Soft Tissue Augmentation (Temporary Injectable Fillers) of the Upper Face (Cheeks, Brow, Forehead, Ear)

Facial aging is a multifactorial process that is caused by changes in the skin, fat compartments, and underlying bony elements. Temporary injectable fillers are commonly used to improve the appearance of the aging face by restoring lost volume, smoothing rhytides, reducing skin laxity, and improving facial contouring. These fillers include hyaluronic acid, poly-L-lactic acid, and calcium hydroxyapatite. Filler selection is important for a successful treatment outcome, as is the pre-treatment evaluation, procedure technique, and follow-up care. This chapter specifically reviews the use of temporary injectable fillers for treatment of the upper face including the cheeks, brow, forehead, and ear. A thorough understanding of upper facial anatomy and other specific considerations are important to maintain a good safety profile and obtain excellent results in this region.