Contemporary techniques for the correction of temporal hollowing: Augmentation temporoplasty with the classic dermal fat graft

Colton H. McNichols, Daniel A. Hatef, Patrick Cole, Larry H. Hollier, James F. Thornton

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Introduction: Temporal hollowing is a depression within the soft tissues overlying the temporal fossa, sometimes seen after surgical dissection for access to the facial skeleton. Surgeons have successfully used bone grafts, hydroxyapatite, methyl methacrylate, and autogenous tissue to correct the deformity. A systematic review of the literature demonstrated that the most popular technique for the correction of temporal hollowing seems to be the use of nonbiologic materials. These materials have been used successfully but are associated with some complications. There has been a growing experience with augmentation of the soft tissues of the temporal fossa using dermal fat grafts at our institutions, and this article describes this experience. Methods: Two senior surgeons' recent experience with the correction of temporal hollowing was reviewed and analyzed. Results: The retrospective review revealed 5 cases of temporal hollowing treated with dermal fat graft placement. Follow-up at 1 year revealed aesthetically pleasing results. Conclusions: A thorough understanding of temporal anatomy and conscious effort to respect structural integrity during dissection are essential in avoiding temporal hollowing. Sometimes, however, this deformity is impossible to avoid. In these patients, there are a number of options for correction. Open placement of the classic dermal fat graft is a technique that seems to offer good long-term aesthetic results.

Original languageEnglish (US)
JournalJournal of Craniofacial Surgery
Volume23
Issue number3
DOIs
StatePublished - May 2012

Fingerprint

Fats
Transplants
Skin
Dissection
Methacrylates
Durapatite
Esthetics
Skeleton
Anatomy
Depression
Bone and Bones

Keywords

  • dermal fat graft
  • fat deflation
  • soft tissue descent
  • surgical anatomy of the temple
  • temporal contour deformity
  • temporal fat pad
  • Temporal hollowing
  • temporoparietal fascia

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

Cite this

Contemporary techniques for the correction of temporal hollowing : Augmentation temporoplasty with the classic dermal fat graft. / McNichols, Colton H.; Hatef, Daniel A.; Cole, Patrick; Hollier, Larry H.; Thornton, James F.

In: Journal of Craniofacial Surgery, Vol. 23, No. 3, 05.2012.

Research output: Contribution to journalArticle

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