Evidence map›Paper›PMID 39672948›Full record

ArticleAesthetic plastic surgery2025

Treatment of the Temples: Brazilian Consensus.

Gladstone Eustaquio de Lima Faria, Daniel Boro Dos Santos, Aneta Hionia Vassiliadis, Andre Vieira Braz, Eliandre Palermo, Bruna Felix Bravo, Luiz Eduardo Toledo Avelar, Daniel Coimbra, Alessandra Haddad, Mariana Muniz and 2 more

Abstract readConsensus Statement
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In one paragraph

Article in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Gladstone Eustaquio de Lima FariaInstituto Boggio-Medicina, ensino e pesquisa, Rua Cincinato Braga, 37, 8°Andar, Bela Vista, São Paulo, 04004-030, Brazil. gladstonefaria@hotmail.com.ORCID 0000-0002-0754-2019
Daniel Boro Dos SantosInstituto Boggio-Medicina, ensino e pesquisa, Rua Cincinato Braga, 37, 8°Andar, Bela Vista, São Paulo, 04004-030, Brazil.ORCID 0000-0001-5236-850X
Aneta Hionia VassiliadisInstituto Boggio-Medicina, ensino e pesquisa, Rua Cincinato Braga, 37, 8°Andar, Bela Vista, São Paulo, 04004-030, Brazil.ORCID 0000-0002-9377-8473
Andre Vieira BrazPrivate clinic, Rio de Janeiro, Brazil.ORCID 0000-0003-1100-8027
Eliandre PalermoPrivate clinic, São Paulo, Brazil.ORCID 0000-0002-9320-9967
Bruna Felix BravoPrivate clinic, Rio de Janeiro, Brazil.ORCID 0000-0001-9692-7967
Luiz Eduardo Toledo AvelarPrivate clinic, Belo Horizonte, Brazil.ORCID 0000-0002-4711-8837
Daniel CoimbraPrivate clinic, Rio de Janeiro, Brazil.ORCID 0000-0002-1776-1741
Alessandra HaddadPrivate clinic, São Paulo, Brazil.ORCID 0000-0002-5552-7251
Mariana MunizPrivate clinic, São Paulo, Brazil.
Ada Trindade de AlmeidaPrivate clinic, São Paulo, Brazil.ORCID 0000-0002-4054-2344
Ricardo Frota BoggioInstituto Boggio-Medicina, ensino e pesquisa, Rua Cincinato Braga, 37, 8°Andar, Bela Vista, São Paulo, 04004-030, Brazil.ORCID 0000-0002-5139-0243

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe temporal region is emblematic and challenging due to its structural and volumetric changes during aging, which significantly affect facial aesthetics. Despite the importance of addressing temporal aging, many injectors hesitate due to the region's anatomical complexity and risk of complications. This consensus aimed to provide expert guidance on the safest and most effective treatment strategies for the temple. METHODOLOGY: Twelve Brazilian dermatologists and plastic surgeons with expertise in cosmiatry participated in a survey of 54 objective and one open-ended question to identify best practices. The results were analyzed for consensus, with agreement categorized as a simple majority (50-75%), consensus (> 75%), or strong consensus (> 95%).

resultsParticipants agreed that volumization (100%), lifting (90%), and restructuring (82%) are essential for temporal rejuvenation. Hyaluronic acid (HA) was the preferred product for volumization and structuring, with the subcutaneous plane identified as the best option for both. There was no consensus on the product for lifting, though 45.5% favored poly-L-lactic acid (PLLA). Biostimulants such as PLLA and calcium hydroxyapatite were commonly used, with specific dilution strategies. Complications reported included hematomas and nodules, particularly with HA and PLLA.

conclusionThe consensus emphasized the importance of anatomical knowledge and product selection in achieving safe and long-lasting results in temporal rejuvenation. It provided clear recommendations for injection techniques and product choices, advocating for subcutaneous plane treatments for beginners. The findings highlight the need for expert-driven approaches to reduce the risk of complications and optimize patient outcomes in this sensitive region. LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

Cosmetic TechniquesDermal FillersRejuvenationSkin AgingAdultBrazilEstheticsFemaleHumansHyaluronic AcidMaleMiddle AgedRisk AssessmentSurveys and QuestionnairesTreatment OutcomeDermal FillersHyaluronic AcidConsensusFillerTempleTemporal

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.