Intracranial Penetration During Temporal Soft Tissue Filler Injection—Is It Possible?

Philipp‐Dormston, Wolfgang G.; Bieler, Lara; Hessenberger, Mathias; Schenck, Thilo L.; Frank, Konstantin; Fierlbeck, Johann; Cotofana, Sebastian

doi:10.1097/dss.0000000000001260

Cited by 29 publications

(16 citation statements)

References 17 publications

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“…There is a potential risk of accidental intracranial penetration while performing the deep temple injection technique with direct pressure on the bone as the thickness of the bone is variable at the pterion. [ 16 ] Therefore, a good knowledge of the anatomy combined with gentle injection technique is mandatory while injecting fillers into the deep temporal fossa.…”

Section: Ntracranial P Enetrationmentioning

confidence: 99%

Beware what you inject: Complications of injectables—dermal fillers

Vedamurthy¹

2018

J Cutan Aesthet Surg

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Cosmetic filler injections are most popular among the antiaging procedures. As in any other cosmetic injectable procedures, complications are likely to occur even under experienced hands. However, it is the duty of the aesthetic physician to identify and manage these potential complications. The objective of this symposia is to help the aesthetic physician to identify these complications early and manage them appropriately to improve outcomes.

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Section: Ntracranial P Enetrationmentioning

confidence: 99%

Beware what you inject: Complications of injectables—dermal fillers

Vedamurthy¹

2018

J Cutan Aesthet Surg

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“…[7][8][9][10] Techniques for treating temporal volume loss are primarily based on the injection of soft-tissue fillers into two different planes: superficial-into the subcutaneous plane, superficial to the superficial temporal artery and the motor branches of the facial nerve; and deepinto the temporalis muscle, in contact with the bone and deep to the motor branches of the facial nerve and deep to the medial zygomatico-temporal vein (sentinel vein). 11 However, those techniques are aimed uniquely to treat the temple, but not to achieve any esthetic improvement in other parts of the face fi in the middle or the lower face.…”

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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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“…Volumizing procedures of the temple are used to restore volume loss, which may be due to changes of the bony skeleton [41][42][43] and/or to reduced volume of the temporalis muscle or temporal fat pads. As the fat pads are related to the respective layers, the layered anatomy of the temple should be kept in mind [ 44 ] .…”

Section: Temporal Fat Padsmentioning

confidence: 99%

“…Eingriffe zur Volumisierung der Schläfen werden durchgeführt, um Volumenverluste rückgängig zu machen, die auf Veränderungen des knöchernen Skeletts [41][42][43] und/oder ein verringertes Volumen des M. temporalis oder der temporalen Fettkörper zurückgehen. Da die Fettkörper zu den entsprechenden Schichten gehören, sollte die geschichtete Anatomie der Schläfe beachtet werden [ 44 ] .…”

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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Intracranial Penetration During Temporal Soft Tissue Filler Injection—Is It Possible?

Abstract: Based on the results of this investigation, it can be concluded that there is a risk for intracranial penetration performing the deep temple injection technique with direct pressure on the bone.

Cited by 29 publications

References 17 publications

Beware what you inject: Complications of injectables—dermal fillers

Beware what you inject: Complications of injectables—dermal fillers

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

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

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