title: Contemporary techniques for the correction of temporal hollowing:  augmentation temporoplasty with the classic dermal fat graft.
abstract: BACKGROUND
  Temporal hollowing is a depression within the soft tissues overlying the temporal fossa, sometimes seen after surgical dissection for access to the facial skeleton. Surgeons have successfully used bone grafts, hydroxyapatite, methyl methacrylate, and autogenous tissue to correct the deformity. A systematic review of the literature demonstrated that the most popular technique for the correction of temporal hollowing seems to be the use of nonbiologic materials. These materials have been used successfully but are associated with some complications. There has been a growing experience with augmentation of the soft tissues of the temporal fossa using dermal fat grafts at our institutions, and this article describes this experience.
  
  
  METHODS
  Two senior surgeons' recent experience with the correction of temporal hollowing was reviewed and analyzed.
  
  
  RESULTS
  The retrospective review revealed 5 cases of temporal hollowing treated with dermal fat graft placement. Follow-up at 1 year revealed aesthetically pleasing results.
  
  
  CONCLUSIONS
  A thorough understanding of temporal anatomy and conscious effort to respect structural integrity during dissection are essential in avoiding temporal hollowing. Sometimes, however, this deformity is impossible to avoid. In these patients, there are a number of options for correction. Open placement of the classic dermal fat graft is a technique that seems to offer good long-term aesthetic results.
authors.affiliation: Department of Plastic Surgery, Baylor College of Medicine, Houston, TX 77030, USA. mcnichols.md@gmail.com
authors.forename: Colton H
authors.initials: CH
authors.lastname: McNichols
authors.forename: Daniel A
authors.initials: DA
authors.lastname: Hatef
authors.forename: Patrick
authors.initials: P
authors.lastname: Cole
authors.forename: Larry H
authors.initials: LH
authors.lastname: Hollier
authors.forename: James F
authors.initials: JF
authors.lastname: Thornton
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D000293:Adolescent; D000328:Adult; D001284:Atrophy; D002648:Child; D020405:Dermis / Q000637:transplantation; D005205:Fascia / Q000294:innervation; D005260:Female; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D013701:Temporal Bone / Q000033:anatomy & histology / Q000294:innervation; D013703:Temporal Muscle / Q000294:innervation / Q000601:surgery*