Temporal augmentation using autologous fat grafting in Chinese women: Effect on temporal hairline.

BACKGROUND Temporal hollowing causes an old and gaunt appearance. An inward curve of the temporal hairline adds to the severity of temporal hollowing, which is visually exacerbated by the dark-colored hairline in most Chinese women. Whether temporal augmentation using autologous fat grafting (AFG) is effective for correcting an inwardly curved temporal hairline remains unclear. AIMS To assess the effect of temporal augmentation using AFG on the temporal hairline. METHODS Forty-six women with an inward-curved temporal hairline, who underwent temporal augmentation using AFG, were recruited. The preoperative and postoperative severity of temporal hollowing was evaluated, and anthropometric measurements regarding the temporal hairline were performed on photographs taken in the frontal and lateral views. Subject satisfaction and incidence of complications were documented. RESULTS A slight increase in forehead width was observed. The minimal forehead width and minimal forehead width/forehead width ratio were increased. The width, depth, and height of the temporal peak were all increased as well, indicating that the previously inwardly oriented temporal peak was shifted slightly outward, upward, and backward after augmentation. CONCLUSION Autologous fat grafting satisfactorily smoothened the temporal hairline without excessively increasing forehead width in subjects with temporal hollowing and an inward-curved temporal hairline.