The temporal region occupies a special place in the practice of a specialist in aesthetic medicine. It is sunken temples that make a person's face look older, so their correction − This is an important aspect of the work of a cosmetologist. The temporal region is considered to be a complex area penetrated by many vessels, so not every specialist can easily work with it.
How to correct the temples using the "shot" technique, how to take into account all the anatomical features of this zone and avoid unwanted complications? On estet-portal.com you can find the answers to these questions in the protocol of the specialist in the field of plastic, aesthetic and reconstructive surgery, Dr. Patrick Trevidic.
Anatomical features of the temporal region
Temporal area − this is a rather difficult area to correct, so never start an injection without first marking. It is best to do it according to bone landmarks, which are unchanged. So, the first landmark − this is the zygomatic bone, the second landmark − this is the edge of the orbit, and the third − this is the crest of the frontal bone.
The crest of the frontal bone is often difficult to palpate, so to locate it, ask the patient to mimic the chewing movement, and where you stop feeling muscle contraction, and is this bone landmark.
The temporal region consists of 4 layers: 2 thin − skin and subcutaneous fat, which contains vessels, and then from a very dense and thick temporal muscle and temporal bone.
The choice of injection technique during the correction of the temporal region with fillers
After we have dealt with the anatomical structure of the temporal region, it is necessary to choose the injection technique. In this area filler can be injected under the skin, under the aponeurosis and periosteum.
Problem 1 − subcutaneous fat, which is located under the skin, contains a huge number of vessels that we are so afraid of injuring. If you already work in such a technique — then only with a cannula.
Problem 2 − injection under the aponeurosis looks easy to do, but it is not. In most cases, the cannula simply slips over it. And if you do not fall under the aponeurosis — the preparation will be above it and, along the temporal ligament, will descend directly into the flails.
Solution − I recommend performing a periosteal injection using the "shot" technique; (The Gun Shot Technique) which I developed in 2010 because it is simple, fast and safe.
Shot technique algorithm during correction of the temporal region with fillers
1. Marking of bone structures; Share:
2. Marking the veins;
It is necessary to ask the patient to lower his head, and when the veins are filled with blood, you can visualize them and indicate their location. After that, it is very easy to work in this danger zone. You make a puncture without risking damage to the vein.
Because the temporalis muscle is very dense, a 13mm long needle will not be long enough to reach the bone, so a long needle is needed for this technique.
Problem: If the needle is short − it will not end up on the bone, but will be in the muscle. By injecting the drug into a muscle, you risk bleeding.
Solution: Therefore, the needle should be long enough for you to touch the bone with its tip.
4. Product selection; ability − and this is Teosyal Ultra Deep, which is represented in Ukraine by
company "Academy of Scientific Beauty". As for Teosyal Ultimate − it can also be used to work in this zone, but it is less effective.
5.Filler volume to be injected;
New syringe Teosyal Ultra Deep has a volume of 1.2 ml, which is more convenient for filling the temporal region. For effective correction, at least one syringe must be injected on each side.
Paradox: our patients never think about their temples because they are hidden behind the hair, but they do not understand that it is this transition and retraction of the temporal zone that makes the face look older.
6.Injection point;
For successful correction, one or two injection points must be made in the zone of maximum retraction where the vessels do not pass.
7.Pain relief;
Remember, the − painful, do not forget about lidocaine with adrenaline. I carry out anesthesia up to the periosteum.
8.Injection technique;
It is necessary to move perpendicular to the bone and touch it with the tip of the needle. There is a terrible story that one doctor from Germany pierced the temporal bone during an injection in this technique, but if you move slowly and calmly − You will never break through bone.
9. Control;
When you reach the bone with the − pull back on the plunger to make sure you are not in the vessel again. In this case, the needle must be empty, because if there is a sufficiently dense gel in it, the blood simply cannot penetrate into the syringe. Therefore, I leave my needle empty, and carry out the control.
10. After the procedure.
After the procedure, the patient must be warned that within two days she will experience pain during chewing and wide opening of the mouth, since the drug is between the bone and the muscle.
This technique − it is fast(about 5 minutes), safe and effective. It is also experimentally confirmed that with the technique of "shot" drug migration does not occur. Thanks to this procedure, the appearance of the face is significantly improved, it looks young and fresh.
Let us remind you that Teosyal Ultra Deep, which is optimally suited for correction of the temporal region, is represented in Ukraine by
the company "Academy of Scientific Beauty"
.
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