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Interfascial technique for volumizing the temple with no image guidance: is it safe?

de Lima Faria, Gladstone Eustaquio ; Nassif, Alexander D. ; Schwartzmann, Gabriela ; Zattar, Luciana ; Boggio, Ricardo Frota

European journal of plastic surgery, 2023-10, Vol.46 (5), p.717-723 [Periódico revisado por pares]

Berlin/Heidelberg: Springer Berlin Heidelberg

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  • Título:
    Interfascial technique for volumizing the temple with no image guidance: is it safe?
  • Autor: de Lima Faria, Gladstone Eustaquio ; Nassif, Alexander D. ; Schwartzmann, Gabriela ; Zattar, Luciana ; Boggio, Ricardo Frota
  • Assuntos: Medicine ; Medicine & Public Health ; Original Paper ; Plastic Surgery
  • É parte de: European journal of plastic surgery, 2023-10, Vol.46 (5), p.717-723
  • Descrição: Background One of the earliest signs of aging is volume loss in the temple. Pronounced deflation of the temporal fossa can lead to a “skeletonized” appearance with a pinched look to the upper face. Temple filler volumization can improve facial balance. Unfortunately, due to the anatomic complexity of the temple area, treatments using fillers have significant risks, including vascular occlusion, skin necrosis, blindness, and stroke. A new approach to volumize the temple in its interfascial plane has been published. Before using the interfascial technique in real patients, we found prudent testing it in fresh frozen specimens. To test, in fresh frozen specimens, the accuracy and safety of cannula injections in the interfacial temporal space, with no image guidance. Methods Seven experienced board-certified Brazilian plastic surgeons with more than 10 years of temple injection practice injected the temple of fresh frozen specimens using the interfascial technique to volumize the temple, with no image guidance. During the 28 attempts of injecting in the interfascial plane, an experienced radiologist checked the plane of injection and did not share the information with the injectors. After the injection, all the specimens were anatomically dissected to confirm in which plane the colored gel was injected. Results In 89% of the attempts, injections were performed in the wrong layer. Only in 11% of the attempts, injections were performed exactly in the interfascial plane. Conclusions The interfascial technique for volumizing the temple with no image guidance in fresh frozen specimens resulted in 89% of injections in the wrong site. It is strongly recommended to be image-guided during any attempt to volumize patients’ interfascial plane of the temple. Level of evidence: Not gradable.
  • Editor: Berlin/Heidelberg: Springer Berlin Heidelberg
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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