Age-related bone resorption and soft tissue atrophy, especially in the area of the temples and cheekbones, lead to deformation of the young oval and the so-called skeletonization of the face.
Therefore, in most cases, in order to obtain a natural and at the same time pronounced rejuvenating effect, estheticians resort to volumization of these zones.
Dr. Sam Robson and Qura Shah talk about the features of correction of the temporal zone with fillers, paying attention to important points: anatomy, features of aging, choice of drugs, possible complications, their minimization , as well as obtaining optimal results that meet the expectations of patients.
Temporal area aging features: main changes
Remodeling of facial bones – a dynamic process that occurs throughout a person's life and leads to the appearance of noticeable signs of aging after about 30 years. Due to changes in the rate of growth and resorption of bone tissue, the size of the upper jaw decreases, and the eye orbits increase. The overall result of such age-related changes – a decrease in height and a slight increase in the width and depth of the skull in the elderly.
Follow us on Instagram!
Progressive loss of craniofacial soft tissue support and redistribution of subcutaneous adipose tissue results in:
• expressiveness of nasolabial folds;
• drooping eyelids;
• volume loss in the temporal zone.
Weakening of the temporal fascia and a significant loss of volume in this area are accompanied by an increased severity of the temporal fossa.
Also in the process of aging in the area of the eyebrows, it is noted:
• relaxing support;
• soft tissue prolapse;
• ptosis of the lateral part of the eyebrows;
• loss of volumes.
Eyelid drooping and forehead wrinkles increase ptosis of the lateral part of the eyebrows. It is important to understand that the distribution of adipose tissue on the face – one of the main indicators of age. That is why the restoration of lost volumes plays a huge role in the rejuvenation of the face as a whole.
Revolutionization of the temporal zone with dermal fillers makes it possible to give the face a more youthful appearance, including by lifting the lateral part of the eyebrows.
Revolutionization of the temporal zone with dermal fillers makes it possible to give the face a more youthful appearance, including by lifting the lateral part of the eyebrows.
Which fillers are used to rejuvenate the temporal zone
Effective restoration of volumes in the temporal zone can be achieved by injections of HA-based dermal fillers. They have a dynamic viscosity that varies with pressure levels.
Fig. 1: before (left) and after the first procedure (right) of the correction of the temporal fossa with Juvéderm Voluma fillers (photo by Temple Medical)
During insertion, HA fillers remain fluid, but after implantation they are stable and do not tend to migrate. This type of filler is ideal for working on the temporal area and getting immediate results.
Perfection in everything: correction of the temporal region with Juvéderm Voluma™
An alternative to HA fillers can be collagen stimulators, which increase the activity of fibroblasts. These are the properties of poly-L-lactic acid microspheres in Sculptra fillers.
Poly-L-lactic acid fillers require 2-4 sessions, with follow-up visits scheduled 6-8 weeks after the procedure. When using collagen stimulators, patients are advised to massage the treated area daily to avoid the formation of nodules. Based on their experience, the authors note that by about 8 weeks, at least 20% of the final result of the correction can be seen.
While HA-based fillers provide immediate results lasting 12-18 months, the end result after the introduction of poly-L-lactic acid microspheres appears 8-10 months after the procedure and lasts for several years.
HA-based fillers provide immediate results that last up to 12-18 months.
The final result after the introduction of poly-L-lactic acid microspheres appears 8-10 months after the procedure and lasts for several years.
For the revolu- mization of the temporal zone, calcium hydroxyapatite-based fillers are also used, which immediately after injection provide smoothing of wrinkles, but after a few months they start the process of collagen synthesis – there is a noticeable recovery in the volumes of the target zone, due to which the initial effect is enhanced and prolonged.
Temporal area rejuvenation: how to get optimal results
In order to improve patient satisfaction, it is necessary to discuss the expectations and possible results of the correction in advance. Assessing the anatomy and degree of volume loss, as well as informing patients of the benefits and limitations associated with the use of certain fillers, is important for optimal results.
It is necessary to explain to the patient that the restoration of the correct distribution of soft tissue volumes provides a rejuvenating effect. In some cases, in addition to revolumizing the temporal region, it may be necessary to remove excess skin using surgical methods. Patients should also be warned about this at the consultation stage.
It is important to remember that in the temporal and periorbital areas, the thickness of the skin is usually less than in other areas of the face, so it is better to use a filler with small particles to correct them.
Possible complications in the correction of the temporal zone with fillers
Despite the minimal invasiveness and low incidence of adverse events after filler injections, the patient should be warned about the possible risks associated with the procedure.
In order to evenly distribute the drug and prevent the formation of nodules, especially when correcting fillers based on poly-L-lactic acid, it is recommended to regularly massage the treated area.
In some cases, nodules can be resolved by puncture and subsequent drainage (after superficial calcium hydroxyapatite fillers), but nodules formed after poly-L-lactic acid fillers are difficult to correct. Nodules that appear as a result of hypercorrection with HA fillers are eliminated by the introduction of hyaluronidase.
Nodules after filler injections: causes, treatment and prevention
Fig. 2: branches of the ophthalmic artery crossing the temporal zone
After the introduction of fillers into the thinned dermis of the temporal zone, small hematomas and prolonged swelling may appear, which can be removed with antihistamines.
The close location of the distal branches of the ophthalmic artery to the injection points of the filler causes a high risk of vascular damage (Fig. 2). Systolic pressure in these arteries can lead to the migration of an incorrectly inserted filler into the retinal artery with subsequent blockage, blurred vision, and even complete loss of vision.
The risk of vascular complications can be reduced by introducing small amounts of filler at the level of the periosteum.
Adapted from Aesthetics
Share:
Add a comment