Use of porous high-density polyethylene implants in temporal contour reconstruction

A temporal contour deformity is characterized by a concavity or depression in the soft-tissue contour of the temporal region and is associated with exaggerated relief of the lateral orbital rim and the zygomatic arch. The etiology of the deformity is varied, comprising any condition that results in displacement, atrophy, or absence of the temporalis muscle or the superficial temporal fat pad. We describe reconstruction of this deformity with porous high-density polyethylene implants in 16 consecutive patients, treated between July 1988 and September 1990. The etiology of the deformity and the surgical treatment are described. The results of treatment are assessed on long-term follow-up, ranging from 2 to 4 years postoperatively.