Anatomical study of medial zygomaticotemporal vein and its clinical implication regarding the injectable treatments

Yang, Hun Mu; Jung, Wonsug; Won, Soyoung; Youn, Kwan Hyun; Hu, Kyung Seok; Kim, Hee Jin

doi:10.1007/s00276-014-1337-z

Cited by 24 publications

(17 citation statements)

References 16 publications

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“…Our results have revealed no injection‐related visual compromise in the series of the 15 patients included into the study, which is plausible, as the plane for penetrating the skin and positioning the material is superficial to the artery. In the described plane (layer 2), no major neurovascular structures are expected as the frontal branches of the facial nerve run in layer 4 and the medial zygomatico‐temporal vein is located in layer 6 …”

Section: Discussionmentioning

confidence: 99%

The posterior temporal supraSMAS minimally invasive lifting technique using soft‐tissue fillers

Suwanchinda

Webb

Rudolph

et al. 2018

J of Cosmetic Dermatology

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Section: Discussionmentioning

confidence: 99%

The posterior temporal supraSMAS minimally invasive lifting technique using soft‐tissue fillers

Suwanchinda

Webb

Rudolph

et al. 2018

J of Cosmetic Dermatology

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“…Dangers : The sentinel vein (= middle temporal vein) emerges within this plane, and if injured it can cause a large hematoma 16,17 . Immediate compression is highly recommended.…”

Section: Resultsmentioning

confidence: 99%

The six different injection techniques for the temple relevant for soft tissue filler augmentation procedures – Clinical anatomy and danger zones

Cotofana

Gaete²,

Hernandez

et al. 2020

J of Cosmetic Dermatology

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Objective The most promising facial region for inducing pan‐facial effects is the temporal region. The temple displays signs of facial aging itself which include temporal volume loss and increased visibility of the temporal crest, the temporal vasculature, the lateral orbital rim, and the upper zygomatic arch. The objective of this article is to provide a detailed review of temple anatomy pertaining to routinely performed temporal injection techniques, their expected esthetic outcomes as well as the intendant advantages, disadvantages, and procedure pearls. Materials and Methods This narrative review is based on the clinical experience of the authors treating the temporal region for esthetic purposes. The postulated outcome of each technique was observed during the routine clinical practice of the authors. Results The temporal region is based on a bony platform consisting of the parietal, frontal, sphenoid, and temporal bones. The overlying soft tissues are arranged in layers which contain the temporal neurovascular structures. The temporal soft tissues consist of 10 parallel layers which vary in their thickness depending on age‐related influences. Six different techniques will be addressed, which include subdermal and interfascial techniques for volumizing, low and high supraperiosteal techniques for volumizing, and supraauricular and temporal lifting techniques. Conclusion This narrative provides a detailed anatomic overview of the temporal region and describes each commonly performed injection technique with respect to anatomy, esthetic outcome, as well as potential pearls and pitfalls. It is hoped that the description contained herein may guide esthetic practitioners toward safer and more natural outcomes when treating the face.

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“…Between 2-5 cm cranial to the zygomatic arch, the deep temporal fascia divides into a superfi cial lamina (layer 5) and a deep lamina (layer 7) of the deep temporal fascia, and encloses the superfi cial temporal fat pad and the proximal part of the sentinel vein (layer 6), which is here termed the medial zygomaticotemporal vein [ 45 ] . The superfi cial lamina is continuous in the midface with the parotideomasseteric fascia (layer 5) and extends into the neck as the investing layer of the deep cervical fascia [ 7 ] .…”

Section: Temporal Fat Padsmentioning

confidence: 99%

“…Die Schichten der Schläfen gehen direkt in die fünf SCALP-Schichten über: Haut ( s kin); Bindegewebe ( c onnective tissue; hier: subkutanes Fettgewebe); A poneurose (hier: Galea aponeurotica); l ockeres Bindegewebe und P eriost. Diese fünf Schichten setzen sich zu den Schläfen hin kontinuierlich fort, wobei sie allerdings nach Passieren [ 45 ] . Das oberfl ächliche Blatt in setzt sich im Mittelgesicht in der Masseterfaszie (Schicht 5) fort und erstreckt sich als umkleidende Schicht der tiefen zervikalen Faszie bis in den Hals [ 7 ] .…”

Section: Temporale Fettkörperunclassified

Anatomy of the Facial Fat Compartments and their Relevance in Aesthetic Surgery

Cotofana

Lachman

2019

J Deutsche Derma Gesell

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Summary Objective There has been a significant shift in the understanding of facial anatomy during the last decade. Newer minimally invasive therapeutic options for facial rejuvenation procedures are increasing the need for a better knowledge of anatomy. Material and Methods The current literature is summarized, analyzed and presented along with the experience of the author for this narrative review, which summarizes the current understanding of the superficial and deep facial fat compartments and their relevance for minimally invasive facial procedures. A schematic facial model was created in order to facilitate a better understanding of the complexity of facial anatomy. Results The face is arranged in five layers as follows: layer 1: skin; layer 2: subcutaneous fat including the retinacula cutis (composed of fibrous connective tissue); layer 3: superficial musculo‐aponeurotic system (SMAS); layer 4: deep fat; and layer 5: periosteum or deep fascia. This arrangement varies between facial regions, especially when the line of ligaments is incorporated into the model. The facial fat compartments are located in layers 2 and 4; each layer has unique characteristics and spatial relationships with the surrounding tissues. Conclusions The concept of the layered arrangement is a new way to understand the spatial relationship and functional interplay of the soft tissues of the face. Understanding the layers, the precise location of the superficial and deep facial fat compartments and their boundaries is crucial for the conduct of safe and effective minimally invasive facial procedures.

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Anatomical study of medial zygomaticotemporal vein and its clinical implication regarding the injectable treatments

Abstract: The physician must determine the location of the MZTV and should be able to accurately estimate its connection with significant veins at the temple to reduce the risk of severe complications during injectable treatments.

Cited by 24 publications

References 16 publications

The posterior temporal supraSMAS minimally invasive lifting technique using soft‐tissue fillers

The posterior temporal supraSMAS minimally invasive lifting technique using soft‐tissue fillers

The six different injection techniques for the temple relevant for soft tissue filler augmentation procedures – Clinical anatomy and danger zones

Anatomy of the Facial Fat Compartments and their Relevance in Aesthetic Surgery

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