Unit 4: Temple Anatomy and Revolumisation

Temple rejuvenation should be considered when temple hollowness is present or when the tail end of the eyebrow is not visible (or visibly drooped) from front view.

The inferior half of the temporal fossa has a higher vascular density (and hence a higher vascular risk) compared to the upper half:

  • The superficial temporal artery runs in the lateral third of the temporal fossa in the subcutaneous/SMAS layer.
  • The anterior and posterior deep temporal arteries lie in the periosteal and muscular layers respectively in the inferior medial quadrant.

Due to the complexity of anatomy and the high risk of complications including blindness, a safe spot has been identified to help guide practitioners to a safer treatment. This suggested spot is located between the superolateral bony orbital margin, approximately 1cm inferior to the temporal fusion line and over one finger breadth above the superior border of the zygoma

  • Once the safe zone is identified, insert the needle perpendicularly to reach the periosteum.
  • Aspirate to ensure that the needle tip is not in a vessel.
  • Slowly inject a bolus of 0.5-0.6ml.
  • Upon completion of the injection, apply firm pressure to the area to distribute the product evenly.
  • Further treatments in this area should be repeated until sufficient revolumisation is achieved.