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  • Presentation

Face Off: Temple Approaches

Description

In a Face Off session, the speaker discusses the evolution of their injection techniques for facial rejuvenation, specifically the temple area. They compare their previous method, known as the 'one up, one over' technique, which involves deeper injections to achieve skin surface change, to a modified deep subcutaneous technique that they now prefer. This new approach minimizes risks associated with vascular structures and reduces the volume of filler needed for noticeable results. The speaker illustrates the techniques with references to anatomical landmarks, injection depths, and volume requirements, emphasizing the importance of using less product while achieving effective, superficial results. They highlight the benefits of combining deep and superficial injections to enhance outcomes and improve skin surface changes efficiently. Ultimately, they endorse a nuanced approach that balances safety and effectiveness, advocating for a blend of both deep and superficial techniques in medical aesthetics.

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Conclusions

  • The modified deep supraperiosteal technique is safer due to its distance from critical vascular structures.
  • Injecting closer to the skin surface increases the surface volume coefficient (SVC), allowing for greater aesthetic impact with less product.
  • Using a combination of deep modified subcutaneous needles and subdermal cannulas yields better aesthetic outcomes than either technique alone.
  • The supraperiosteal technique requires more product for similar aesthetic results compared to the subdermal technique.
  • Patients can achieve satisfactory aesthetic results with lower volumes when using the subdermal technique, which is also less invasive.
  • Breithaupt AD, Jones DH, Braz A, Narins R, Weinkle S. Anatomical Basis for Safe and Effective Volumization of the Temple. Dermatol Surg. 2015 Dec;41 Suppl 1:S278-83.
  • Cotofana S, Gaete A, Hernandez CA, Casabona G, Bay S, Pavicic T, Coimbra D, Suwanchinda A, Swift A, Green JB, Nikolis A, Frank K. The six different injection techniques for the temple relevant for soft tissue filler augmentation procedures - Clinical anatomy and danger zones. J Cosmet Dermatol. 2020 Jul;19(7):1570-1579.
  • Cotofana S, Koban K, Pavicic T, Yankonva M, Frank K, Green JB, Gotkin RH, Etzel L, Giunta RE, Schenck TL. Clinical Validation of the Surface Volume Coefficient for Minimally Invasive Treatment of the Temple. J Drugs Dermatol. 2019 Jun 1;18(6):533.