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Temporal hollowing causes, classifications, and treatment options: A systematic review
Tamir Shay1, Tal Shachar2, Asaf Olshinka1
1Department of Plastic Surgery & Burns, Rabin Medical Center - Beilinson Hospital, Petach Tikva, Tel Aviv University School of Medicine, Tel Aviv, Israel.
Journal of Cosmetic Dermatology
|April 25, 2022
Summary
This review highlights current temporal hollowing treatments and grading systems. A need exists for standardized classification to improve surgical outcomes for temporal hollowing.
Area of Science:
- Plastic Surgery
- Oculoplastic Surgery
- Facial Anatomy
Background:
- Temporal hollowing presents a significant aesthetic and functional challenge.
- Evolving surgical techniques and classification systems require critical evaluation.
- Understanding the etiology and treatment of temporal hollowing is crucial for patient care.
Approach:
- A systematic review of PubMed, EMBASE, and Google Scholar was performed.
- Keywords "temporal hollowing" and "temporal augmentation" were utilized.
- Inclusion criteria focused on English-written, peer-reviewed articles detailing outcomes related to temporal hollowing.
Key Points:
- Iatrogenic causes were most frequently reported (63%).
- Visual analogue scales were common for grading severity (25%).
- Mesh (26%) and autologous fat grafts (26%) were the most popular interventions.
Conclusions:
- Current grading systems for temporal hollowing often rely on subjective examiner judgment.
- There is a clear need for a more standardized and objective measurement tool.
- Future research should focus on developing a universally applicable classification system to enhance treatment efficacy.

