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Temporal Artery Mapping With Microvascular Imaging: Anatomical Considerations for Filler Injections.

Baris Ten¹, Pinar Dursun², Tamer Irfan Kaya²

¹Mersin University Faculty of Medicine, Department of Radiology, Mersin, Turkey.

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Summary

Temporal artery variations pose risks for filler injections. Microvascular imaging can help identify these vessels, guiding safer anatomical planning for cosmetic procedures to prevent complications.

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Area of Science:

Anatomy
Vascular Imaging
Cosmetic Procedures

Background:

Age-related temple volume loss causes a hollow appearance.
Dermal fillers are used for correction but carry risks due to nearby blood vessels.

Purpose of the Study:

Evaluate temporal region vascular anatomy using microvascular imaging.
Assess implications for anatomical planning of filler injections.

Main Methods:

Microvascular imaging visualized superficial temporal artery (62 patients) and deep temporal artery (56 patients).
Arterial depth was measured and analyzed concerning age, gender, and BMI.
Intraclass correlation assessed measurement consistency.

Main Results:

Lower BMI and younger age correlated with thinner soft tissue.
Deep temporal artery proximity to bone: 0.3 mm; superficial temporal artery proximity to skin: 1.15 mm.
Excellent interobserver agreement in measurements.

Conclusions:

Superficial and deep temporal arteries exhibit variable depths, sometimes near the skin or periosteum.
Consider arterial variations when planning temple filler injections.
Microvascular imaging can aid in visualizing vessels and identifying high-risk zones.