Volumization of the young and the old temple using a highly cross‐linked HA filler

Abstract

A plethora of age-related changes contribute to hollowing of the temples, as bone remodeling, atrophy of the temporalis muscle, thinning of the skin, and deflation of the subcutaneous and deep temporal fat create the appearance of a skeletonized face. In addition, previous studies have established a relationship between facial skeletonization, temporal hollowing, and postmenopausal sarcopenia. To compare the volume change, adverse events, and patient satisfaction of soft-tissue filler injections in the temple between young (<51) and old (>51) females. A total of 30 women with a mean age of 53.1±12.1years underwent bilateral temporal volumization. Adverse events and satisfaction were assessed after 3 and 6months. 3-Dimensional surface imaging was performed at baseline and after 2weeks, 3 and 6months to assess volumetric changes. A mean volume of 5.55±1.9cc was injected into the temples. A total of 31 adverse events were observed in 13 patients. The overall satisfaction of the procedure was very high after 3 and 6months in both patient groups, and raters showed a significant agreement in their assessment of the aesthetic improvement, while the self-reported patient satisfaction was also substantially high. The surface-volume coefficient differed significantly between 14days and 3months post-injection only in pre-menopausal patients, while no significant difference was detected between 3 and 6months. Temporal soft-tissue filler injections are safe and provide long-lasting aesthetic improvement both in pre- and postmenopausal women.