Temporal Lift

 658. <Temporal Lift>

A temporal lift is a cosmetic surgery performed to improve the aged appearance caused by sagging of the outer corners of the eyes or outer eyebrows. It is primarily aimed at improving sagging on the outer part of the forehead, lifting the outer part of the eyebrows, and correcting crow's feet and droopy eyes.

The main reason for performing a temporal lift is that it offers faster recovery and less burden compared to a full forehead lift, while still effectively improving sagging around the eyes and sides of the forehead. It also lifts drooping outer eye corners and eyebrows, resulting in a clearer eye shape.

The incision is made 3–5 cm above the outer eye corner, within the hairline of the temporal area, between the hairs of the temple. The incision is typically 2–4 cm long, and the resulting scar is hidden by the hair and is thus barely visible. Dissection is carried out down to the temporalis fascia (SMAS layer) and the deep temporal fascia, lifting the outer eyebrow and fixing it to the fascia, followed by suturing the incision site.

From an anatomical cross-sectional perspective during a temporal lift, beneath the skin lies the subcutaneous fat layer, under which is the temporoparietal fascia—also called the superficial temporal fascia—which corresponds to the SMAS layer. Below this lies the deep temporal fascia, and between these fascial layers, neural structures are embedded. The deep temporal fascia surrounds the temporalis muscle and splits into two layers as it approaches the zygomatic arch: the superficial layer of the deep temporal fascia and the deep layer of the deep temporal fascia. Between these two layers lies the superficial temporal fat pad. Posterior to the arch and anterior to the temporalis muscle lies the deep temporal fat.

During a temporal lift, dissection is performed between the superficial and deep temporal fascia layers, as this area involves less bleeding and is relatively easy to dissect. After elevating the temporal flap, the superficial temporal fascia is anchored to the deep temporal fascia for lifting.

Temporal lift is typically suitable for relatively younger patients who are just beginning to experience sagging of the outer eye corners. For moderate to severe facial sagging, it is often performed together with a facelift. It is difficult to correct sagging of the inner eyebrows or glabella (the area between the eyebrows) with a temporal lift alone. Therefore, the temporal lift is mainly used when the outer corners of the eyes are sagging.

While a forehead lift mainly targets lifting the central forehead, a temporal lift focuses on the lateral forehead. It is a lighter procedure, suitable for correcting drooping outer eye corners, and may even improve the nasolabial folds to some extent. In this way, a temporal lift can help correct sagging on the outer areas of the face.

[The temporal lift is a cosmetic surgery that improves the lateral proportion and aging of the upper face.]
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