![\"\"](\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/05\/bellestempes-1.jpg\")
<\/p>\nA young and aesthetic forehead is round with, for women, a supra-brow depression (above the orbital rim) that is not very marked. The temples are an important element in the aesthetics of the forehead, they can become hollow with time due to a loss of the fat and a thinning of the temporal muscle, thus creating a hollow area in front of the temples. Hollow temples can be corrected by injection of hyaluronic acid (filler) or lipofilling (fat itransfer) in order to re-establish a temple bulge harmonious with the forehead.<\/p>\n
<\/p>\n
Hyaluronic acid: entry point (<1 mm at the hairline), then filling: in general, it takes to 1.5 to 2 ml per side.
\nLipofilling: fat removal (often inner knee or abdomen) under local anesthesia (no pain with an appropriate anesthesia), decantation and specific preparation of the fat (thus recovering part of the purified fat, rich in stem cells) and then reinjection by the same technique as hyaluronic acid.<\/p>\n
Time to final results: <\/b>
\nHyaluronic acid: immediate
\nLipofilling: 1 week for the filling, but 3 months for the rejuvenation effect on the skin of the stem cells contained in the fat<\/p>\n
Longevity of results : <\/b>
\nHyaluronic acid: 6-12 months
\nLipofilling: 5-10 years<\/p>\nBefore injection:<\/h3>\n
Stop smoking 1 month before lipofilling
\nDo not take Aspirin 10 days before surgery, inform Dr. Lucas of any anticoagulant medication (Sintrom, Coumadin, Eliquis, etc.) to arrange for its discontinuation or replacement.
\nTake Arnica capsules 5 times a day for 5 days before surgery to prevent hematoma.
\nContraindications hyaluronic acid: autoimmune diseases, pregnancy, breastfeeding<\/p>\n
Pain:<\/b> the pain during the intervention will be almost non-existent, with an adapted anesthesia
\nDuration of the procedure:<\/b> 30 minutes for hyaluronic acid, 60 minutes for lipofilling
\nAnesthesia:<\/b> local
\nLocation:<\/b> office for hyaluronic acid, operating room for lipofilling
\nAmbulatory (without hospitalization)<\/b><\/p>\nAfter injection:<\/h3>\n
Post-operative pain:<\/b> 1\/10 often responding to Dafalgan<\/p>\nSocial eviction:<\/h3>\n
Hyaluronic acid:<\/b> no (discrete swelling for 24-48h)
\nLipofilling:<\/b> swelling and hematoma for 4-7 days
\nSutures removal:<\/b> no sutures
\nReturn to work:<\/b> immediate for hyaluronic acid, 2-3 days for lipofilling
\nResumption of sports:<\/b> 24 hours for hyaluronic acid, 2-3 days for lipofilling<\/p>\nInstructions:<\/h3>\n
Bed rest without major effort and ice mask for 2-3 days, as often as possible, to reduce swelling.
\nDo not compress the fat injection area if lipofilling (risk of fat loss)
\nTake Arnica capsules 5 times a day for 5 days after surgery to prevent hematoma
\nStop smoking permanently to prevent fat and hyaluronic acid resorption<\/p>\n
Control Dr Lucas 2 weeks<\/p>\n
Check-up by Dr Lucas 2 weeks, 3 months<\/p>\n
– Infection, hematoma, asymmetry, under or overcorrection
\n– Intravascular emboli: it is important to have this procedure performed by a qualified physician who is used to injecting this area, which is richly vascularized with a very variable vessel anatomy. A vascular embolus if it moves into the circulation of the retina can lead to blindness or necrosis.<\/p>\n
![\"Botox\u00ae](\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2021\/06\/Screenshot_20210606_134927_com.android.gallery3d_edit_46775223631403-300x255.jpg\")
![\"\"](\"https:\/\/www.drlucasplasticsurgery.ch\/wp-content\/uploads\/2022\/05\/IMG_20220513_105926_941-300x231.jpg\")