New use for the temporalis superficialis fascia in the facial contour: lip sculpture.

Since 1989, the author has been using autologous grafts of the temporalis superficialis fascia, with a total of 303 areas grafted. The grafts are readily acquired; they do not present any problem to the donor area and they eliminate peribucal wrinkles in particular, contribute to the filling in and increase of the turgidity of the lips by hardening them, and produce the projection of the cutaneous vermillion line. The fascia are interposed between the skin and the muscles by dominating the action in the skin and having an exceptional integration of a definitive character with no absorption. We visualize the placement of the pieces of fascia with the assistance of a Reverdin needle, as there are no incisions, but rather just small holes. Its use is also applied to the fading of the naso-labial furrow and the glabellar wrinkles. The same material is used in correcting rhinoplasty sequelae and the increase of volume in the congenital or acquired sunken-in face. The contribution with the definitive use of grafted fascia offers refinement in the filling in the facial contour at the centripetal sunken-in areas of the face, as an ancillary procedure in the musculo-cutaneous facelift stretching.