Treatment of the Temples: Brazilian Consensus

Area of Science:

• Aesthetic Medicine
• Dermatology
• Plastic Surgery

Background:

• Temporal aging significantly impacts facial aesthetics due to structural and volumetric changes.
• Injectors often hesitate in treating the temple area due to anatomical complexity and complication risks.

Purpose of the Study:

• To provide expert guidance on safe and effective treatment strategies for temporal rejuvenation.
• To establish consensus on best practices for addressing aging in the temporal region.

Main Methods:

• A survey of 12 Brazilian experts in dermatology and plastic surgery.
• Analysis of 54 objective and 1 open-ended questions to identify best practices.
• Consensus categorization: simple majority (50-75%), consensus (>75%), or strong consensus (>95%).

Main Results:

• Volumization (100%), lifting (90%), and restructuring (82%) are crucial for temporal rejuvenation.
• Hyaluronic acid (HA) is preferred for volumization/structuring in the subcutaneous plane.
• Biostimulants like poly-L-lactic acid (PLLA) are used; hematomas and nodules were reported complications.

Conclusions:

• Anatomical knowledge and appropriate product selection are vital for safe, long-lasting temporal rejuvenation.
• Subcutaneous plane treatments are recommended for beginners.
• Expert-driven approaches minimize complications and optimize patient outcomes in the temporal region.