Consideration of the diameter of superficial temporal arteries related to filler injections in the temporal region

Background The concavity of the temple due to adipose tissue atrophy from aging accentuates the zygomatic arch and lateral orbital rim, leading to an aged appearance. The use of hyaluronic acid filler in the temporal region has gained popularity due to its procedural simplicity and consistent outcomes. Objective To evaluate the safety of administering hyaluronic acid filler in the temporal region concerning the frontal branch of the superficial temporal artery, which is at risk of injury. Methods Empirical observations were conducted on the internal diameter of the frontal branch of the superficial temporal artery, a critical anatomical site for potential injury. Results A significant proportion of the artery segments exhibited an internal diameter below 1 mm. Given that the outer diameter of an 18‐gauge cannula is 1.27 mm, this method can be considered a relatively secure approach for enhancing the temporal region. Conclusion The use of an 18‐gauge cannula for hyaluronic acid filler administration in the temporal region appears to be a safe and effective method, with the potential risk to the frontal branch of the superficial temporal artery being minimal.