Can Temporal Implants Fix The Area Of Temporal Hollowing Just Above The Zygomatic Arch?

Q: Dr. Eppley, in your blogs about temporal augmentation have you ever come across a patient whose hollowing us deepest 6 mm to 7mms above the zygomatic arch? I ask because that is my situation. Can temporal implants correct this area adequately. Do they go down to the zygomatic arch under the fascia that far?

A: Most temporal hollowings are deepest 5 to 10mms above the zygomatic arch. They are not commonly deepest at the zygomatic arch since that is a supportive bone. Like a trampoline, the temporal hollowing is most deep away from the surrounding edges. Therefore, subfascial temporal implants will bring up these areas quite well. The implant in a subfascial location will push up the fascia right up to the upper edge of the zygomatic arch in most cases. But I have seen a few patients where the deepest indentation is right at the upper edge of the zygomatic arch. To make for a smooth transition between the arch and the temples, the implants in these cases must be placed on top of the fascia as subfascial implants can not create enough push on the strong bone fascial attachments.

Dr. Barry Eppley

Indianapolis, Indiana