Temporal Bone Contouring

 682. <Temporal Bone Contouring>

Temporal bone contouring refers to reshaping the side of the head. This procedure includes both temporal augmentation and temporal bone reduction.

If your temples are sunken in, it can make your cheekbones appear more prominent or give you a harsher look. In this case, you may want to add volume. On the other hand, if you're concerned about having a wide head—especially due to broad sides—you might want to reduce the width. However, not everyone is a candidate for bone reduction. A CT scan is required to assess the thickness of the temporal bone and whether it allows for safe shaving.

Temporal augmentation is safest when performed with fat grafting, rather than implants. Although some absorption of fat can occur, this is usually addressed through a secondary graft. To improve fat survival, botulinum toxin can be injected into the masseter and temporalis muscles to reduce muscle movement that leads to fat resorption.

Temporal bone reduction surgery involves making an incision behind the side hairline and dissecting along the temporal ridge to shave the outer part of the temporal bone. The procedure also includes temporal fascia decompression and detachment or weakening of the temporalis muscle’s origin, which reduces both bone and muscle bulk, resulting in a smaller, flatter head contour. Botox injections into the temporalis muscle further help optimize the reduction effect.

Temporal bone contouring aims to either reduce or enhance the lateral head width, depending on the individual's needs. It's crucial to carefully assess the temporal bone's thickness on CT beforehand to ensure only the safely reducible amount is shaved, thus avoiding any risk to the underlying temporal lobe.

🧠 [Temporal bone contouring is the art of adjusting the thickness of the side of the head.]

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