{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T17:48:03Z","timestamp":1777571283324,"version":"3.51.4"},"reference-count":13,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T00:00:00Z","timestamp":1758758400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Temple augmentation has become a cornerstone in full-face aesthetic rejuvenation, yet traditional techniques often face limitations, including aesthetic limitations and the risk of vascular complications. This study explores a novel interfascial injection technique, aiming to improve both the safety and efficacy of soft tissue fillers in the temporal region by leveraging anatomical knowledge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>A total of <jats:italic>n<\/jats:italic>\u2009=\u200920 female patients, aged 26\u201375, received injections using Ultra Volume Rennova\u00ae, a high-viscoelastic dermal filler. The filler was administered with a 22G\u2009\u00d7\u20095\u2005cm cannula into the interfascial plane, located between the superficial and deep temporal fascia. Ultrasound imaging was used to confirm accurate filler placement. The access point for injections was the infrazygomatic arch, targeting the anterior third of the temporal region.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Favorable outcomes in terms of volumization and lifting effects in the upper third of the face were reported in all patients. Fifteen patients reported mild pain post-injection, and two reported moderate pain, with no serious adverse events or hematomas observed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This interfascial injection technique offers a safer and more effective alternative to traditional subcutaneous or supraperiosteal methods. By leveraging the anatomical relationship between the zygomatic arch and the deep temporal fascia, the procedure reduces the risk of vascular complications while achieving natural and lasting aesthetic results. Further studies are warranted to validate these findings and assess long-term outcomes.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2025.1603177","type":"journal-article","created":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T09:03:26Z","timestamp":1758791006000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Leveraging anatomy to improve safety and efficacy in temple augmentations\u2014a case series of 20 patients"],"prefix":"10.3389","volume":"12","author":[{"given":"Bruna S. F.","family":"Bravo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonardo","family":"Gon\u00e7alves Bravo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B\u00e1rbara Fouraux","family":"Gouvea","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriel L. T.","family":"Alves","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,9,25]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1055\/s-0038-1636921","article-title":"Aesthetics and rejuvenation of the temple","volume":"34","author":"Rihani","year":"2018","journal-title":"Facial Plast Surg"},{"key":"B2","first-page":"1","volume-title":"Aesthet Surg J","year":"2023"},{"key":"B3","doi-asserted-by":"publisher","first-page":"148","DOI":"10.1055\/s-0043-1761211","article-title":"Recovery of acute ophthalmoplegia after hyaluronic acid filler injections to the temples: a case report and review of the literature","volume":"50","author":"Tabatabaei","year":"2022","journal-title":"Arch Plast Surg"},{"key":"B4","doi-asserted-by":"publisher","first-page":"501","DOI":"10.1089\/fpsam.2022.0176","article-title":"Ultrasound-Guided Temple filler injection","volume":"24","author":"Desyatnikova","year":"2022","journal-title":"Facial Plast Surg Aesthet Med"},{"key":"B5","doi-asserted-by":"publisher","first-page":"215","DOI":"10.1016\/j.fsc.2022.01.006","article-title":"The fascias of the forehead and temple aligned\u2014an anatomic narrative review","volume":"30","author":"Ingallina","year":"2022","journal-title":"Facial Plast Surg Clin North Am"},{"key":"B6","doi-asserted-by":"publisher","first-page":"386","DOI":"10.1002\/ca.23952","article-title":"The deep temporal arteries: anatomical study with application to augmentations procedures of the temple","volume":"36","author":"Bae","year":"2023","journal-title":"Clin Anat"},{"key":"B7","doi-asserted-by":"publisher","first-page":"1605","DOI":"10.1097\/PRS.0000000000005524","article-title":"The surface-volume coefficient of the superficial and deep facial fat compartments: a cadaveric three-dimensional volumetric analysis","volume":"143","author":"Cotofana","year":"2019","journal-title":"Plast Reconstr Surg"},{"key":"B8","doi-asserted-by":"publisher","first-page":"1570","DOI":"10.1111\/jocd.13491","article-title":"The six different injection techniques for the temple relevant for soft tissue filler augmentation procedures\u2014clinical anatomy and danger zones","volume":"19","author":"Cotofana","year":"2020","journal-title":"J Cosmet Dermatol"},{"key":"B9","doi-asserted-by":"publisher","first-page":"623","DOI":"10.1055\/s-0040-1709710","article-title":"Not above, not below: right in the middle!-novel filler technique for temporal augmentation and rejuvenation","volume":"36","author":"Cohn","year":"2020","journal-title":"Facial Plast Surg"},{"key":"B10","doi-asserted-by":"publisher","first-page":"4313","DOI":"10.1111\/jocd.15004","article-title":"Temple augmentation by injecting a hyaluronic acid filler between the superficial and deep temporal fasciae","volume":"21","author":"Lee","year":"2022","journal-title":"J Cosmet Dermatol"},{"key":"B11","doi-asserted-by":"publisher","first-page":"342","DOI":"10.1097\/00001665-199907000-00012","article-title":"Attachment of the deep temporal fascia to the zygomatic arch: an anatomic study","volume":"10","author":"Hwang","year":"1999","journal-title":"J Craniofac Surg"},{"key":"B12","doi-asserted-by":"publisher","first-page":"e70023","DOI":"10.1111\/jocd.70023","article-title":"Temporal fat pad filler injection for lifting purposes: shifting of the superficial layer of deep temporal fascia","volume":"24","author":"Yi","year":"2025","journal-title":"J Cosmet Dermatol"},{"key":"B13","doi-asserted-by":"publisher","first-page":"615","DOI":"10.1007\/s00276-024-03340-x","article-title":"Anatomy of the temporal region to guide filler injections","volume":"46","author":"Kim","year":"2024","journal-title":"Surg Radiol Anat"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1603177\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T09:03:27Z","timestamp":1758791007000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1603177\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,25]]},"references-count":13,"alternative-id":["10.3389\/fsurg.2025.1603177"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2025.1603177","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,25]]},"article-number":"1603177"}}