 18,23 (18%), the Allergan Temple Hollowing Scale 21 (9%), the Temporal Hollowing Scale 19 (9%), and the Temporal Hollowing Aesthetic Evaluation Criteria 24 (9%). Some classified according to imaging findings 26 (9%) and some according to the pinch between the examiner's thumb and index finger 20 (9%).…”