Do Temporal Implants Need Screw Fixation?

Q: Dr. Eppley, Hello, I have a few questions about temple implants. Firstly, whether they are secured with screws or not, and if not, then wouldn’t they get displaced from their place? Maybe come lower due to gravity of move with trauma? Specifically the bigger temple implants that are longer. 

A: Temporal implants are muscle implants not bone based implants. Thus screw fixation is not needed nor could be done. They maintain their position by a subfascial pocket created on top of the muscle and the narrow apex of the sub zygomatic arch opening which prevents them from ever shifting inferiorly.

Dr. Barry Eppley

Indianapolis, Indiana