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Facial Plast Surg 2021; 37(05): 632-638
DOI: 10.1055/s-0041-1725201
Original Research

Differences in Temporal Volume between Males and Females and the Influence of Age and BMI: A Cross-Sectional CT-Imaging Study

Andreas Nikolis‡   ∗
1   Division of Plastic Surgery, McGill University Faculty of Medicine, Montreal, Quebec, Canada
,
Konstantin Frank‡   ∗
2   Department for Hand, Plastic and Aesthetic Surgery, Ludwig-Maximilian University, Munich, Germany
,
Robert Guryanov
3   Department of Plastic Surgery, I. M. Sechenov First Moscow State Medical University, Moscow, Russian Federation
,
Victor Gombolevskiy 
4   Moscow Health Care Department, Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies, Moscow, Russian Federation
,
Sergey Morozov
4   Moscow Health Care Department, Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies, Moscow, Russian Federation
,
Kamal Makhmud
5   Private Practice, Medlaz Clinic, Moscow, Russian Federation
,
Valeria Chernina
4   Moscow Health Care Department, Research and Practical Clinical Center for Diagnostics and Telemedicine Technologies, Moscow, Russian Federation
,
Robert H. Gotkin
6   Private Practice, New York City, New York
,
Jeremy Blair Green
7   Skin Associates of South Florida, Skin Research Institute, Coral Gables, Florida
,
Sebastian Cotofana
8   Department of Clinical Anatomy, Mayo Clinic College of Medicine and Science, Rochester, Minnesota
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Abstract

Background The temple has been identified as one of the most compelling facial regions in which to seek aesthetic improvement—both locally and in the entire face—when injecting soft tissue fillers.

Objective The objective of this study is to identify influences of age, gender, and body mass index (BMI) on temporal parameters to better understand clinical observations and to identify optimal treatment strategies for treating temporal hollowing.

Methods The sample consisted of 28 male and 30 female individuals with a median age of 53 (34) years and a median BMI of 27.00 (6.94) kg/m2. The surface area of temporal skin, the surface area of temporal bones, and the temporal soft tissue volume were measured utilizing postprocessed computed tomography (CT) images via the Hausdorff minimal distance algorithm. Differences between the investigated participants related to age, BMI, and gender were calculated.

Results Median skin surface area was greater in males compared with females 5,100.5 (708) mm2 versus 4,208.5 (893) mm2 (p < 0.001) as was the median bone surface area 5,329 (690) mm2 versus 4,477 (888) mm2 (p < 0.001). Males had on average 11.04 mL greater temporal soft tissue volume compared with age and BMI-matched females with p < 0.001. Comparing the volume between premenopausal versus postmenopausal females, the median temporal soft tissue volume was 46.63 mL (11.94) versus 40.32 mL (5.69) (p = 0.014).

Conclusion The results of this cross-sectional CT imaging study confirmed previous clinical and anatomical observations and added numerical evidence to those observations for a better clinical integration of the data.

Keywords

temporal fossa - temple - facial anatomy - soft tissue filler - volume augmentation

∗ These two authors contributed equally to this manuscript.




Publication History

Article published online:
08 March 2021

© 2021. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
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