How hard is temporalis fascia placement?

Question

I had a revision 2 years ago and have some irregularities and discoloration at the tip, especially when weather changes. I have very thin skin according to my surgeon and he didn’t use fascia like I was hoping. How difficult is that for a minor correction? Would it change the shape? I like the shape but wouldn’t mind if it was a little wider from the thicker skin. What’s the healing time like for temporalis fascia overlay to the very tip?

David M. Kowalczyk, MD, MBA, FACS · Answer

Hello! I would not say it is difficult and in fact I use it a lot in thin skin. It helps to thicken the skin as you know. It's relatively easy to harvest from the temple. It will thicken and soften the tip though not dramatically. The healing time can take several months to reduce the swelling and integrate with the tissues. Additionally, we sometimes see a very light red hue within the skin from the fascia until incorporation with the tissues. Hope this helps!

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