Ultrasound-Guided Temple Filler Injection

Temple filler volumization can significantly improve facial balance and appearance, but has significant risks, including contour irregularities, vascular occlusion, skin necrosis, hair loss, blindness, stroke, and nonthrombotic pulmonary embolism. To improve the safety and precision of temple volumization, we have introduced ultrasound-guided injections of hyaluronic acid filler. We use the interfascial space as a target for our filler placement. We review relevant anatomy, including figures, describe a technique of ultrasound-guided filler injection in the interfascial plane with real-time visualization of the cannula and filler deposition, and include a detailed video of the procedure.